November 18, 2016
News & Insights

CMS removed seven codes from the inpatient-only list in the 2017 OPPS final rule, but decided not to change the designation of a code involved with several of the agency’s bundled payment models.  

November 15, 2016
Medicare Insider

This week’s Medicare updates include the release of the OIG 2017 Work Plan, a CMS memorandum regarding noncompliance of transplant centers, an OIG report on unallowable claims for outpatient physical therapy services, and more!

November 11, 2016
News & Insights
November 1, 2016
News & Insights

CMS has awarded five new contracts for the next round of the Recovery Audit Program,

October 25, 2016
Medicare Insider

This week’s Medicare updates include Fiscal Year 2017 Inpatient Prospective Payment System and Long Term Care Hospital PPS Changes; Revisions to State Operations Manual for Critical Access Hospitals (CAH) and Swing-Beds in CAHs; and more!

October 25, 2016
News & Insights

An inadvertent change in CMS guidance from “subsection (d) hospital” to “acute care hospital” to “IPPS hospital” resulted in eligible patients being denied admission to long-term care hospitals, but CMS has since revised its guidance.

October 18, 2016
Medicare Insider

This week’s Medicare updates include CMS’ Quality Payment Program; updates to the interest rate for Medicare overpayments and underpayments; a new initiative to increase clinician engagement; and more!

October 11, 2016
Medicare Insider

This week’s Medicare updates include the release of the October 2016 Medicare Quarterly Provider Compliance Newsletter; OIG reports on Medicare payments for clinical diagnostic laboratory tests; Reform of Requirements for Long-Term Care Facilities; and more!

October 5, 2016
Medicare Insider

This week’s Medicare updates include a transmittal recurring update notification describing changes to and billing instructions for various payment policies implemented in the October 2016 OPPS update; news about CMS once again allowing some providers to settle inpatient status claims in appeals; an OIG report regarding the improper payment of millions of dollars for unlawfully present beneficiaries; and more!

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