CMS recently released its 2018 Quality Payment Program experience report, which includes data on participation and performance in the Merit-based Incentive Payment System (MIPS) during the 2018 performance year.
Q: We're reviewing the focus and structure of our revenue cycle compliance committee. Are there any recommendations for who should be a committee member, meeting cadence, and projects?
CMS recently issued a major update to frequently asked questions (FAQ) on COVID-19 fee-for-service billing issues. The bulk of the new FAQs concerns hospitals and the ability to invoke various waivers in order to deliver services to patients in their homes using telecommunications technologies.
The Centers for Disease Control (CDC) posted the fiscal year (FY) 2021 ICD-10-CM final code changes last week. There were no changes to the proposed list of 490 new, 47 revised, and 58 invalidated codes that were released in the proposed FY 2021 Inpatient Prospective Payment System rule.
Q: Some of our physicians who ordinarily provide services in our provider-based department (PBD) are now providing services to patients in our relocated PBDs, including patients' home. Are we allowed to bill an originating site fee in these circumstances?
CMS recently released updates to National Correct Coding Initiative (NCCI) Medically Unlikely Edits (MUE) for provider services. Effective July 1, the update will restore the MUEs that CMS deleted with an off-schedule revision and assign an MUE value of 24 to dozens of services.
CMS clarified billing instructions for off-campus hospital outpatient services and provider-based departments (PBD) in its most recent update to its novel coronavirus billing
CMS released several new HCPCS codes for laboratory testing services, effective July 1, as part of its quarterly update to the Clinical Laboratory Fee Schedule (CLFS).
