This week's note from the instructor examines some of the key proposed policies from the Outpatient Prospective Payment System proposed rule, including policies on general supervision, site neutrality, 340B payments, and price transparency.
Starting January 1, 2020, the education and operations testing period will kick off, and organizations will be required to report appropriate use criteria (AUC) consultation information. Learn what you can do now to help your organization prepare to report AUCs in 2020 and beyond.
This week’s Medicare updates include proposed and final rules for several of Medicare’s prospective payment systems, the 2020 ABN form for download, an article about compliance with the three-day stay rule for SNF admission, and more.
CMS is proposing several revisions to its clinical diagnostic laboratory date of service (DOS) policy in the FY 2020 OPPS proposed rule, including requiring ordering physicians to determine whether tests are intended to guide treatment during a current or future outpatient encounter.
The 2020 Medicare Physician Fee Schedule proposed rule included signficiant proposals related to coding and payment options for transitional, chronic, and principal care management services as well as revised language for the list of typical care plan elements for chronic care management.
Q: We have a case in which there was an observation order for a patient with Medicare Part B as a primary insurance and Cigna as a secondary insurance. If this is billed to Medicare and denied, can the secondary insurance be billed?
