News & Analysis

September 1, 2016
HIM Briefings

The accurate capture of acute respiratory failure has been a long-standing challenge for CDI programs. The accurate reporting of this condition as a post-procedural event can be even more difficult.

September 1, 2016
Briefings on APCs

CMS wants your thoughts on its 2017 OPPS proposed changes. In various places in the proposed rule, CMS specifically asks providers to comment on the proposals. You may submit comments to the agency until September 6, 2016.

September 1, 2016
Briefings on APCs

CMS released the 2017 OPPS proposed rule on July 5 without much fanfare. On July 14, the Federal Register version was posted, and upon initial review, it seems rather short at 186 pages. 

September 1, 2016
Briefings on APCs

CMS’ proposed changes to implement Section 603 of the Bipartisan Budget Act of 2015 would reshape payments for off-campus, provider-based departments (PBD) if finalized and represent the most significant changes in the calendar year (CY) 2017 OPPS proposed rule. 

September 1, 2016
Briefings on APCs

 CMS proposes aligning its conditional packaging logic with how it applies packaging to labs, while also proposing to delete the much-maligned modifier -L1 for separately payable laboratory tests in 2017.

August 31, 2016
Medicare Web

Q: Is there any information yet on any new HCPCS codes for pharmacies that CMS may be considering for the October OPPS update?

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