Medicare Compliance & Reimbursement
April OPPS Offers An Array Of Coding, Policy Changes
Use C9723 when reporting blood perfusion imaging to Medicare. Don't Forget: CMS Deleted G0001 According to CMS, hospitals should also note these payment changes:
Hospitals can anticipate payment for a wider variety of outpatient prospective payment system claims - and a lot of policy changes.
In an April Medlearn Matters article, the Centers for Medicare and Medicaid Services released a laundry list of payment changes for the OPPS April 2005 update. Now hospitals can get reimbursement under OPPS using these new codes:
To read the entire Medlearn Matters article, go to www.cms.hhs.gov/medlearn/matters/mmarticles/2005/MM3756.pdf.
Medicare Compliance & Reimbursement
- HIPAA:
Compliance Changes Do Not Equal Relaxed Standards
HHS still expects providers to pay for non-compliant behavior.
Providers that base their security rule compliance [...] - PHARMACEUTICALS:
E-Benefit Coordinaton To Coincide With New Rx Plan
NDCHealth to construct pharmacy-like electronic system for benes.
The Centers for Medicare and Medicaid Services wants [...] - PHYSICIANS:
PPAC Calls For Physicians To Share In Care Rewards
Organization proposes transferring some Medicare savings to docs.
When physicians do a good job taking care [...] - LONG-TERM CARE:
House Subcommittee Checking Into Asset Transfers
Medicaid-sponsered nursing home care could get harder to obtain.
Congressional leaders once again are taking aim [...] - MEDICAID:
Reports-Benes Blighted By Increasing Costs
Out-of-pocket expenses getting out of control, says CBPP.
It looks as if Medicaid beneficiaries already struggling [...] - HOSPITALS:
Overcrowded EDs Could Become All Too Common
Recorded ED numbers may only be starting, ACEP warns.
The president of a leading emergency medicine [...] - HOSPITALS:
Specialty Hospitals Hearings See AMA, MedPAC Clash
Organizations disagree on specialty moratorium extension.
Congress should end the moratorium on specialty hospitals, which stifles [...] - HOSPITALS:
April OPPS Offers An Array Of Coding, Policy Changes
Use C9723 when reporting blood perfusion imaging to Medicare.
Hospitals can anticipate payment for a wider [...] - PHYSICIANS:
Bills Would Replace Cut With 2.7-Percent Boost
... but a permanent solution to physician payment woes may have to wait.
Physicians could avert [...] - ENFORCEMENT WATCH:
OIG Eyes Suspicious Therapy Claims
Providers must meet all 10 medical necessity requirements.
Make sure your home health therapy claims meet [...] - LABS:
Know Diagnostic From Screening For Testing Claims
If a screening is deemed medically unnecessary, Medicare will deny the claim.
If labs don't know [...] - BILL WATCH
The following bills were introduced in the House: H.R. 2518. A bill to amend title [...]
