Sending out a mass mailing of a pamphlet that contained Medicare beneficiary numbers resulted in a civil monetary penalty of $6,768,000 for Triple-S Salud, Inc. (TSS), a Puerto Rican health insurance subsidiary.
Our experts answer questions on payment rates for scans, bronchodilator treatment, the inpatient-only list, stereotactic radiosurgery, bill exposure with arthrodesis, and more.
The CMS Innovation Center released a request for information (RFI) in February for input from specialty practitioners on new, episode-based payment models, which could signal a move toward even more bundled payments for outpatient procedures.
