News & Analysis

November 9, 2016
Medicare Insider

This week’s note from the instructor discusses the 2017 OPPS final rule’s provisions for implementing Section 603 of the Bipartisan Budget Act of 2015, which requires an alternate payment system for certain off-campus provider-based services.

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
Medicare Web

Please explain the separate procedure exception for inpatient-only procedures.

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.

October 11, 2016
Medicare Insider

This week’s Medicare updates include the release of the October 2016 Medicare Quarterly Provider Compliance Newsletter; OIG reports on Medicare payments for clinical diagnostic laboratory tests; Reform of Requirements for Long-Term Care Facilities; and more!

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