This week’s Medicare updates include a notice about the suspension of prior authorization for certain DMEPOS items, an update on billing for one of the COVID-19 monoclonal antibody treatments, the quarterly update to the clinical laboratory fee schedule, and more!
CMS is weighing an expansion of the hospital outpatient department prior authorization program, changes to 340B reimbursement, and alternative rate setting data among other proposals in the 2023 Outpatient Prospective Payment System (OPPS) proposed rule. Review other major proposals to understand how your organization could be affected.
Telehealth coverage may be changing in your state as early as this fall—if it hasn’t already. While Medicare has pledged to cover telehealth services through December 2023, many state public health emergency waivers that expanded telehealth services are set to be rolled back.
It may be summer, but there is no vacation when it comes to HIPAA privacy and security. In fact, OCR was extremely busy and active with enforcement in July.
Revenue erosion and denials are often easily prevented, but simple errors may evade traditional, reactive denials management processes. Apply these tips to reduce and prevent common denials due to medical necessity, the three-day payment window, and more.
This week’s Medicare updates include the FY 2023 IPPS Final Rule, a request for information on improving Medicare Advantage, an implementation transmittal for the updates to the Inpatient Psychiatric Facility Prospective Payment System, and more!
