In Billing
Nov 15th, 2019
Beginning Jan. 1, 2021, all U.S. hospitals will be required to disclose standard charges for items and services offered to patients. Although many hospitals do this already, the Centers for Medicare & Medicaid Services (CMS) finalized Nov. 15 polices that will require hospitals to be more accountable of the prices they charge and more forthcoming ...
In Billing
Sep 13th, 2019
October 1 is a scary time for medical coders. There are fourth quarter updates to HCPCS Level II codes and code editors. Payment system and fee schedules are updated. And ICD-10-CM code changes go into effect. What’s a coder to do? Whatever you do, don’t hide under your bed. Jason’s under there (just a little Friday ...
In Billing
Mar 28th, 2019
With or without a rhyme or reason, you can count on coding changes popping up throughout the year. In addition to April updates to the Medicare Physician Fee Schedule (PFS), providers billing under the Outpatient Prospective Payment System (OPPS) should be aware of four new CPT codes, a new advanced diagnostic laboratory test, additions to ...
In Coding
Feb 27th, 2019
Meet outpatient quality reporting requirements or prepare for a payment reduction. Using Hospital Outpatient Prospective Payment System (OPPS) methodology, the Centers for Medicare & Medicaid Services (CMS) based 2019 OPPS payments on 2017 claims data submitted by hospital providers, resulting in an estimated 1.35 percent increase. Hospitals that fail to meet the hospital outpatient quality ...
In CMS
Nov 5th, 2018
Utilization, new codes, device pass-through, and 340B payment policies top the changes in the Centers for Medicare & Medicaid Services’ (CMS) Outpatient Prospective Payment System (OPPS) final rule for 2019. Cutting OPPS Costs CMS said in a fact sheet with the long-winded title of “CMS finalizes Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical ...