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This proposed rule would revise the Medicare hospital outpatient prospective payment system and the Medicare ambulatory surgical center payment system for CY 2015 to implement applicable statutory requirements and changes arising from continued experience with these systems. In this proposed rule is describe the proposed changes to the amounts and factors used to determine the payment […]
Procedures That Will be Paid Only as Inpatient for CY2015 This is a zip file for download. CPT® license agreement required. CY2015 OPPS Addenda [ZIP, 2.8 MB] (The 2015 Inpatient Only List is here as Addendum E.) It is available as an Excel file or as a Text file. Effective April 1, 2015, a new […]
2015 Physician Fee Schedule PDF (1185 pages) CMS page for PFS Physician Fee Schedule Look-Up Tool Interim Study of Alternative Payment Localities under the PFS Review of Alternative GPCI Payment Locality Structures-Final Report Geographic Adjustment of Medicare Payments to Physicians: Evaluation of IOM Recommendations Psychological and Neuropsychological Tests Audiology Services PFS Federal Regulation Notices Medicare […]
This final rule with comment period revises the Medicare hospital outpatient prospective payment system (OPPS) and the Medicare ambulatory surgical center (ASC) payment system for CY 2015 to implement applicable statutory requirements and changes arising from our continuing experience with these systems. In this final rule with comment period, we describe the changes to the […]
The HHS Office of Inspector General (OIG) Work Plan for Fiscal Year 2015 summarizes new and ongoing reviews and activities that OIG plans to pursue with respect to HHS programs and operations during the current fiscal year and beyond. The Work Plan describes the primary objectives and provides for each review its internal identification code […]
According to CMS, some of the changes implement certain statutory provisions contained in the Affordable Care Act and other legislation. These changes are applicable to discharges occurring on or after October 1, 2014, unless otherwise specified in this final rule. There are updates to the rate of increase limits for certain hospitals excluded from the IPPS that are […]
ICD-9 Ancillary Coding: Labs, Radiology & Other Tests
CMS issued a proposed rule on April 20, 2014 that would update fiscal year (FY) 2015 Medicare payment policies and rates for inpatient stays at general acute care and long-term care hospitals (LTCHs). This rule builds on the Obama administration’s efforts through the Affordable Care Act to promote improvements in hospital care that will lead […]