In Billing
Oct 29th, 2018
Remember back in 2015 when CPT® changed the definition of an incomplete colonoscopy from one that does not evaluate the colon past the splenic flexure to one that does not evaluate the entire colon? The Centers for Medicare & Medicaid Services (CMS) is responding to that change, albeit rather lethargically. Incomplete Colonoscopies, by Definition CPT® 2015 ...
In CMS
Feb 8th, 2018
In 2018, eligible clinicians will attest to Meaningful Use of certified electronic health record technology (CEHRT) through the Quality Payment Program. Medicare eligible hospitals, critical access hospitals (CAHs), and dual-eligible hospitals will continue to participate in the Medicare EHR Incentive Program, as usual, with the exception of some requirement changes. The 2018 Medicare Hospital Inpa...
In Billing
Dec 13th, 2017
In case you were unaware of proper billing of services for Medicare patients in a covered Part A inpatient stay, here is a refresher. Medicare will not pay acute-care hospitals for outpatient services provided to patients in a covered Part A inpatient stay at another facility. This includes Medicare patients who are inpatients of long-term ...
In Billing
Feb 3rd, 2017
Effective Feb. 21, 2017, hospitals and critical access hospitals (CAHs) must provide the Medicare Outpatient Observation Notice (MOON), or CMS-10611, to patients with Original Medicare who are receiving outpatient observation services for more than 24 hours. The MOON must be delivered to applicable patients no later than 36 hours after outpatient observation services begin, but ...
Dec 18th, 2016
The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule to update fiscal year (FY) 2017 Medicare payment policies and rates under the Inpatient Prospective Payment System (IPPS) and the Long-Term Care Hospital (LTCH) Prospective Payment System (PPS). The proposed rule, which CMS says would apply to approximately 3,330 acute care hospitals and ...