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 7, 2016
News & Insights

Q: Are there any devices left with pass-through status for 2017?

December 6, 2016
Medicare Insider

This week’s Medicare updates include the OIG’s Semiannual Report to Congress, an announcement that the Hospital Appeals Settlement Process is now open, a HCPCS Code Update for Preventive Services, and more!

December 2, 2016
News & Insights

The second round of desk audits in the HIPAA audit program began this week, the Office for Civil Rights (OCR) announced in a November 30 email alert.

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 30, 2016
News & Insights
November 29, 2016
Medicare Insider

This week’s Medicare updates include a claims status category and claims status codes update, new waived tests, the reprocessing of some IPPS claims, and more!

November 29, 2016
News & Insights

CMS recently announced its annual list of quality and cost measures for consideration for value-based care purchasing programs. A period of pre-rulemaking for quality measures is required under the Affordable Care Act.

November 29, 2016
News & Insights

A new phishing scam targeting covered entities (CE) and business associates (BA) is disguised as an official communication from the Office for Civil Rights (OCR). In an alert released November 28, OCR advised CEs and BAs that a phishing email is being circulated on fake HHS letterhead with the signature of Jocelyn Samuels, OCR’s director.

November 28, 2016
News & Insights

Q: How do we determine if a patient’s pneumonia is community acquired or not? What documentation should we look for to support this?

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