CMS is weighing an expansion of the hospital outpatient department prior authorization program, changes to 340B reimbursement, and alternative rate setting data among other proposals in the 2023 Outpatient Prospective Payment System (OPPS) proposed rule. Review other major proposals to understand how your organization could be affected.
It may be summer, but there is no vacation when it comes to HIPAA privacy and security. In fact, OCR was extremely busy and active with enforcement in July.
This week’s Medicare updates include the FY 2023 IPPS Final Rule, a request for information on improving Medicare Advantage, an implementation transmittal for the updates to the Inpatient Psychiatric Facility Prospective Payment System, and more!
Telehealth coverage may be changing in your state as early as this fall—if it hasn’t already. While Medicare has pledged to cover telehealth services through December 2023, many state public health emergency waivers that expanded telehealth services are set to be rolled back.
Revenue erosion and denials are often easily prevented, but simple errors may evade traditional, reactive denials management processes. Apply these tips to reduce and prevent common denials due to medical necessity, the three-day payment window, and more.
This week's Medicare updates include the FY 2023 Skilled Nursing Facility Prospective Payment System final rule, the FY 2023 Inpatient Psychiatric Hospital Prospective Payment System final rule, the FY 2023 Hospice Payment Rate Update final rule, and more!
