March 1, 2018
Medicare Insider

This week's note explains and defines various policies enacted by the Bipartisan Budget Act of 2018, including policies related to outpatient therapy caps and the use of modifier -KX; the low-volume hospital adjustment; the Medicare dependent hospital program; and more. Updated March 2, 2018 for clarity on therapy cap exclusions.  

February 7, 2018
Medicare Insider

This week’s Medicare updates include new skilled nursing facility advance beneficiary notice forms, the 2019 Advanced Notice for Medicare Advantage and Part D plan changes, quarterly HCPCS drug/biological code changes, and more! 

November 9, 2017
Medicare Insider

This week's note reviews two major policy changes from the OPPS and MPFS final rules: the reduction in reimbursement for 340B drugs and the reduction in the payment adjustment for non-excepted off-campus provider-based departments. 

November 8, 2017
Medicare Insider

This week’s Medicare updates include the OPPS, Quality Payment Program, End-Stage Renal Disease, and Medicare Physician Fee Schedule final rules; an announcement of the new Meaningful Measures initiative; a list of new Clinical Laboratory Improvement Amendments waived tests; and more! 

August 24, 2017
Medicare Insider

On August 14, CMS published the FY2018 Inpatient Prospective Payment System Final Rule; with it came discussion and a notice in regards to the 96-hour certification requirement for critical access hospitals (CAH).

August 3, 2017
Medicare Insider

This week's note from the instructor discusses therapy codes, caps, modifiers, and the exception process.

July 27, 2017
Medicare Insider

This week's note from the instructor explores the important role of chronic care management in rural health. 

June 29, 2017
Medicare Insider

This week's note offers guidance on CPT E/M codes for new versus established patients and addresses OIG reports on E/M codes audits.

May 24, 2017
Medicare Insider

This week's note discusses the order and certification requirement for critical access hospitals (CAH), including the proposal in the FY 2018 IPPS proposed rule to reprioritize the review of CAH inpatient admissions.

May 2, 2017
Medicare Insider

This week's note discusses rural health clinic off-site services that are provided to swing bed patients.

Pages