News & Analysis

November 15, 2017
Medicare Insider

This week’s Medicare updates include new hospital appeals settlement options, revisions involving the addition and deletion of ICD-10-CM codes from certain NCDs, details on the partial settlement of a 2-Midnight policy court case, and more! 

November 14, 2017
News & Insights

CMS announced partial settlement agreements and instructions for Medicare Administrative Contractors in relation to several 2-midnight rule cases.

November 13, 2017
News & Insights

A Comprehensive Error Rate Testing (CERT) study showed insufficient documentation causes most improper payments for arthroscopic rotator cuff repairs, according to the October 2017 Medicare Quarterly Compliance Newsletter.

November 13, 2017
News & Insights

How should facilities approach claim edits that must be made across departments, such as imaging and surgery?

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! 

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