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.
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!
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!
This week’s Medicare updates include the release of the 2020 ICD-10-CM coding guidelines, a decision memo on chimeric antigen receptor T-cell therapy, a booklet on critical access hospital requirements, and more!
This week’s Medicare updates include proposed and final rules for several of Medicare’s prospective payment systems, the 2020 ABN form for download, an article about compliance with the three-day stay rule for SNF admission, and more.
CMS is proposing several revisions to its clinical diagnostic laboratory date of service (DOS) policy in the FY 2020 OPPS proposed rule, including requiring ordering physicians to determine whether tests are intended to guide treatment during a current or future outpatient encounter.
