April 11, 2017
Medicare Insider

This week’s Medicare updates include the release of the 2017 Inpatient Pricer; a decision memo for Hyperbaric Oxygen Therapy; a delay of effective date for the Conditions of Participation for home health agencies; and more!

April 4, 2017
Medicare Insider

This week's note from the instructor discusses several changes regarding inpatient-only procedures that might have flown under the radar for some hospitals.

April 3, 2017
Medicare Insider

This week’s Medicare updates include an announcement regarding enforcement discretion on clinical laboratory data reporting; a new OIG resource guide for measuring compliance program effectiveness; a memorandum regarding the final rule adjusting Civil Monetary Penalties for inflation; and more!

March 27, 2017
Medicare Insider

This week’s Medicare updates include additional information on denial of home health payments when required patient assessment is not received; Advanced Provider Screening phase 1 go-live; an MLN Matters article on billing for Advance Care Planning claims; and more!

March 21, 2017
Medicare Insider

This week’s Medicare updates include an OIG report regarding hospital noncompliance with Medicare Requirements for billing outpatient right heart catheterizations with heart biopsies; a new educational initiative to raise awareness of chronic care management; quarterly updates to the ESRD PRICER; and more!

March 14, 2017
Medicare Insider

This week’s Medicare updates include an OIG Advisory Opinion; new MOON FAQs; a CMS transmittal clarifying admission order and medical review requirements; and more!

March 7, 2017
Medicare Insider

This week’s Medicare updates include the April 2017 Update of the Hospital Outpatient Prospective Payment System; the April 2017 Update of the Ambulatory Surgical Center Payment System; an National Coverage Analysis for Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD); and more!

February 13, 2017
Medicare Insider

This week's note from the instructor discusses the billing challenges presented by CMS' Medically Unlikely Edits.

February 8, 2017
Medicare Insider

This week's note discusses the National Correct Coding Initiative (NCCI) Manual, an often overlooked source of guidance for coders and chargemaster professionals when determining correct coding and billing to Medicare.

January 11, 2017
Medicare Insider

This week's note discusses important 2017 OPPS update transmittals and final rule corrections.

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