Remittance processing and appeals are integral parts of the revenue cycle. When facilities submit a claim to Medicare, the hope is that the claim will be paid in full and in a timely manner, but that does not always happen.
In the 2019 OPPS final rule, released November 2, CMS implemented several site-neutral payment policies, though the agency did delay or shelve other proposals due to stakeholder feedback.
This week’s Medicare updates include an advance notice of proposed rulemaking regarding changes to Part B drug pricing, an OIG review of billing for inpatient services, the release of skilled nursing facility quality reporting data, and more!
This week’s Medicare updates include a proposed rule on drug pricing transparency, an article on systemic validation edits for OPPS providers with multiple service locations, an update to the OIG Work Plan, and more!
This week’s Medicare updates include a new national coverage analysis for ambulatory blood pressure monitoring, an article on CMS actions in Hurricane Michael relief efforts, the release of the 2019 Star Ratings for Medicare Advantage and Part D prescription drug plans, and more!