Medicare Compliance & Reimbursement
PROGRAM MEMO ROUNDUP
Published on Wed Sep 24, 2003
The Centers for Medicare & Medicaid Services advised Medicare fiscal intermediaries Sept. 5 that the outpatient code editor for non-outpatient prospective payment system hospitals has been updated with new, deleted and changed HCPCS and ICD-9-CM codes (A-03-077; http://cms.hhs.gov/manuals/pm_trans/A03077.pdf). The changes affect only hospitals who aren't paid under the OPPS. In this week's second program memo, CMS reissues a modification of its policies on erythropoietin (AB-03-138; http://cms.hhs.gov/manuals/pm_trans/AB03138.pdf).
Other Articles in this issue of
Medicare Compliance & Reimbursement
- MEDICARE REFORM:
GOP, DEMS SUGGEST BIG MEDICARE REVAMP CAN WAIT
Thirteen conservative GOP representatives, all of whom voted "reluctantly" for the House Medicare bill, vowed [...] - LAB COPAY PROVISION STILL ON CONFEREES' TABLE
Meanwhile, labs recruit docs to help oppose copays.
Though it's been three months since the House [...] - HOME CARE PROVIDERS COULD BENEFIT FROM DELAY
House reps insist on home health copay.
Congressional leaders have returned to their Medicare and prescription [...] - Medicare+Choice:
AAHP EXPECTS FEWER PLANS TO WITHDRAW FROM M+C
Plans hopeful Congress will deliver on Medicare reform, funding increases. Things may be looking up [...] - HIPAA:
PROVIDERS GET RELIEF ON HIPAA TRANSACTIONS RULE
Medicare contingency plan will permit non-compliant claims.
Health care providers who feared the Oct. 16 compliance [...] - Fraud & Abuse:
OIG EYES EXCESSIVE CHARGES
Clarification may be in store on what could get providers excluded from Medicare. Providers confused [...] - DME:
WHEELCHAIRS FLYING OUT OF SHOW-ROOM, COURTESY OF MEDICARE
Feds vow to crack down on those who are riding away with Medicare's money. The [...] - Quality:
CMS GETS ORGANIZED ON TRACKING COMPLAINTS
New database to monitor complaints against providers.
If patients complains about the quality of service they [...] - Long-Term Care:
QUALITY OF CARE ISSUES CAN LEAD TO FALSE CLAIMS ACT PROBLEMS
Nursing homes can't afford to forget that perceived quality-of-care problems could leave them facing possible [...] - Home Care:
Trainee Services Don't Qualify For Medicare Payment
Home health aide trainees' skills don't have to be wasted, but they won't directly add [...] - Medicare+Choice:
MEDPAC: FOLD S/HMOs INTO M+C
The so-called social health maintenance organizations - with which Medicare has experimented for nearly two [...] - Coverage:
COVERAGE ON THE WAY FOR LVRS
After years of non-coverage, an emphysema treatment is about to get the green light.
Health care [...] - Home Care:
PRRB Decision Provides Ammo for some HHAs
Medicare beneficiaries are entitled to covered home health services no matter where they live, and [...] - LAB SCAM RINGLEADER WINS RECORD-BREAKING SENTENCE
High profile sentence casts spotlight on lab fraud.
A high-profile Sept. 8 fraud sentence could rile [...] - Enforcement:
FEDS HAVE FALSE CLAIMS ACT TARGETS IN HIGH PLACES
Bluegrass State's lieutenant govenor settles FCA suit. When it comes to health care fraud, the [...] - Rehab:
DOCTOR'S WORK IS DOCTOR'S WORK
PT clinic operators indicted for lying about physician evals. Two Texas physical therapy clinic operators [...] - Home Care:
BEWARE GIFTS TO REFERRING DOCTORS
Health care marketing practices remain in the cross-hairs - and not just for big pharma. [...] - BILL WATCH
The following bill was introduced in the House: H.R. 3090. A bill to amend title [...] - PROGRAM MEMO ROUNDUP
The Centers for Medicare & Medicaid Services advised Medicare fiscal intermediaries Sept. 5 that the [...]
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