This week’s Medicare updates include a final decision memo on an NCD for home use of oxygen to treat cluster headaches, a notice about CMS exercising enforcement discretion for certain SNF consolidated billing provisions, an interim final rule on new policies against surprise billing, and more!
A pair of new rules require organizations to meet specific interoperability and patient access requirements but confusion about the rules and low awareness of the requirements hampers compliance efforts. Learn how your organization's compliance and implementation efforts compare to peers.
Several CPT modifiers have similar definitions, which can make distinguishing between them challenging. Review guidance for the appropriate application of modifier -51 versus -59 and discontinued service modifiers -52, -53, -73, and -74.
In December 2020, CMS announced that it would begin a Review Choice Demonstration (RCD) for inpatient rehabilitation facility (IRF) services. The goal: to improve detection and identification of Medicare fraud related to these services.
H.R. 7898 became law on January 5, 2021, and amended the Health Information Technology for Economic and Clinical Health (HITECH) Act to require the secretary of HHS to consider certain recognized security practices of covered entities and business associates when making certain determinations, and for other purposes.
