News

The Provider Roundtable, established in 2003 to give CMS the benefit of providers' input and guidance on critical healthcare delivery issues, has issued a call for new members who have a strong interest in improving Medicare reimbursement under various payment systems.

Q: Which hospital patients must be screened an assessed for a discharge plan?

This selection discusses Medicare coverage of observation services and the documentation required for these services to be covered, including what the physician should take into account when ordering documentation services.

There are two newly approved Recovery Auditor issues.

This week’s updates include reporting principal and interest amounts when refunding previously recouped money on the Remittance Advice; Changes to the laboratory NCD edit software for July 2016; and more!

Q: Did CMS ever add the drug screening HCPCS codes to the system so we can process these claims?

Q: Rural health clinics have to start to bill all services on individual lines with HCPCS codes and charges. Is there a way to report these services on a separate line without the appearance of inflating our charges? 

A bipartisan coalition of more than two dozen members of the House of Representatives sent a letter to CMS this week asking for a delay in massive proposed changes to the Clinical Laboratory Fee Schedule due to begin January 1, 2017. 

The April Integrated Outpatient Code Editor had a large volume of clarifications and changes to correct issues with processing claims related to new policies adopted in January. This article will explain when organizations can reprocess claims that were negatively affect by the edits.

There is one newly approved Recovery Auditor issue.