Certain provider services such as acupuncture and cosmetic surgery are not reimbursed by Medicare. This article describes when and how to apply HCPCS modifiers for non-covered services.
This week’s Medicare updates include the April update for the OPPS, the April update for the Ambulatory Surgical Center Payment System, a revision to the Program Integrity Manual to clarify information regarding provider enrollment, and more!
Although there are basic expectations of a utilization review (UR) team member, organizations should develop performance expectations and competencies for their UR staff based on their own needs. Use this sample UR specialist job description as a template for your organization.
This week’s Medicare updates include new additions to the OIG Work Plan, an advisory opinion on subsidizing items in a clinical trial, an OIG data brief on telehealth use, and more!
