News & Analysis

April 12, 2016
Medicare Insider

This week’s updates include a transmittal regarding completing and processing Form CMS-1500 Data Set; a transmittal from Provider Reimbursement Manual, Part 1–Chapter 31 on Organ Acquisition Payment Policy; and more!

April 6, 2016
Medicare Insider

This week Medicare Insider is featuring an excerpt from Patient Status Training Toolkit for Utilization Review by Kimberly Anderwood Hoy Baker, JD, regulatory specialist for HCPro.  

April 6, 2016
Medicare Insider

This week’s updates include reporting principal and interest amounts when refunding previously recouped money on the Remittance Advice; Changes to the laboratory NCD edit software for July 2016; and more!

April 1, 2016
Briefings on APCs

The new modifier -PO (services, procedures, and/or surgeries furnished at off-campus provider-based outpatient departments [PBD]) and the alternative payment provisions under the Bipartisan Budget Act Section 603 are both related to off-campus PBDs but define "off-campus PBD" slightly differently.

March 29, 2016
Medicare Insider

This week’s updates include new waived tests; guidance to surveyors in conducting exit conferences; and more!

March 16, 2016
Medicare Insider

This week’s note is about certification requirements for swing beds in critical access hospitals.

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