Special Bulletin

Medicare spending on acute-care inpatient hospital services will increase by about $3.5 billion in FY 2021 As the healthcare industry continues to be buffeted by the unrelenting coronavirus pandemic, the Centers for Medicare & Medicaid Services (CMS) has released the Inpatient Prospective Payment System (IPPS) and the Long-Term Care Hospital (LTCH)…
The move is already stirring up questions and concerns. Amid the more than 300 pages of the Coronavirus Aid, Relief, and Economic Security (CARES) Act signed into law back in March was a clause of great interest to healthcare providers: a provision to increase the weighting factor of the applicable…
The headlines have been coming fast and furious: Judge rules against hospitals in price transparency lawsuit (June 2020) Hospitals to challenge loss on site-neutral payments (July 2020) Hospitals lose legal battle to 304B Drug Cut (July 2020) CMS Proposes eliminating “inpatient only” list (August 2020)   Does anyone see a…
ICD-10-CM Official Guidelines for Coding and Reporting FY 2021 have been updated and released, noting many changes related to COVID19 and its observation and screening codes. EDITOR’S NOTE: During recent weeks, the Centers for Medicare & Medicaid Services (CMS) has been announcing revisions to its regulatory requirements on a near-daily…
NUBC guidance has been updated with the missing ICD-10-AHA code for screening: Z11.59. EDITOR’S NOTE: During recent weeks, the Centers for Medicare & Medicaid Services (CMS) has been announcing revisions to its regulatory requirements on a near-daily basis, in an attempt to ease administrative and logistical burdens on providers amid…
Reimbursement has not been established at this time. The American Medical Association (AMA) CPT® Editorial Panel has revised one code and created two new codes to provide more specificity for serology laboratory testing.   The codes, which were published on April 10, are effective immediately. Reimbursement has not been established for…
The new template was designed by a former ED physician. Front-line emergency departments facing an onslaught of patients suspected of contracting the novel coronavirus that causes COVID-19 now have a new tool designed to help them quickly diagnose patients. The new tool is a documentation template that can be programmed…
EDITOR’S NOTE: Dennis Jones is the Administrator of Patient Financial Services for Montefiore Nyack Hospital in Nyack, N.Y., about 20 miles north of New York City. During a guest appearance on Talk Ten Tuesdays this week, Jones outlined how the COVID-19 pandemic is hitting the metropolitan area as hard as…