News & Analysis

April 1, 2014
Briefings on APCs

The January 2014 quarterly I/OCE update included nearly 400 new HCPCS Level II codes, but the most significant changes for providers may center on relatively few codes, as a result of modifications CMS made in the 2014 OPPS final rule.

March 1, 2014
Briefings on APCs

 

CMS has been making it clear over the years that packaging would become a larger and larger part of OPPS, and in calendar year (CY) 2014 CMS made good on this.

 

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.

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