CMS is proposing that hospitals report inpatient payer-specific median negotiated rates with Medicare Advantage organizations and third-party payers on the hospital cost report, according to the fiscal year (FY) 2021 Inpatient Prospective Payment System (IPPS) proposed rule.
This week’s Medicare updates include clarifications on interstate license compacts, a new national coverage determination on acupuncture, a list of hospital outpatient therapeutic services with supervision level changes, and more!
CMS updated its novel coronavirus (COVID-19) fee-for-service billing FAQs on April 23 and May 1. The updated FAQs address the appropriate use of disaster-related modifiers, remote physiological monitoring (RPM), and more.
Modifier -22 indicates that the procedural work performed by the provider or surgeon was substantially greater than what is typically required. The application of this modifier allows providers to receive additional reimbursement for a procedural service that was especially challenging, time-consuming, or unusual.
