Medicare Compliance & Reimbursement
'Medically Unbelievable' Edits Put On Hold
Medicare Compliance & Reimbursement
- HOSPITALS:
Physician-Owned Hospital Payments Might Fall After DRG Changes
Moratorium likely to last until 2007.
Do physician-owned hospitals that focus on one narrow specialty hurt [...] - HIPAA:
HIPAA Error? You'll Hear From Carriers
Unsuccessful crossover claims will prompt auto notice.
Starting July 5, Medicare contractors will issue special automated [...] - APPEALS:
New Complex Procedures Appeals Rule May Make Physicians Dizzy
Decide in advance what kind of representation to offer.
Appealing claims next year could become simpler [...] - LONG-TERM CARE:
LTC Industry Challenges MedPAC On Recommendations
Stingy inflation policy threatens quality care.
Long-term care industry groups are taking aim at the Medicare [...] - DRUG COVERAGE:
MMA Steps Up Screening Test Coverage
But Medicare wants a V code, not a G code, when reporting a screening.
Physicians now [...] - PHYSICIANS:
Count On Local Carriers For Least Costly Policy Fixes
PPAC: CMS to remove drugs from update formula retroactively.
Least costly alternative policies create an "unlevel [...] - COVERAGE:
CMS Expands Defibrillator Coverage
Transmittal states Medicare HMO patients can get fee-for-service devices.
Patients should be able to receive an [...] - COVERAGE:
Currently, Not All Physicians Enamored With P4P Proposal
P4P must be voluntary, docs contend.
The pay-for-performance movement seems well on its way in health [...] - ENFORCEMENT:
Transport Owner Sidelined 7 Years
Getaway effort by provider no match for law's long arm.
Providers caught in the crosshairs of [...] - HOSPITALS:
Note These OPPS Changes To Avoid Future Trouble
Make sure you're billing correctly for mammographies, observation.
If your facility is receiving denials for services [...] - LABS:
CMS Alters C-Peptide Test Requirement
Lower limit is key.
For services performed on or after Dec. 17, 2004, a positive fasting [...] - BILL WATCH
The following bills were introduced in the House:
HR. 1166. A bill to amend title XVIII [...] - PHYSICIANS:
'Medically Unbelievable' Edits Put On Hold
No explanation for revocation.
The Centers for Medicare and Medicaid Services has rescinded Transmittal 105, which [...]
