News & Analysis

July 17, 2019
Medicare Web

CMS is extending its enforcement discretion period for its laboratory date of service (DOS) exception policy to January 2020.

July 17, 2019
Medicare Insider

This week’s Medicare updates include the CY 2020 Home Health Prospective Payment System proposed rule, a series of OIG reports on hospice deficiencies, the new interest rate for Medicare overpayments and underpayments, and more!

July 15, 2019
Medicare Web

Q: What are the pros and cons of conducting a 100% retrospective charge segregation review for clinical trial claims?

July 10, 2019
Medicare Web

Accountable care organizations (ACO) avoid downside risk contracts even though the number of ACO contracts and ACOs with multiple contracts have grown, according to a recent study. The study authors suggest that stronger incentives to take on downside risk are necessary to ensure the success of the ACO model.

July 10, 2019
Medicare Insider

This week’s Medicare updates include a decision memo for an ambulatory blood pressure monitoring NCD, another extension of enforcement discretion for the laboratory date of service exception policy, a fact sheet on proper billing processes for DMEPOS items delivered to inpatients, and more!

July 8, 2019
Medicare Web

Q: What are Medicare's criteria for reopening a claim as opposed to treating it as a denial?

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