News & Analysis

May 4, 2016
Medicare Insider

This week’s note is about Medicare enrollment for institutional providers.

April 27, 2016
Medicare Insider

This week’s note is about the IPPS proposed rule.

April 20, 2016
Medicare Insider

This week’s note is about complications with the new rural health clinic billing requirements.

April 13, 2016
Medicare Insider

On March 31, CMS released special edition MLN Matters article SE1607 regarding new enforcement editing requirements for the Medicare Benefit Policy Manual (Internet-Only Manual 100-02), Chapter 6, section 70.3, which describes coverage and billing of Partial Hospitalization Program (PHP) services. This guidance is likely due to the significant problems with PHP service claims and coding highlighted in the 2016 proposed and final OPPS rules. This guidance is effective for PHP services furnished on or after July 1.

March 30, 2016
Medicare Insider

This week’s note is about clarifications in the April Integrated Outpatient Code Editor update. 

March 23, 2016
Medicare Insider

This week’s note is about documentation and billing of chiropractic treatment. 

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