This week’s Medicare updates include the introduction of step therapy for Medicare Advantage plans, a correction to the Medicare Physician Fee Schedule proposed rule, a new 2019 benefit for the Next Generation ACO model, and more!
Implementing a denial avoidance initiative can help facilities and health systems realize lost revenue, achieve cost savings, and improve an organization’s financial performance.
In the 2019 OPPS proposed rule, CMS does not introduce a new skin substitute payment policy but is seeking comment on potential changes for future rulemaking.
Inappropriate use of nonemergency ambulance transport cost Medicare $8.7 million in overpayments, according to a recent Office of Inspector General (OIG) report.
