In Billing
Jan 29th, 2018
Continuing the effort to prevent and combat healthcare fraud, waste, and abuse where it occurs most, the Centers for Medicare & Medicaid Services (CMS) has extended the statewide temporary moratoria on the enrollment of new Medicare Part B, Medicaid, and Children’s Health Insurance Program (CHIP) non-emergency ground ambulance providers and suppliers and home health agencies, sub-units, and ...
Jan 15th, 2018
The Centers for Medicare & Medicaid Services (CMS) announced January changes to the 2018 HCPCS Level II code set, released in November 2017.  The changes to C codes include retroactive effective dates and to several elements in G codes. The changes are below and do not show up in any publishers’ books: CODE ACTION EFF ...
In CMS
Aug 1st, 2017
A proposed rule would update the 2018 Medicare payment rates and the wage index for home health agencies (HHA) serving Medicare beneficiaries, as well as revise the Home Health Prospective Payment System (HH PPS) case-mix adjustment methodology. Payment Update is Down In the proposed rule, published July 28 in the Federal Register, the Centers for ...
In Coding
Jul 6th, 2017
The Centers for Medicare and Medicaid Services (CMS) have released an update to the prior authorization process for certain durable medical equipment, prosthetic, orthotics, and supplies (DMEPOS) items. As originally announced in the Federal Register, published on December 21, 2016, CMS is preparing for the nationwide expansion of the prior authorization process for the first ...
In CMS
Mar 31st, 2017
The Centers for Medicare & Medicaid Services (CMS) issued on March 31 a proposed rule (CMS-3819-P2) to delay the effective date for the Medicare and Medicaid Programs: Conditions of Participation for Home Health Agencies (HHA CoPs) final rule. The current effective date for the final rule is July 13. The proposed rule would delay the effective ...