Medicare Compliance & Reimbursement
PROGRAM MEMO ROUNDUP
Hospitals who’ve encountered claims processing trouble spots under the outpatient prospective payment system could find some insight in a Feb. 21 communiqué from the Centers for Medicare & Medicaid Services. In program memorandum A-03-014 (http://cms.hhs.gov/manuals/ pm_trans/A03014.pdf), CMS outlines what’s needed for proper billing of blood products and blood storage and processing, the appropriate handling of multiple surgical procedures performed in the same session, how to bill for surgical procedures performed in the emergency room at the time of an ER visit, and which inpatient Part B services are paid under the OPPS.
In a second, unrelated program memo released Feb. 21 (AB-03-026; http://cms.hhs.gov/manuals/pm_trans/AB03026.pdf), CMS gives fiscal intermediaries and carriers marching orders for compliance with the recently released modifications to the Health Insurance Portability and Accountability Act transactions standards.
Medicare Compliance & Reimbursement
- Reimbursement:
PHYSICIANS EKE OUT INCREASE IN FEE SCHEDULE FIX
The fruit of intensive lobbying by physician groups on Capitol Hill took formal shape Feb. [...] - Medicare:
GOP PUSHING ON MEDICARE, BUT DIFFERENCES REMAIN
Hill Republicans see an opportunity to move quickly on Medicare prescription drugs and other program [...] - Hospitals:
HOSPITALS WEIGH IN ON STAFF PRIVILEGES AND KICKBACKS
At the behest of the American Medical Association, the HHS Office of Inspector General is [...] - SNFs:
FINE-TUNING THE ROLE OF NURSING HOME MEDICAL DIRECTORS
What’s the proper role of a nursing home medical director? According to the HHS Office [...] - Medicare:
FUTURE RETIREES MUST PINCH PENNIES TO PAY FOR MEDIGAP
With medical costs rising and employerprovided retiree coverage shrinking, allowing future retirees to fund coverage [...] - Disease Management:
HEALTH PANEL SINGING NEW TUNE ON CARE MANAGEMENT
At hearings last year, House Ways and Means Health Subcommittee Chair Nancy Johnson (R-CT) said [...] - Home Health:
CMS ISSUES OASIS SURVEY MARCHING ORDERS
Starting in May, home health agencies won’t have to wonder if a friendly surveyor will [...] - Pharmaceuticals:
MEDICAID Rx PURCHASING POOL GROWING
The first multistate Medicaid drug purchasing pool, announced Feb. 20 by Michigan and Vermont, is [...] - Medicaid Perspectives:
ADMINISTRATION TOUTS UTAH MEDICAID MODEL
The White House hasn’t necessarily developed all the details of its plan, but its overall [...] - REGISTER WATCH:
Will disease management find a happy home in Medicare? Yet another demonstration project from the [...] - PROGRAM MEMO ROUNDUP
Hospitals who’ve encountered claims processing trouble spots under the outpatient prospective payment system could find [...] - BILL WATCH
The following House bills were introduced: H.R. 863. A bill to amend title XVIII of [...]
