CMS extended the education and operations testing period for the Appropriate Use Criteria (AUC) program for advanced diagnostic imaging through 2021. The education and operations testing period, which started January 1, 2020, was slated to close at the end of the year.
Facing the unprecedented COVID-19 public health emergency, CMS released the 2021 OPPS proposed rule later than ever before, with the agency generally reinforcing its recent focus on site-neutral payment policies, lowering reimbursement for drugs purchased under the 340B program, and adding more services to the list of prior authorization.
Learn how revenue cycle professionals have managed the constant change and monitored for potential problem areas brought on by the public health emergency.
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?
With no uniformly recognized standard or body of law on how to document the fair market value of compensation arrangements, it’s up to organizations to develop defensible internal methodologies. Use these expert tips and checklist as a template for your organization.
The Office for Civil Rights (OCR) announced in late June that it reached an early case resolution with the state of Tennessee regarding the state’s crisis standards of care (CSC) protocol.
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.
