News & Analysis

July 13, 2016
Medicare Insider

This week’s updates include OPPS 2017 proposed rule; clarifications to stem cell transplantation for multiple myeloma, myelofibrosis, sickle cell disease, and myelodysplastic syndromes change request; and more!

July 8, 2016
Medicare Web

CMS released the 2017 Medicare Physician Fee Schedule proposed rule yesterday, with policies that look to expand an Innovation Center program, revise payment for care management services, and collect data regarding global period payments. 

July 8, 2016
Medicare Web

CMS proposes aligning its conditional packaging modifiers and deleting a much-maligned modifier for separately payable laboratory tests in the 2017 OPPS proposed rule, released July 6. 

July 7, 2016
Medicare Web

CMS is looking to implement the Section 603 provisions of the Bipartisan Budget Act of 2015 regarding off-campus, provider-based departments by January 1, 2017, according to the 2017 OPPS proposed rule, released yesterday. 

July 6, 2016
Medicare Insider

This week’s updates include new waived tests; appeals of claims decisions, revisions to timeliness requirements for forwarding misfiled appeal requests, reconsideration request form, and guidelines for writing appeals correspondence; and more! 

June 28, 2016
Medicare Insider

This week’s updates include October quarterly update to 2016 annual update of HCPCS codes used for SNF Consolidated Billing enforcement; OIG investigation into improper arrangements and conduct involving home health agencies and physicians; and more!

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