News & Analysis

February 12, 2018
Medicare Web

What are some examples of hospital departments that do not furnish clinical services and would not be considered provider-based?

February 9, 2018
Case Management Monthly

CMS announced a new voluntary bundled payment model in January called Bundled Payments for Care Improvement Advanced (BPCI Advanced). Bundled payments, like the ones established by BPCI Advanced, are designed to act as a carrot for healthcare organizations by offering them financial incentives to improve patient outcomes, better coordinate patient care, and rein in spending

February 8, 2018
Medicare Insider

This week's note reviews changes to the clinical lab date of service policy initiated by the 2018 Outpatient Prospective Payment System. 

February 7, 2018
Medicare Web

CMS recently released guidance on submitting claims and filing appeals as it rolls out its new Medicare cards. The new cards will replace the Health Insurance Claim Number, which is based on the beneficiary’s Social Security Number (SSN), with a Medicare Beneficiary Identifier that is not tied to the beneficiary’s SSN.

February 7, 2018
Medicare Insider

This week’s Medicare updates include new skilled nursing facility advance beneficiary notice forms, the 2019 Advanced Notice for Medicare Advantage and Part D plan changes, quarterly HCPCS drug/biological code changes, and more! 

February 5, 2018
Medicare Web

How does Medicare cover hospital outpatient diagnostic services furnished in a provider-based department?

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