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Procedures That Will be Paid Only as Inpatient for CY2012 This is a zip file for download. CPT® license agreement required. 2012 OPPS Final Addenda [ZIP, 1.54MB] (The 2012 Inpatient Only List is here as Addendum E.)
From the HHS News Release: Medicare is adding coverage for a number of preventive services to reduce cardiovascular disease. This new coverage policy will add to the existing portfolio of free preventive services that are now available for people with Medicare, thanks to the Affordable Care Act. It contributes to the Million Hearts initiative […]
From the CMS News Release: Under the Affordable Care Act, people with Medicare can receive many preventive services at no charge, including diabetes screening, some cancer screenings and help to quit smoking. So far this year, more than 2.2 million people with Medicare have saved more than $1.2 billion on their prescriptions, for an […]
According to CMS, this final rule with comment period revises the Medicare hospital outpatient prospective payment system (OPPS) to implement applicable statutory requirements and changes arising from continuing experience with this system. This final rule with comment period, describes the changes to the amounts and factors used to determine the payment rates for Medicare hospital […]
From the CMS News Release: On November 1, 2011 CMS issued a final rule with comment period (final rule) that will update payment policies and payment rates for services furnished to Medicare beneficiaries in hospital outpatient departments (HOPDs) and ambulatory surgical centers (ASCs) beginning Jan. 1, 2012. In addition to establishing payment rates for […]
From the CMS News Release: A final rule that updates Medicare policies and payment rates for 5,503 dialysis facilities paid under the End Stage Renal Disease (ESRD) Prospective Payment System (PPS) that was first implemented in calendar year (CY) 2011 was issued on November 1, 2011. The final rule will also strengthen incentives for […]
From the CMS News Release: CMS has issued a final rule with comment period that updates payment policies and rates for physicians and nonphysician practitioners (NPPs) for services paid under the Medicare Physician Fee Schedule (MPFS) in calendar year (CY) 2012. More than 1 million providers of vital health services to Medicare beneficiaries – […]
From the CMS News Release: Payments to home health agencies (HHAs) are estimated to decrease by approximately 2.31 percent or $430 million in CY 2012, the net effect of a 1.4 percent payment update, the wage index update, and the case-mix coding adjustment. This final rule reflects the ongoing efforts of CMS to support […]
MEDICARE PREMIUMS AND DEDUCTIBLES FOR 2012 MEDICARE PART A: Medicare Part A premiums will be increasing by just $1 per month, and the deductible will increase by just $24. For Medicare Part A, which pays for inpatient hospital, skilled nursing facility, and some home health care, about 99 percent of Medicare beneficiaries do not pay […]
