In Billing
Nov 2nd, 2017
Hospital outpatient departments (HOPD) and ambulatory surgical centers (ASC) will see a small payment rate increase in 2018, provided quality reporting requirements are met. The Centers for Medicare & Medicaid Services (CMS) published, Nov. 1, a final rule for Outpatient Prospective Payment System (OPPS) and ASC Payment System (ASC PS) payment policies and rates that go ...
When a patient is placed in observation status, know the documentation guidelines for time. Occasionally, a physician will need to observe a patient in the hospital for a time beyond that of a single-visit encounter. In these instances, instead of admitting the patient as inpatient status, the physician may admit the patient as observation status ...
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 ...
Jul 19th, 2017
The Hospital Outpatient Prospective Payment System (OPPS) proposed rule for 2018 includes a change in the 340 B program payment rate for certain Medicare Part B drugs purchased by hospitals, and it asks for comment. The Centers for Medicare & Medicaid Services (CMS) say the proposal has the potential of cutting drug costs by approximately $180 ...
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...