This week’s Medicare updates include a Special Edition MLN Matters article on the new documentation requirements for cost reports, revised manual instructions related to the implementation of the Patient-Driven Groupings Model, an OIG review of the impact of price substitutions based on average sales price data, and more!
Facility evaluation and management (E/M) coding is based on the facility resources utilized to provide medical care. Because CMS has not created national E/M guidelines for emergency department (ED) services, providers must create their own criteria for each visit level. Review your organization’s ED E/M leveling policies to ensure compliance.
The Office of Inspector General (OIG) will review Medicare’s diagnosis-related group (DRG) window policy to determine whether the program could save money by expanding the policy to include more days, according to an update to the OIG Work Plan.
This week’s Medicare updates include a new tracking sheet for a national coverage analysis of transcatheter mitral valve repair procedures, the October 2019 update to drug and biologicals HCPCS codes, the October 2019 update to the Medicare Physician Fee Schedule database, and more!
CMS’ Hospital Outpatient Payment (HOP) panel made numerous recommendations at its annual meeting August 19 for the agency to consider ahead of the release of the 2020 OPPS final rule—with the panel and other stakeholders urging CMS to be more transparent with its responses and release of data.
