The 2018 OPPS proposed rule includes potential changes to 340B drug discount payments, the inpatient-only list, packaging for low-level drug administration services, and more.
CMS wants your thoughts on its 2018 OPPS proposed changes. In various places in the proposed rule, CMS specifically asks providers to comment on the proposals. You may submit comments to the agency until September 11, 2017.
Resolving claims returned with National Correct Coding Initiative edits or Medically Unlikely Edits can be a time-consuming process. Organizations need processes to promote best practices and keep appeals on track, as well as coding and billing policies that address common front-end problems that lead to these edits.
CMS released the fiscal year (FY) 2018 IPPS final rule August 2, updating Medicare payment and polices for patients discharged from hospitals from October 1, 2017, to September 30, 2018.
As more focus is placed on improved revenue integrity management, coordination, and collaboration, revenue cycle is evolving to revenue integrity. As such, it’s important to understand the classic revenue integrity issues which can arise at any facility.
CMS updated its website for the Quality Payment Program recently with new information clarifying which clinicians will have “special status” and may be exempt from submitting data this year.
The new ICD-10-CM codes for FY 2018, effective October 1, represent significant changes in our documentation and coding practices. In follow-up to last month’s column, let’s discuss additional new codes and their potential impact upon your diagnostic decision-making and documentation.
