In CMS
Feb 2nd, 2018
Expanded packaging, off-campus provider-based department changes, and 340B are at the top of the list. Using Hospital Outpatient Prospective Payment System (OPPS) methodology, the Centers for Medicare & Medicaid Services (CMS) based 2018 OPPS payments on claims data submitted by hospital providers, resulting in an estimated 1.35 percent increase. Hospitals that fail to meet the ...
In Billing
Feb 2nd, 2018
Payment for outdated X-ray technology is reduced more each year. For 2018, the Centers for Medicare & Medicaid Services (CMS) is targeting computed radiography. New Modifier Applies Reduction Medicare Physician Fee Schedule (MPFS) and Outpatient Prospective Payment System (OPPS) payments for the technical component (TC) of X-ray services taken using computed radiography technology (cassette-bas...
In Billing
Jan 12th, 2018
Your practitioners may be performing services for which they are neither being reimbursed nor receiving credit toward their quality reporting. You can help maximize their earning potential and receive credit where it’s due by pointing out these three separately payable services. Chronic Care Management Chronic conditions (e.g., Alzheimer’s disease, arthritis, asthma, cancer, depression, HIV, strok...
In CMS
Jan 4th, 2018
For the fourth consecutive year, ambulatory surgical centers (ASC) have a lot riding on participation in the ASC Quality Reporting (ASCQR) Program — 2.0 percentage points, to be exact. ASCs that do not meet quality reporting requirements will see their Consumer Price Index for All Urban Consumers (CPI–U) update of 1.7 percent reduced by 2.0 percentage ...
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 ...