News & Analysis

December 23, 2015
Medicare Insider

This week’s updates include calendar year (CY) 2016 annual clinical laboratory fee schedule and laboratory services subject to reasonable charge payment update; Settlement effectuation instructions for HHS Office of Medicare Hearings and Appeals (OMHA) Settlement Conference Facilitation (SCF) Pilot; and more!

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.  
December 16, 2015
Medicare Insider

This week’s updates include revisions to ICD-10 conversion/coding infrastructure revisions to NCDs; a modification of OIG Advisory Opinion 07-11; and more! This news article is free for all Medicare Insider subscribers. Click here to read all of this week’s updates.

December 2, 2015
Medicare Insider

This week’s updates include revisions to State Operations Manual (SOM), Appendix A -Survey Protocol, Regulations and Interpretive Guidelines for Hospitals; Claim Status Category and Claim Status Codes update; and more!

November 30, 2015
Medicare Insider

By Steven Andrews

 

As providers work to implement policies and regulations introduced by CMS in the 2016 OPPS final rule, they should take some time before January 1 to make sure they’re ready to potentially report modifier –CT (computed tomography services furnished using equipment that does not meet each of the attributes of the National Electrical Manufacturers Association [NEMA] XR-29-2013 standard).

November 25, 2015
Medicare Insider

This week’s updates include a new influenza virus vaccine code; an MLN Matters article regarding selecting home health claims for Probe and Educate Review; and more!

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