Heart disease is the most common cause of death for both men and women in the U.S., according to the Centers for Disease Control and Prevention (CDC). The most common type is coronary artery disease (CAD), which can lead to heart attacks, heart failure, angina, and arrhythmias, according to the CDC.
This week’s updates include: Claims processing Medicare Secondary Payer (MSP) policy and procedures regarding ongoing responsibility for medicals (ORM); Maintenance and update of the temporary hook created to hold OPPS claims that include certain drug HCPCS codes; and more!
During several recent Medicare Boot Camp—Hospital Version® classes, I noticed some confusion about the four parts of Medicare. With respect to each part, there appeared to be confusion about the authority or entity responsible for determining the scope of covered services, beneficiary cost sharing, adjudication of claims, and payment for covered services. Based upon this apparent need for clarification, this is the first of three notes that will focus on the four parts of Medicare: Medicare Part A, Medicare Part B, Medicare Part C, and Medicare Part D.
This week’s updates include the SNF Consolidated Billing update and a special edition MLN Matters article regarding claims submission alternatives for providers who have difficulties submitting ICD-10 claims.
Update to hospice payment rates, cap, wage index and Pricer for FY 2016; State Operations Manual (SOM), Section 2185- HHAs, change of address to a MAC within 90 days; and more!
