News & Analysis

January 16, 2019
Medicare Insider

This week’s Medicare updates include a transmittal implementing quarterly updates to the DMEPOS competitive bidding program files, a transmittal implementing 14 newly waived CLIA tests, the quarterly update to the NCCI procedure-to-procedure edits, and more!

January 9, 2019
Medicare Insider

This week’s Medicare updates include the January 2019 update of the Ambulatory Surgical Center Payment System, new guidance on delivering immunosuppressive drugs to a different address, an update to the appeals prioritization process, and more!

January 9, 2019
Medicare Web

CMS ramped up risk-sharing for accountable care organizations (ACO) in a final rule published December 31, 2018. The final rule makes changes to the Medicare Shared Savings Program and will reduce the amount of time ACOs can stay in one-sided risk models.

January 1, 2019
Briefings on APCs

Establishing an outpatient CDI program can have substantial benefits. Recently, an outpatient CDI review project demonstrated there were many documentation improvement opportunities at a large family practice/internal medicine physician clinic.

January 1, 2019
Briefings on APCs

The 2019 CPT code update includes 19 code additions and three revisions to the cardiovascular section of the CPT Manual. These changes reflect advances in surgical treatment for cardiovascular conditions such as heart failure and aortic stenosis.

December 12, 2018
Medicare Insider

This week’s Medicare updates include an FAQ on the new price transparency rule for 2019, an update to the Medicare Benefit Policy Manual to include new payment policies for rural health clinics, a fact sheet on the Value-Based Purchasing Program for FY 2019, and more! 

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