Coding

CMS nearly doubles the payment rate for administering the COVID-19 vaccine in a Medicare beneficiary’s home

A payment increase for in-home COVID-19 vaccine administration is part of a strategy to improve vaccination rates, which have slowed in recent weeks.

Nick Hut June 10, 2021

How healthcare organizations can leverage CDI to meet strategic goals amid times of financial uncertainty

Six trends related to the COVID-19 pandemic have created a need for healthcare organizations to adopt a new, strategic and data-driven approach to managing their clinical documentation integrity (CDI) programs.

James P. Fee, MD, CCS, CCDS April 26, 2021

Update on Medicare payment policy for treatments involving bamlanivimab

Medicare no longer will pay healthcare providers for administering the COVID-19 treatment bamlanivimab now that the FDA has revoked the Emergency Use Authorization for treatments in which the drug is administered alone.

Nick Hut April 20, 2021

After OIG says hospitals may be engaging in upcoding, CMS and AHA dispute the finding

The HHS Office of Inspector General says a significant rise in high-severity inpatient admissions with no corresponding increase in length of stay indicates a possible pattern of upcoding by hospitals in recent years.

Nick Hut March 2, 2021

5 tips to safeguard 20% payment increase for treating patients with COVID-19

Healthcare organizations should be careful to ensure their practices don't put their COVID-19 payments at risk.

Lisa A. Eramo, MA December 2, 2020

Telehealth: Moving from stop-gap measures to an integrated care delivery model

With telemedicine on the rise, two senior leaders advise having proper denials prevention and response strategy, along with ideas on motivating physicians to participate in telehealth programs.

HFMA November 30, 2020

Lessons learned from 2020 HFMA MAP Award winners

Learn key takeaways from 15 revenue cycle leaders who shared performance at the HFMA Digital Annual Conference lessons learned around ways to strengthen and sustain revenue cycle.

HFMA November 30, 2020

HFMA’s online Community continues to grow and evolve

The completion of HFMA’s major upgrade to its online Community platform just as COVID-19 pandemic was provided an improved networking experience and way to get answers to healthcare finance industry questions.

Melanie Binder October 30, 2020

Proposed CY 2021 Medicare Physician Fee Schedule changes: Analysis of impact on telehealth flexibilities and E/M coding

HFMA's Katie Gilfillan says the E/M coding changes taking place January 1, 2021, will have significant impacts not only to primary care physicians but also will have significant impact on specialist’s reimbursement.

Katie Gilfillan August 20, 2020

Key considerations for revenue cycle teams to optimize coding and maximize revenue during COVID-19

Providers should make sure they fully understand various COVID-19 codes that can enhance payment from CMS and serve as important claims data.

Emmel Golden, MD, FCCP, CCDS May 6, 2020
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