This week’s Medicare updates include a Special Edition MLN Matters article on the removal of total knee arthroplasty from the inpatient-only list, manual changes related to functional reporting requirements and outpatient therapy caps, the April 2019 quarterly average sales price drug pricing files, and more!
This week’s Medicare updates include four new additions to the OIG work plan; provider compliance tip sheets on tracheostomy supplies, ventilators, canes, and crutches; a national coverage analysis on acupuncture as a treatment for low back pain; and more!
This week’s Medicare updates include a transmittal implementing quarterly updates to the DMEPOS competitive bidding program files, a transmittal implementing 14 newly waived CLIA tests, the quarterly update to the NCCI procedure-to-procedure edits, and more!
This week’s Medicare updates include the January 2019 update of the Ambulatory Surgical Center Payment System, new guidance on delivering immunosuppressive drugs to a different address, an update to the appeals prioritization process, and more!
CMS ramped up risk-sharing for accountable care organizations (ACO) in a final rule published December 31, 2018. The final rule makes changes to the Medicare Shared Savings Program and will reduce the amount of time ACOs can stay in one-sided risk models.
The 2019 CPT code update includes 19 code additions and three revisions to the cardiovascular section of the CPT Manual. These changes reflect advances in surgical treatment for cardiovascular conditions such as heart failure and aortic stenosis.
