Despite facing potential lawsuits and political opposition, CMS finalized some of its most controversial proposals in the 2019 OPPS final rule by implementing several site-neutral payment policies and 340B drug payment reductions.
This week’s Medicare updates include new additions to the OIG Work Plan, transmittals on implementation of the End-Stage Renal Disease Prospective Payment System (PPS) and Home Health PPS, and a Special Edition MLN Matters article on waivers to assist with wildfire relief in California.
Novitas Solutions, Inc. plans to pursue $7.2 million in intensity-modulated radiation therapy (IMRT) overpayments to hospitals in its jurisdiction, according to an Office of Inspector General report.
Take a look at the appeal process from the perspective of a hospital that submitted a redetermination request after a claim for cataract surgery was reopened.
