HCPro.com: APC Payment Insider

APC Payment Insider reports on the latest coding and policy changes affecting Medicare outpatient billing under ambulatory payment classifications (APCs). This monthly newsletter offers proven strategies to succeed under CMS's outpatient prospective payment system (OPPS), plus ways to enhance chargemaster maintenance, recruit and retain qualified coders, speed billing turnaround, improve documentation habits, and use modifiers properly.

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August 2008 (Volume 10, Issue 8)	view entire issue

Implement the new ESA transmittals in your hospital
Editor's note: This is the first article in a two-part series. In January, CMS published three transmittals (Transmittals 1412, 1413, and 80) that significantly changed the process of billing for erythropoietin-stimulating agents (ESA). As noted in the March Briefings on APCs, an HCPro, Inc., sister publication, hospitals that treat end-stage renal disease know these guidelines, but other facilities might find them difficult to implement.

Other recently-published articles from APC Payment Insider:

Regulatory basis for self-administered drugs

Eliminate unnecessary imaging services to meet planned APC payment reductions in the 2009 OPPS proposed rule

Get ready now for ICD-10

CMS proposes five new composite APCs, reduces drug reimbursement

Prefabricated splint codes: No easy answers

Unraveling the costly inpatient-only procedures puzzle

Implement the new ESA transmittals in your hospital

Infusions

Tune E/M documentation to meet the 2008 guidelines

Medically unlikely edits remain a puzzle to providers

RAC report casts spotlight on wrong-setting errors

RAC report casts spotlight on wrong-patient settings

Injections and infusions

Billing for packaged drugs: Meet coverage requirements

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