February 1, 2014
Briefings on APCs

In the 2014 OPPS Final Rule, CMS has dramatically increased packaged services and made clear that the trend will continue in 2015 and beyond.

March 24, 2015
Medicare Insider

This week’s note is about quarterly OPPS and I/OCE updates. Click the link above for more information and an in-depth analysis. 

April 1, 2014
Strategies for Healthcare Compliance

CMS has finalized changes to packaged services and E/M CPT® codes for clinic visits with the much-anticipated November 27, 2013 release of the 2014 outpatient prospective payment system (OPPS) final rule.

July 1, 2014
Medicare Insider

This week’s note is about chemotherapy supervision rules. Click the link above for more information and an in-depth analysis.

June 10, 2014
Medicare Insider

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

January 28, 2014
Medicare Insider

In this week’s note, we will take a closer look at RUN transmittal R2845CP and related MLN Matters Article MM8572. Click the link above for more information and an in-depth analysis.

January 21, 2014
Medicare Insider

Last week, CMS released MLN Matters article MM8572 with billing instructions for laboratory services paid under either OPPS or the Clinical Laboratory Fee Schedule (CLFS). Prior to this guidance, I had received several questions from clients and past students regarding rural sole community hospital (SCH) add-on payments for lab services. Click the link above for more information and an in-depth analysis.

November 11, 2014
Medicare Insider

This week’s note is about the OPPS final rule. Click the link above for more information and an in-depth analysis.

January 2, 2014
Medicare Insider

CMS issues certain quarterly updates relating to hospital outpatient services.These updates are primarily issued in the form of two recurring update notification transmittals (RUN).The first of these is a quarterly update to the IOCE Specifications. The second is a quarterly update to the Outpatient Prospective Payment System (OPPS). Because the most significant outpatient hospital changes become effective as of the beginning of each calendar year, the January updates are particularly important.Click the link above for more information and an in-depth analysis.

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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