December 28, 2016
Medicare Insider

This week’s Medicare updates include finalization of two new payment models, the January 2017 update of the ASC Payment System, an OIG report on vulnerabilities that remain under CMS' 2-Midnight Rule, and more!

December 1, 2016
Briefings on APCs

Each year, CMS reviews procedures on the inpatient-only list, which consists of services typically provided on inpatients and not payable under the OPPS, to consider whether they are being performed safely and consistently in outpatient departments. 

December 20, 2016
Medicare Insider

This week’s Medicare updates include Hospital Appeals Settlement Process FAQs, additional opportunities for clinicians under the Quality Payment Program, Conditions for Coverage for End-Stage Renal Disease Facilities interim final rule, and more!

December 20, 2016
News & Insights

Additional changes are coming to site-neutral payment policies for off-campus, provider-based departments after President Barack Obama signed the 21st Century Cures Act into law, updating policies outlined in Section 603 of the Bipartisan Budget Act of 2015 and the 2017 OPPS final rule.

December 20, 2016
News & Insights

Do modifiers -PO and -PN apply to Medicare Advantage? Does modifier -PN apply to critical access hospitals?

December 1, 2016
Briefings on APCs

As it does each year, CMS reviewed its packaging policies and proposed numerous modifications for 2017, finalizing a move to conditionally package at the claim level and deleting the controversial modifier used to identify separately reportable laboratory tests. 

December 13, 2016
Medicare Insider

This week’s Medicare updates include the final Medicare Outpatient Observation Notice (MOON), a CY 2017 Update to the DMEPOS fee schedule, information on the CJR Model Skilled SNF 3-Day Rule Waiver, and more!

December 13, 2016
Medicare Insider

This week’s note discusses the complex OPPS payment rules related to device offsets.

December 13, 2016
News & Insights

Is modifier -PN used instead of or in addition to modifier –PO for provider-based departments? Do we still need to use modifier -PO?

December 1, 2016
Briefings on APCs

CMS made certain concessions from its proposed site-neutral payment policies required by Section 603 of the Bipartisan Budget Act, but it is still moving forward with implementation January 1, 2017, according to the 2017 OPPS final rule. 

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