This week’s updates include substantial revisions to QIO Manual for reviews involving potential administrative sanctions; Comprehensive Care for Joint Replacement Model (CJR) provider education; and more!
Recent national coverage determination transmittals could mean changes to coverage of certain preventive services. Referring providers, revenue cycle and integrity staff, and others dealing with coverage of these services should be aware of and make adjustments to their processes accordingly.
This week’s updates include Critical Access Hospital (CAH) Recertification Checklist for evaluation of compliance with the location and distance requirements; core quality measures collaborative release; and more!
CMS won’t release guidance on the payment impact of Section 603 of the Bipartisan Budget Act of 2015 until the 2017 OPPS proposed rule, but the American Hospital Association (AHA) has weighed in with a letter to Congress urging the government to reject further site-neutral payment policies.
This week’s updates include identifying "No Documentation" medical necessity denials for claims flagged for Recovery Auditor review; Shared System Enhancement 2015 Analysis and Design HUOPCUT hospice period and Health Maintenance Organization processing; and more!
This week’s updates include a technology assessment regarding treatment of degenerative joint disease with hyaluronic acid; a final notice of modification and termination of OIG Advisory Opinion 08-17; and more!
