CMS announced revised pricing for covered drugs and biologicals in the July 2018 update to the OPPS. Hospitals should thoroughly review all of the updates to ensure any required changes are in place by the stated effective dates.
This week’s Medicare updates include the July updates for the OPPS and ambulatory surgical center payment system, a new national coverage analysis for vagus nerve stimulation as a treatment for treatment-resistant depression, an advisory opinion related to telemedicine, and more!
Case managers must be positioned (through the organizational structure) and must position themselves (through skills and knowledge) to be an instrumental and influential member of the team to support and monitor the development of a comprehensive and sustainable plan for the patient.
If your healthcare organization thinks distributing a Notice of Privacy Practices (NPP) form, ensuring patients acknowledge receiving it, and maintaining those acknowledgments is a burden, the government may agree with you.
Healthcare providers are often confused about what a commercial or managed care payer would want in order to approve the claim. Much of this confusion comes from the timing of requirements to ensure reimbursement.
