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The 2022 List of inpatient only codes is Appendix E of the OPPS Final Rule. Table of contents for the Addenda (PDF) All the Addenda are available in a .zip file from CMS (click here to download)
Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Price Transparency of Hospital Standard Charges; Radiation Oncology Model; Request for Information on Rural Emergency Hospitals This proposed rule would revise the Medicare hospital outpatient prospective payment system (OPPS) and the Medicare ambulatory surgical center (ASC) payment system for […]
CMS Proposes Physician Payment Rule to Improve Health Equity, Patient Access Rule Would Expand Access to Telehealth Services, Enhance Diabetes Prevention Programs The Centers for Medicare & Medicaid Services (CMS) is proposing changes to address the widening gap in health equity highlighted by the COVID-19 Public Health Emergency (PHE) and to expand patient access to […]
In the “Insiders” portion, Paula discusses cloned medical records, which are not as uncommon as they should be. During Episode… Please log in to view this content.
Today Paula shares with the “Insiders” some random auditing thoughts. During Episode 118, Ms Digby addresses a concern about the difference between a “interrupted stay” and a “leave of absence” in the IRF setting. The next questioner is concerned about the use of Z43.0 “Attention to Trach”. Finally, which payers utilize CMGs in their payment […]
Today Heather Bryans shares with the “Insiders” what she’s researched regarding hypertension. During Episode 117, Ms Bryans explains correct reporting of periprosthetic fracture in a patient with osteoporosis, which comes first? The last questioner wonders whether the order for orthotics must include the HCPCS code for that item. Congratulations to Ida for winning the “mugging”! […]
