Regulatory reform has changed proof of litigation rules for guidance documents. Written by: Joette Derricks, MPA, FACMPE, CPC, CHC, CLSSGB On Jan. 25, the U.S. Department of Justice (DOJ) issued a memorandum (commonly referred to as the Brand memo) limiting the use of agency guidance documents in affirmative civil enforcement (ACE) cases. The memo stated, ...
In Billing
Aug 27th, 2010
The Centers for Medicare & Medicaid Services (CMS) is considering changes to the Medicare coverage policy for ventricular assist devices (VAD) as destination therapy in end-stage heart failure patients. In a proposed decision memo dated Aug. 19, CMS proposes removing the requirement that patients must have a body size greater than 1.5 m² and raising the ...
In Billing
Jan 20th, 2009
Beginning early this year, a hand-picked group of health care institutions will help the Centers for Medicare & Medicaid Services (CMS) test a theory that bundled payments for both Part A hospital and Part B physician services will improve the quality of care fee-for-service (FFS) Medicare beneficiaries receive, produce savings, align incentives, and increase collaboration. ...