In CMS
Aug 10th, 2017
The Office of Inspector General (OIG) says noncompliance of the three-day rule continues to cost Medicare millions of dollars, every year. In 2013-14, National Government Services (NGS), alone, reportedly overpaid New England providers an estimated $1.3 million. This estimate is based on a stratified random sample of 129 nonphysician outpatient services furnished within three days ...
In CMS
Jul 17th, 2017
The Centers for Medicare & Medicaid Services (CMS) released the proposed policy and rate changes for the Hospital Outpatient, Ambulatory Surgical Center Payment Systems.  Commonly called OPPS and ASC, these systems are updated annually and the proposed version, “reflects a broader strategy to relieve regulatory burdens for providers; support he patient-doctor relationship in healthcare; a...
May 30th, 2017
The Centers for Medicare & Medicaid Services (CMS) wants your comment on the FY 2018 Inpatient Prospective Payment System and Long Term Acute Care Hospital Proposed Rule by June 13, 2017. Submit a Formal Comment by 5 p.m. EDT, Tuesday, June 13. You can submit comments in several ways: By electronic submission through the “submit a formal comment” instructions on ...
Apr 20th, 2017
The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) extended the Medicare-dependent, Small Rural Hospital (MDH) program, but like previous statutes before it, only temporarily. Beginning Oct. 1, 2017, the MDH program will no longer be in effect. The Effect on Hospitals The Centers for Medicare & Medicaid Services (CMS) explains in the 2018 ...
In Billing
Apr 17th, 2017
The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule April 14 that would update 2018 Medicare payment and polices in the Inpatient Prospective Payment System (IPPS) and Long-term Care Hospitals Prospective Payment System (LTCH PPS). The proposed changes apply to approximately 3,330 acute care hospitals and approximately 420 LTCHs and, if finalized, ...