This week’s updates include revisions to State Operations Manual (SOM), Appendix A -Survey Protocol, Regulations and Interpretive Guidelines for Hospitals; Claim Status Category and Claim Status Codes update; and more!
As providers work to implement policies and regulations introduced by CMS in the 2016 OPPS final rule, they should take some time before January 1 to make sure they’re ready to potentially report modifier –CT (computed tomography services furnished using equipment that does not meet each of the attributes of the National Electrical Manufacturers Association [NEMA] XR-29-2013 standard).
This week’s updates include a new influenza virus vaccine code; an MLN Matters article regarding selecting home health claims for Probe and Educate Review; and more!
This week’s updates include an update to the list of compendia for the determination of a “Medically-Accepted Indication” of drugs and biologicals used off-label in an anti-cancer chemotherapeutic regimen; a payment reduction for Computed Tomography (CT) diagnostic imaging services; and more!
The 2016 OPPS final rule certainly has some provisions that providers won’t be happy about, including a negative payment update for the first time, but CMS did provide some relief on what would surely be an onerous policy.
