News & Analysis

June 1, 2016
Briefings on APCs

As healthcare providers increasingly accept financial risk associated with patient management due to the transition from fee-for-service to risk-/value-based reimbursement, the traditional model of healthcare reimbursement has been flipped upside down.

June 1, 2016
Briefings on APCs

The April 2016 I/OCE update brought a host of code and status indicator changes, as well as corrections to CMS' large January update that instituted policies and codes from the 2016 OPPS final rule.

May 25, 2016
Medicare Insider

This week’s note is about changes in the July 2016 OPPS update.

May 25, 2016
Medicare Insider

This week’s updates include a survey and certification letter for the adoption of 2012 Life Safety and Health Care Facilities Code; the July 2016 updates to the Integrated Outpatient Code Editor and hospital OPPS; and more!

May 1, 2016
Briefings on APCs

CMS proposed an extensive five-year, two-phase plan to overhaul Part B drug payments for physicians and hospitals in March outside of the normal OPPS rulemaking cycle that could be implemented as early as this fall.

May 1, 2016
Briefings on APCs

The Provider Roundtable was established in 2003 to give CMS the benefit of providers' input and guidance on critical healthcare delivery issues.

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