For the first time in over a decade, CMS has posted a decision memo with a 30-day public comment period for the National Coverage Determination on implantable cardioverter defibrillators.
This week’s Medicare updates include an extension for S-10 worksheet submission, implementation plans for computed radiography payment reductions, a new national coverage article for a genetic sequencing diagnostic test for cancer patients, and more!
CMS announced November 30 through a final rule and interim final rule that it plans to cancel the Episode Payment Models and Cardiac Rehabilitation Incentive Payment Model, as well as make changes to the Comprehensive Care for Joint Replacement Model.
Effective January 1, 2018, Medicare payments for X-rays taken using computed radiography will be reduced by 7%, according to a policy CMS finalized in the 2018 OPPS final rule. This reduction will remain effective until 2022, and increase to 10% beginning in 2023, as required by paragraph 1848 (b)(9) of the Social Security Act.
We found out after an observation patient was discharged that one of the procedures performed was an inpatient-only procedure. Can we bill this to Medicare without an official inpatient order on the medical record?
