News & Analysis

December 21, 2015
Medicare Insider
Small tweaks to the 2-midnight rule in the 2016 OPPS final rule should help providers, but a lengthy court battle related to the rule could end up making a bad situation worse.  
November 5, 2015
Medicare Insider

In a surprising announcement on Friday, October 30, the Office of Inspector General (OIG) may have delivered some good news to hospitals who are diligently following prior CMS guidance on billing patients for SADs provided in the outpatient setting.

November 4, 2015
Medicare Insider

This week’s updates include an NCD for single chamber and dual chamber permanent cardiac pacemakers; a Medicare Compliance Review of Boca Raton Regional Hospital, Inc., for 2011 and 2012; and more!

October 14, 2015
Medicare Insider

This week’s updates include changes to the laboratory NCD edit software for January 2016, medical record signature requirements, and more! Click here to read all of this week’s updates.

October 7, 2015
Medicare Insider

This week’s updates include the October 2015 update of the ASC payment system; postpayment review requirements; and more! Click here to read all of this week’s updates.

September 29, 2015
Medicare Insider

This week’s updates include: Claims processing Medicare Secondary Payer (MSP) policy and procedures regarding ongoing responsibility for medicals (ORM); Maintenance and update of the temporary hook created to hold OPPS claims that include certain drug HCPCS codes; and more!

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