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 ...
Coding these preventive procedures depends on the payer. For 2017, the American Medical Association (AMA) deleted CPT® 77051, 77052, 77055, 77056, and 77057, and introduced three replacement codes to report mammography: 77065 Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral 77066 … bilateral 77067 Screening mammography, bilateral (2-view study of each brea...
Ambiguities in the 1995 documentation guidelines create uncertainty. Editor’s Note: After this article was written, a Medicare administrative contractor announced new definitions for “detailed” and “expanded poblem-focused.” See the May issue of Healthcare Business Monthly to learn more. Within the Centers for Medicare & Medicaid Services’ (CMS) 1995 Documentation Guidelines for Evaluation and ...
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 ...
Mar 30th, 2017
A recent survey cosponsored by Healthcare Informatics and SERMO assessed healthcare providers’ readiness for Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) mandates. The law requires the Centers for Medicare & Medicaid Services (CMS) to adjust Medicare Part B payments based on performance data that eligible clinicians and clinician groups submit, each year. Beginning in ...