The proposed Inpatient Prospective Payment System (IPPS) rule changes proposed for the 2017 fiscal year were released on April 18. In reviewing the changes outlined in the 1,585-page rule, it became clear that there were a few practice areas that will be particularly impacted

Our office is having a difficult time reaching patients within the required two business days from discharge for transitional care management (TCM) codes. Will this preclude us from billing the codes when all of the other criteria are met?

The Centers for Medicare and Medicaid Services (CMS) released the 2017 ICD-10-PCS codes as well as other supporting documentation on Thursday....

The Centers for Medicare and Medicaid Services (CMS) released a technical alert dated May 23, 2016 related to Non-Group Health Plan (NGHP) MMSEA Section 111 reporting. This alert communicates that there are newly excluded ICD diagnosis codes that will no longer be accepted by CMS beginning...

The KVUE Defenders uncovered more concerns involving medical billing transparency following a nation-wide investigation. This time, complaints involve hospitals and other health care providers not providing reasonable cost estimates upfront or explaining the bill afterwards. Bill Preston said it happened to him last year.