Revenue Cycle

Revenue Cycle Headlines

  • Two-Midnight Rule: Initial Reviews to Resume

    Having taken time out for retraining and internal audits, contractors may resume initial-phase reviews of Medicare reimbursement claims for short-stay inpatient hospital care, CMS says.

  • Providers see only minor productivity declines after ICD-10 implementation, according to survey

    A decrease in staff productivity has been the top challenge for providers after ICD-10 was implemented, but relatively few organizations have seen a significant decrease in productivity, according to a recent survey from Navicure.

  • Q&A: Submitting claims for observation services

    Q: Did something change with the observation services Composite APC in 2016? The director of patient financial services says we no longer receive payment for it.

  • Does your facility continue to struggle with injections and infusions coding?

    Despite few recent code or rule changes in recent years, coders and HIM managers I hear from through emails and at industry events almost always mention concerns about accurately documenting and reporting drug administration services.  

  • Q&A: Should we hardcode modifier -CT?

    Q: Our radiology department is requesting that we add a new modifier to their charge description master (CDM), modifier –CT (computed tomography [CT] services furnished using equipment that does not meet each of the attributes of the National Electrical Manufacturers Association [NEMA] XR-29-2013 standard). They want this added to the CT scan line items, but they are not sure if it is for all of the items or only certain ones. Can you provide more information that might help us know how to proceed?

  • NCCI Manual includes clarifications for modifier -59 usage, injections and infusions

    With the latest edition of the NCCI Manual, effective January 1, CMS does not introduce any new guidance for recurring coding trouble areas including modifier -59 (distinct procedural service) usage and injection and infusion services, but some new clarifications could aid coding departments.