Medicare Compliance & Reimbursement
Industry Note:
Prepare for New Part D Opioid-Prescribing Policies in 2019
Published on Wed Dec 19, 2018
As the opioid epidemic continues to plague the nation, CMS issued new guidelines for Part D prescribers with a policy start date on Jan. 1, 2019. The new Medicare guidance looks specifically at overutilization offering advice on care coordination, time-limits on prescriptions, and drug management. The policies are provider-specific and aim to decrease fraud and increase beneficiary safety. Read MLN Matters “A Prescriber’s Guide to the New Medicare Part D Opioid Overutilization Policies for 2019” at www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/SE18016.pdf.
Other Articles in this issue of
Medicare Compliance & Reimbursement
- Reimbursement:
See What's at the Heart of FY 2018 CERT Report
Improper payment rate is on the decline, but mistakes are still in the billions. If [...] - Inadequate Notes Account for More Than Half of Improper Payments
Lack of medical necessity and lax coding round out the top 3 reasons. For FY [...] - CERT Appeals:
When CERT Comes Knocking, Make Sure to Answer
Tip: Encrypt your emailed documentation per HIPAA, CERT contractor says. Unless you’re on Medicare’s short [...] - Dates & Deadlines:
Pocket This List of 3 Critical Medicare Dates
Note the MIPS 2018 submissions vary according to how you submit measures. As the year [...] - Reader Question:
Know the Facts on Workers' Comp, Medicare Claims
Question: A 66-year-old patient presented to the emergency department (ED) after falling off a loading [...] - Industry Note:
Prepare for New Part D Opioid-Prescribing Policies in 2019
As the opioid epidemic continues to plague the nation, CMS issued new guidelines for Part [...] - Industry Note:
Overlapping Hospice Claims Rejections May Be Errors
Beware a new payment glitch hitting hospice claims. “Hospice claims are incorrectly rejecting with reason [...] - Industry Note:
HHS Releases CHPL Data Challenge Winners
With the 2015 Edition Certified EHR Technology (CEHRT) now a requirement for eligible clinicians for [...] - Industry Note:
Review Rate Of Healthcare Spending
Healthcare spending continues its slow and steady growth. “Overall national health spending grew at a [...] - Reader Question:
OCR Proposes RFI on HIPAA Privacy Rule
In an effort to appease calls from the healthcare community to lessen the restraints of [...]
View All
