January 23, 2017
Medicare Insider

This week’s Medicare updates include additional guidance on the MOON form, an NCA for leadless pacemakers, delayed implementation of the (ESRD) Interim Final Rule – Third Party Payment, and more!

December 28, 2016
Medicare Insider

This week’s Medicare updates include finalization of two new payment models, the January 2017 update of the ASC Payment System, an OIG report on vulnerabilities that remain under CMS' 2-Midnight Rule, and more!

December 1, 2016
Briefings on APCs

Each year, CMS reviews procedures on the inpatient-only list, which consists of services typically provided on inpatients and not payable under the OPPS, to consider whether they are being performed safely and consistently in outpatient departments. 

December 1, 2016
Briefings on APCs

As it does each year, CMS reviewed its packaging policies and proposed numerous modifications for 2017, finalizing a move to conditionally package at the claim level and deleting the controversial modifier used to identify separately reportable laboratory tests. 

December 13, 2016
Medicare Insider

This week’s Medicare updates include the final Medicare Outpatient Observation Notice (MOON), a CY 2017 Update to the DMEPOS fee schedule, information on the CJR Model Skilled SNF 3-Day Rule Waiver, and more!

December 13, 2016
Medicare Insider

This week’s note discusses the complex OPPS payment rules related to device offsets.

December 1, 2016
Briefings on APCs

CMS made certain concessions from its proposed site-neutral payment policies required by Section 603 of the Bipartisan Budget Act, but it is still moving forward with implementation January 1, 2017, according to the 2017 OPPS final rule. 

December 2, 2016
News & Insights

As part of the 2017 OPPS final rule, CMS’ quality measure updates will lead to no changes for 2017, but the agency did finalize proposals that will impact future years. 

November 22, 2016
Medicare Insider

This week’s Medicare updates include 2017 Annual Update to the Therapy Code List, a Proposed Decision Memo on Leadless Pacemakers, Provider Reimbursement Manual Hospital and Hospital Health Care Complex Cost Report Form CMS-2552-10 updates, and more!

November 18, 2016
News & Insights

CMS removed seven codes from the inpatient-only list in the 2017 OPPS final rule, but decided not to change the designation of a code involved with several of the agency’s bundled payment models.  

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