CMS Inpatient Only List CY2015

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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 […]

Physician Fee Schedule 2015

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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 […]

IRF Coding: Five Biggest Mistakes in IRF-PAI Coding

OPPS Final Rule 2015

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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 […]

OIG Work Plan 2015

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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 […]

Clinicians: Signature Value

Modifier -59 – Will “X” Mark the Spot?

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A white paper is available from AQ-IQ regarding the new modifiers effective January 1, 2014. Download it here.

CDC Ebola Update

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Please find the following links covering various topics and updates related to Ebola from the CDC.   Outbreak Update – October 25, 2014 Interim Guidance: EMS Systems & 9-1-1 PSAPs: Management of Patients in the U.S. – Updated October 24, 2014 Recommendations for Safely Performing Acute Hemodialysis in Patients with Ebola Virus Disease in U.S. Hospitals […]

Ebola Information from CDC

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This checklist is produced by the CDC. Additional information is available on the CDC site.