In Audit
May 21st, 2013
In a proposed rule published in the Federal Register May 10, the Centers for Medicare & Medicaid Services (CMS) clarifies the rules governing physician orders of hospital inpatient admissions for payment under Medicare Part A. If finalized, hospital inpatient admissions spanning two midnights in the hospital would generally qualify as appropriate for payment under Medicare ...
In Billing
Jan 13th, 2012
The Centers for Medicare & Medicaid Services (CMS) has established new payment modifier PD Diagnostic or related nondiagnostic item or service provided in a wholly owned or operated entity to a patient who is admitted as an inpatient within 3 days. Physicians, suppliers, and providers are now required to append modifier PD to preadmission diagnostic ...
In CMS
Jul 1st, 2011
Following the omission of important information in its manual, the Centers for Medicare & Medicaid Services (CMS) clarified in Transmittal 2247, June 24, the policies concerning late night admissions and the mix of residents under the primary care exception. The policies regarding the interpretation of diagnostic radiology and other tests are included, as are the ...