News & Analysis

January 1, 2015
Briefings on APCs

CMS proposed that a new HCPCS modifier be appended to every code for a service furnished in a hospital's off-campus provider-based department on both the CMS-1500 claim form for physicians' services and the UB-04 form (CMS Form 1450) for hospital outpatient services in the 2015 OPPS proposed rule. Despite many detailed comments opposing this change, no consensus emerged; therefore, CMS is moving forward with implementing a slightly modified policy.

December 30, 2014
Medicare Insider

This week’s updates include the January 2015 updates to the Integrated Outpatient Code Editor and OPPS. Click the link above to read more about this week’s updates.

December 23, 2014
Medicare Insider

This week’s updates include changes to and billing instructions for various payment policies implemented in the January 2015 OPPS update and new waived tests. Click the link above to read more about this week’s updates.

December 23, 2014
Medicare Insider

This week’s note is about payment for prescription drugs. Click the link above for more information and an in-depth analysis.  

December 16, 2014
Medicare Insider

This week’s updates include a proposed rule regarding Accountable Care Organizations and information about outpatient therapy supervision levels. Click the link above to read more about this week’s updates.

December 16, 2014
Medicare Insider

This week’s note is about supervision levels at critical access and small rural hospitals. Click the link above for more information and an in-depth analysis.  

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