News & Analysis

July 19, 2016
Medicare Web

Can a hospital that is not a critical access hospital bill professional charges on UB-04 claims, Type of Bill 013X?

July 12, 2016
Medicare Web

Is diagnosis no longer a criteria for the observation APC payment?

July 8, 2016
Medicare Web

CMS released the 2017 Medicare Physician Fee Schedule proposed rule yesterday, with policies that look to expand an Innovation Center program, revise payment for care management services, and collect data regarding global period payments. 

July 8, 2016
Medicare Web

CMS proposes aligning its conditional packaging modifiers and deleting a much-maligned modifier for separately payable laboratory tests in the 2017 OPPS proposed rule, released July 6. 

July 7, 2016
Medicare Web

CMS is looking to implement the Section 603 provisions of the Bipartisan Budget Act of 2015 regarding off-campus, provider-based departments by January 1, 2017, according to the 2017 OPPS proposed rule, released yesterday. 

July 1, 2016
Briefings on APCs

Congressional legislation is often written in a way that obfuscates or, at the very least, makes it difficult to discern the impact or intent of a bill.

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