The Regulatory Provisions to Promote Program Efficiency, Transparency, and Burden Reduction proposed rule would make significant changes to the Conditions of Participation and could change the way hospitals work with competitive ambulatory surgery centers (ASC).
This week’s Medicare updates include an MLN Booklet on billing and payment policies for global surgery packages, a reminder on edit requirements for non-OPPS providers, new guidance on swing-bed requirements, and more!
As hospitals transform from volume-based to value-based reimbursement, the role and functions of the utilization review (UR) committee are evolving. Learn how to refocus UR and use it as a tool for success now and in the future.
This week’s Medicare updates include the first annual report on the Next Generation Accountable Care Organization model, a Special Edition MLN Matters article on when to review opioid use with beneficiaries, the introduction of a new way for Part D plans to manage formulary designs and options, and more!
The Revenue Integrity Symposium (RIS) is such an important event to anyone in the revenue integrity profession because while there are many conferences that touch upon aspects of revenue integrity, RIS is the only one entirely dedicated to that topic.
This week’s Medicare updates include an application of a payment adjustment for IPPS low-volume hospitals, an OIG review which found 100% non-compliance with billing regulations for intensity-modulated radiation therapy planning services, a fact sheet on submitting data for MIPS through the claims data submission process, and more!
