There are some changes to the Beneficiary and Family Centered Care-Quality Improvement Organization’s (BFCC-QIO) program, and if you’re one of the organizations affected by the changes, you may need to update your patient notices to reflect them.
CMS proposed one mandatory and four voluntary alternative payment models (APM) for Medicare beneficiaries who receive treatment for chronic kidney disease and end-stage renal disease.
CMS released MLN Matters SE19007 on June 28, announcing that it completed round three testing of the activation of systematic validation edits for OPPS providers with multiple service locations. To allow enough time to analyze collected data, the agency is postponing implementation of the edits until October.
CMS recently released two quarterly updates effective July 1: Medicare Claims Processing Transmittal 4313, which is the July update to the OPPS, and Medicare Claims Processing Transmittal 4314, which is the related July update to the Integrated Outpatient Code Editor (I/OCE) Specifications, Attachment B.
The CDC has posted the FY2020 ICD-CM final code changes, and there were no changes to the proposed list of 273 new, 30 revised and 21 invalidated codes that were released in the proposed inpatient hospital prospective payment system rule, April 23.
CMS finalized a rule on May 7 aimed at streamlining the Medicare appeals process by removing the signature requirement for appeal requests of Parts A and B claims and Part D prescription drug coverage determinations.
