CMS moved ahead with significant expansions to its site-neutral payment policies, including reductions to payments for certain services at expected off-campus provider-based departments (PBD), additional price transparency requirements, changes to its methodology for setting MS-DRG rates, and...Read More »
Q: Why is it necessary for coders, CDI professionals, and providers to align documentation and coding for substance-related disorders when applying both the DSM-5 and ICD-10? How does this impact risk adjustment and HCC capture?Read More »
Q: What are Elixhauser comorbidities, and how does present on admission (POA) status, clinical significance, and sequencing play a role in reporting them?Read More »
Many Medicare Advantage (MA) and Medicaid managed care plans offer severely limited networks for behavioral health patients, according to a new report released by Department of Health and Human Services (HHS) Office...Read More »
From 2013-2023, the number of physicians serving Medicaid patients grew; however, providers practicing in rural and under deserved areas experienced higher exit rates, new data shows.Read More »
Over the last five years, healthcare organizations have provided services using waivers and flexibilities designed to expand Medicare beneficiaries’ access to telehealth during the COVID-19 pandemic. Some of these flexibilities have already expired or been made permanent, but certain provider...Read More »
