News & Analysis

April 11, 2017
Medicare Insider

This week’s Medicare updates include the release of the 2017 Inpatient Pricer; a decision memo for Hyperbaric Oxygen Therapy; a delay of effective date for the Conditions of Participation for home health agencies; and more!

April 3, 2017
Medicare Insider

This week’s Medicare updates include an announcement regarding enforcement discretion on clinical laboratory data reporting; a new OIG resource guide for measuring compliance program effectiveness; a memorandum regarding the final rule adjusting Civil Monetary Penalties for inflation; and more!

March 30, 2017
Medicare Web

Radiation oncology services billed to CMS had a 9.6% improper payment rate in 2015, leading to Medicare improperly paying $137 million for these services, according to a study reported in the Medicare Quarterly Compliance Newsletter.

March 27, 2017
Medicare Insider

This week’s Medicare updates include additional information on denial of home health payments when required patient assessment is not received; Advanced Provider Screening phase 1 go-live; an MLN Matters article on billing for Advance Care Planning claims; and more!

March 21, 2017
Medicare Insider

This week’s Medicare updates include an OIG report regarding hospital noncompliance with Medicare Requirements for billing outpatient right heart catheterizations with heart biopsies; a new educational initiative to raise awareness of chronic care management; quarterly updates to the ESRD PRICER; and more!

March 14, 2017
Medicare Insider

This week’s Medicare updates include an OIG Advisory Opinion; new MOON FAQs; a CMS transmittal clarifying admission order and medical review requirements; and more!

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