News & Analysis

November 8, 2016
Medicare Insider

This week’s Medicare updates include the release of the End-Stage Renal Disease Prospective Payment System final rule, an announcement of the next round of Medicare Recovery Audit Contractors, the Hospital Outpatient Prospective Payment Changes for 2017 final rule, CY 2017 Home Health Prospective Payment System, a Hospital Appeals Settlement Update, and more!

November 1, 2016
Briefings on APCs

With only 60 days between the OPPS final rule's release and the January 1 implementation date, providers will be ahead of the curve by spending time now and thinking about the processes they may need to review, change, or implement based on what CMS finalizes and the sort of financial impact the final rule is likely to have.

November 1, 2016
Briefings on APCs

Orders for services are a vital component of ensuring Medicare coverage. With the advent of computerized provider order entry (CPOE), it is important to review order templates in the electronic medical record (EMR) and the resulting order produced or printed in the formal legal medical record to ensure the templates meet requirements.

November 1, 2016
Briefings on APCs

Just like the lyrics to the popular Gap Band song say, "You dropped a bomb on me… I won't forget it," there are definitely some changes in the 2017 ICD-10-CM Official Guidelines for Coding and Reporting that some of us may wish the Cooperating Parties will forget were ever mentioned.

November 1, 2016
Medicare Insider

This week’s Medicare updates include the release of FY 2017 Dialysis Facility Reports and End Stage Renal Disease Core Survey Materials; the Denial of Home Health Payments When Required Patient Assessment Is Not Received; a Quality Payment Program fact sheet, and more!

November 1, 2016
Medicare Insider

This week’s note from the instructor discusses PTAC, its mission, and submitting proposals.

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