News & Analysis

February 1, 2014
Briefings on APCs

In the 2014 OPPS Final Rule, CMS has dramatically increased packaged services and made clear that the trend will continue in 2015 and beyond.

February 1, 2014
Briefings on APCs

CMS replaces clinic E/M visit levels with single G-code, collapses EAM levels

 

January 28, 2014
Medicare Insider

In this week’s note, we will take a closer look at RUN transmittal R2845CP and related MLN Matters Article MM8572. Click the link above for more information and an in-depth analysis.

January 21, 2014
Medicare Insider

Last week, CMS released MLN Matters article MM8572 with billing instructions for laboratory services paid under either OPPS or the Clinical Laboratory Fee Schedule (CLFS). Prior to this guidance, I had received several questions from clients and past students regarding rural sole community hospital (SCH) add-on payments for lab services. Click the link above for more information and an in-depth analysis.

January 2, 2014
Medicare Insider

CMS issues certain quarterly updates relating to hospital outpatient services.These updates are primarily issued in the form of two recurring update notification transmittals (RUN).The first of these is a quarterly update to the IOCE Specifications. The second is a quarterly update to the Outpatient Prospective Payment System (OPPS). Because the most significant outpatient hospital changes become effective as of the beginning of each calendar year, the January updates are particularly important.Click the link above for more information and an in-depth analysis.

January 1, 2014
Briefings on APCs

Jugna Shah, MPH, writes about the perfect storm that led to the release of the 2014 OPPS Final Rule.

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