Among the proposed changes, many of which affect quality and data reporting programs, are proposed changes to claims data used for rate setting, a delay of the three way split criteria for Medicare Severity Diagnosis-Related Groups (MS-DRG), and more. Understand major proposals and their potential impact and how to provide feedback to CMS.
This week’s Medicare updates include a proposed rule implementing certain provisions of the Consolidated Appropriations Act of 2021, a final rule for the CY 2023 policy and technical changes to Medicare Advantage and Part D plans, three OIG advisory opinions, and more!
Shelley C. Safian, PhD, RHIA, CCS-P, COC, CPC-I, unpacks local and national medical necessity standards and best practices for avoiding denials due to inadequate documentation.
This week’s Medicare updates include the FY 2023 SNF PPS Proposed Rule, the renewal of the COVID-19 PHE, updated code descriptors for the Prior Authorization for Certain Hospital Outpatient Department Services program, and more!
This week’s Medicare updates include the quarterly Medicare Provider Compliance Newsletter, the rescinding of some of the COVID-19 PHE waivers, the 2023 Medicare Advantage and Part D Rate Announcement, and more!
