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 note is regarding the packaging of laboratory tests. It is written by Valerie A. Rinkle, MPA, regulatory specialist for HCPro. Ms. Rinkle is new to the HCPro team, and a nationally recognized Medicare expert. For more information about this exciting addition to the HCPro team, click here.
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!
This week’s updates include updates to clarify inpatient rehabilitation facility (IRF) claims processing; a revised hospital guidance for pharmaceutical services and expanded guidance related to compounding of medications; and more!
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.
