News & Analysis

March 2, 2020
News & Insights

Q: What are the criteria for receiving the C-APC for observation services (8011)?

March 1, 2020
Briefings on APCs

To enhance efforts to combat the opioid crisis in America, CMS policy allows for a new benefit under Medicare Part B concerning Opioid Treatment Programs.

March 1, 2020
Briefings on APCs

Like other services covered by Medicare, observation must be reasonable and necessary or, in other words, medically necessary. The physician must document that they assessed patient risk to determine that the patient would benefit from observation services.

March 1, 2020
Briefings on APCs

The Centers for Disease Control and Prevention (CDC) is monitoring the rapid spread of a novel 2019 coronavirus, formally named COVID-19, first identified in Wuhan, Hubei Province, China. On January 30, the International Health Regulations Emergency Committee of the World Health Organization (WHO) declared the COVID-19 outbreak a public health emergency of international concern due to its sustained person-to-person spread within countries and across continental borders.

February 26, 2020
Medicare Insider

This week’s Medicare updates include four new items added to the OIG work plan, a new version of the integrated denial notice form, a transmittal implementing numerous regulatory revisions to the State Operations Manual, and more!

February 26, 2020
News & Insights

CMS is proposing several changes to the Comprehensive Care for Joint Replacement (CJR) model, including a three-year extension, in a proposed rule published in the Federal Register on  February 24.

Pages