In an effort to increase the medically appropriate use of transitional care management (TCM) services, CMS increased payment and removed billing restrictions for TCM services, as outlined in the 2020 Medicare Physician Fee Schedule (MPFS) final rule.
The government is starting a trial program in the District of Columbia that aims to improve treatment for Medicaid beneficiaries struggling with serious mental illness or substance use disorders.
Eighty-four hospitals may have received incorrect payments for discharges on or after October 1 due to errors in the hospital wage-index table published in the fiscal year (FY) 2020 Inpatient Prospective Payment System (IPPS) pricer, according to CMS.
CMS recently published Transmittal 332 to inform Medicare administrative contractors and providers of new billing considerations, effective January 1, 2020, for medication-assisted treatments provided by opioid treatment programs.
The Medicare Payment Advisory Commission (MedPAC) reviewed two proposals to recommend an increase in hospital reimbursement in 2021, according to documents from its December 5 meeting.
Northwest Medical Center in Arizona received $201,624 from Medicare for incorrectly billed inpatient and outpatient services based on a sample of claims, according to a report released by the Office of Inspector General (OIG) on December 3. The OIG estimates that, based on the sample, the hospital may have received at least $1.2 million in overpayments during the audit period of January 1, 2016 through December 31, 2017.
