This week’s updates include an NCD for single chamber and dual chamber permanent cardiac pacemakers; a Medicare Compliance Review of Boca Raton Regional Hospital, Inc., for 2011 and 2012; and more!
In a surprising announcement on Friday, October 30, the Office of Inspector General (OIG) may have delivered some good news to hospitals who are diligently following prior CMS guidance on billing patients for SADs provided in the outpatient setting.
Provider-based clinics and departments are increasingly common, but the rules for provider-based billing can often be confusing, especially given recent changes to modifiers and place of service codes.
Most short-term acute-care inpatient hospital stays covered under Medicare Part A are payable under the IPPS, based upon the MS-DRG to which that case is assigned. Each FY, CMS publishes a final rule setting out the IPPS changes for that FY. The IPPS changes for FY 2016 can be found in more detail in the source authorities cited at the end of this note.
This week’s updates include changes to the laboratory NCD edit software for January 2016, medical record signature requirements, and more! Click here to read all of this week’s updates.
This week’s updates include the October 2015 update of the ASC payment system; postpayment review requirements; and more! Click here to read all of this week’s updates.
This week’s updates include: Claims processing Medicare Secondary Payer (MSP) policy and procedures regarding ongoing responsibility for medicals (ORM); Maintenance and update of the temporary hook created to hold OPPS claims that include certain drug HCPCS codes; and more!
