This week’s Medicare updates include information on the reorganization of the Medicare Program Integrity Manual, updates to three provider-specific fact sheets on COVID waivers, the October 2020 update for the Ambulatory Surgical Center PPS, and more!
Q: In the 2021 OPPS proposed rule, CMS suggested that there is no longer a need for the inpatient-only list. What could this mean for case managers going forward?
CMS continues to focus on site-neutral payment policies and keeping payments down for 340B-acquired drugs in the 2021 OPPS proposed rule, released in early August.
Q: Can modifier -59 (distinct procedural service) be used to bypass the NCCI edit that bundles CPT codes 11055 for lesion removal and 11721 for nail debridement?
