Medicare Compliance & Reimbursement
PROGRAM TRANSMITTAL ROUNDUP
Get ready for the Centers forMedicare & Medicaid Services changes to the Hospital Outpatient Prospective Payment System (OPPS), which take effect July 1, 2004. In a June 4 program transmittal (change request 3322), CMS lists payment rates for hospital drug codes and clarifies its coverage policy concerning positron emission tomography used to treat thyroid cancer. In other recent transmittals, CMS:
Medicare Compliance & Reimbursement
- PHYSICIANS:
Docs Won't Be Able To Capitalize On PET Scans
But more expansion may be on its way. Medicare issued a draft of the long-awaited [...] - HOME CARE:
Confirm M0175 Takebacks With New CWF Option
HHAs should get to know 'APPDATE' field to ensure proper recoupments. How will home health [...] - PHYSICIANS:
CMS Promises PECOS Problems Resolved By Fall
But a new slew of enrollment problems is on the horizon. Promises, promises. Providers have [...] - MEDICARE ADVANTAGE:
More Health Plans Getting Involved In Medicare
New reform makes Medicare a much more attractive market for private plans. With new payments [...] - PRESCRIPTION DRUGS:
Stand-Alone Rx Plans May Be Doomed, Experts Say
Success of Medicare Part Dis anything but certain. Private prescription drug plans simply won't show [...] - STARK:
Does Stark II Single Out Group Practices?
MGMA says Stark should be friendlier to physician recruitment. With Phase II of the Centers [...] - COMPLIANCE - CERT Medical Record Requests:
What All Providers Need To Know
OIG checks in to see who is -- and who is not -- handing over [...] - PAY-FOR-PERFORMANCE:
Medicare May Soon Pay Extra For Top Quality
What regulators think of pay-for-performance. When it comes to changing Medicare's payment structure, the reform [...] - PROGRAM TRANSMITTAL ROUNDUP
Get ready for the Centers forMedicare & Medicaid Services changes to the Hospital Outpatient Prospective [...] - BILL WATCH
Bills introduced in the House: HR 4626. A bill to amend title XVIII of the [...]
