News & Analysis

December 1, 2016
Briefings on APCs

As it does each year, CMS reviewed its packaging policies and proposed numerous modifications for 2017, finalizing a move to conditionally package at the claim level and deleting the controversial modifier used to identify separately reportable laboratory tests. 

December 1, 2016
Briefings on APCs

CMS made certain concessions from its proposed site-neutral payment policies required by Section 603 of the Bipartisan Budget Act, but it is still moving forward with implementation January 1, 2017, according to the 2017 OPPS final rule. 

November 30, 2016
Medicare Insider

This week’s note discusses updates to Medicare beneficiary cost sharing for 2017.

November 29, 2016
Medicare Insider

This week’s Medicare updates include a claims status category and claims status codes update, new waived tests, the reprocessing of some IPPS claims, and more!

November 22, 2016
Medicare Insider

This week’s note discusses the use of coding data in quality measures and patient safety initiatives.

November 22, 2016
Medicare Insider

This week’s Medicare updates include 2017 Annual Update to the Therapy Code List, a Proposed Decision Memo on Leadless Pacemakers, Provider Reimbursement Manual Hospital and Hospital Health Care Complex Cost Report Form CMS-2552-10 updates, and more!

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