This week’s note is about new rules regarding contractors up coding or down coding. Click the link above for more information and an in-depth analysis.
This week’s note is about MLN Matters’ recent “Preventative Services” Educational Tool. Click the link above for more information and an in-depth analysis.
On the heels of the 49th anniversary of the signing of Medicare and Medicaid into law, the Centers for Medicare & Medicaid Services (CMS) projected today that the average premium for a basic Medicare Part D prescription drug plan in 2015 will increase by about $1, to an estimated $32 per month, continuing its historically low growth rate.
This week’s note is about updated CMS guidelines for proper billing of discarded outpatient drugs. Click the link above for more information and an in-depth analysis.
This week’s note is about coding, billing, and payment for skin substitute products. Click the link above for more information and an in-depth analysis.
In the Medicare Claims Processing Transmittal 2903, April 2014 Update of the Hospital Outpatient Prospective Payment System (OPPS), CMS discusses the current policy regarding billing for certain devices that are received by facilities at no cost, full credit, or partial credit.
There has been some confusion surrounding a possible Recovery Auditor-related provision in the American Taxpayer Relief Act of 2012, also known as the fiscal cliff deal.
CMS' 2014 IPPS final rule redefined inpatient admissions when it implemented the 2-midnight rule, which requires a validated physician order, documentation of medical necessity, and the expectation of a stay crossing two or more midnights.
