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CMS Transmittal 1203 dated March 22, 2013 MLN Matters (revised July 6, 2013) These documents provide guidance for billing Part B inpatient claims and the use of condition code W2.
To view the full report, please click the link below (requires Adobe Reader): OIG 2014 Work Plan
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 2014 to implement applicable statutory requirements and changes arising from continuing experience with these systems. In this final rule with comment period, are changes to the amounts and factors used to […]
IMPORTANT. As a practitioner in the hospital environment you are expected to utilize this guidance related to hospital inpatient admission. Click here to read the letter from CMS.
This session is now in our Library. To appropriately report infections with ICD-10, one needs to have a clear understanding of the nature of infections as well as the knowledge to decipher the clues regarding each. Attend this session to learn more about bacterial vs viral infections, HIV, Pneumonia and more. Be sure to note […]
This information, from the Joint Commission, addresses standards that are invoked by the use of unlicensed individuals (called scribes) to enter the physician’s documentation. Click to read the entire document.
CMS has provided an FAQ document to address concerns regarding the 2 Midnight Inpatient Admission Guidance which begins October 1, 2013. Click to read the document on the CMS site. Q: Will CMS direct the Medicare review contractors to apply the 2-midnight presumption-that is, contractors should not select inpatient claims for review if the inpatient […]
This proposed rule would establish methodology and payment rates for a prospective payment system (PPS) for federally qualified health center (FQHC) services under Medicare Part B beginning on October 1, 2014, in compliance with the statutory requirement of the Affordable Care Act. This proposed rule would also establish a policy which would allow rural health […]
