News & Analysis

August 19, 2016
Medicare Web

CMS’ proposed changes to implement Section 603 of the Bipartisan Budget Act of 2015 and reshape payments for off-campus, provider-based departments represent the most significant changes in the current year 2017 OPPS proposed rule. 

August 19, 2016
Medicare Web

What is the consequence if we miss giving a patient who meets the Medicare Outpatient Observation Notice criteria the notice? Has there been an update if the observation hours will need a modifier or the claim a value or condition code to show that the notice was given?

August 17, 2016
Medicare Web

Q: In my facility, we are supposed to send an email to our physician advisor (PA) and to administration if a query is not answered within a week. However, this policy doesn’t work well because administration does not do anything with that information, and the PA doesn’t have time to review unanswered queries. Do you have any suggestions concerning when to let a query go unanswered?

August 17, 2016
Medicare Insider

On July 7, CMS posted a fact sheet regarding a newly proposed Diabetes Prevention Program. This new benefit was proposed in the calendar year 2017 Medicare Physician Fee Schedule proposed rule.

August 17, 2016
Medicare Insider

This week’s Medicare updates include a Multiple Procedure Payment Reduction on the Professional Component of certain diagnostic imaging procedures; a new condition code to use when hospice recertification is untimely and corrections to hospice processing problems; and more!

August 16, 2016
Medicare Web

I was under the impression that CMS said it would leave the billing for self-administered drugs to the OIG. However, we have not heard anything from the OIG. What if we are not billing for the medications?

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