CMS Issues OPPS and ASC Final Rule Updating Medicare Policies and Payments.
The Centers for Medicare & Medicaid Services (CMS) recently issued a final rule revising the Hospital Outpatient Prospective Payment System…
OIG Issues Report on Escalating Medicare Billing for Ventilators.
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently released a report on rising Medicare…
CMS Issues IPPS and LTCH PPS Final Rule Updating Medicare Policy and Payment Rates.
The Centers for Medicare & Medicaid Services (CMS) issued a final rule updating fiscal year (FY) 2017 Medicare payment policies…
Consultant Sentenced to Prison for Role in $63 Million Health Care Fraud Scheme.
The United States Department of Justice (DOJ) recently sentenced a Miami, Florida health care clinic consultant to 135 months in…
CMS Issues IPPS Proposed Rule Updating Fiscal Year 2017 Payment Policies and Rates.
The Centers for Medicare & Medicaid Services (CMS) recently released a proposed rule updating the Inpatient Prospective Payment System (IPPS)…
OIG Issues Report on Improper Medicare Payments for Bone Marrow and Stem Cell Transplants.
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently issued a report on its audit…
CMS Issues Final Rule on Reporting and Returning Medicare Program Overpayments.
The Centers for Medicare & Medicaid Services (CMS) recently released a final rule implementing the 60-day deadline to report and…
CMS Issues Q&As on ICD-10 Claims Flexibility.
The Centers for Medicare & Medicaid Services (CMS) recently issued questions and answers (Q&As) on International Classification of Diseases, Tenth…
U.S. District Court Issued Healthfirst Decision on the 60-Day Rule.
The United States District Court for the Southern District of New York recently published a decision interpreting, for the first…
CMS Issues IPPS and LTCH PPS Proposed Rule for Fiscal Year 2016.
The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule updating the fiscal year (FY) 2016 Hospital Inpatient…
CMS Issues CY 2015 OPPS and ASC Final Rule
The Centers for Medicare & Medicaid Services (CMS) recently issued the Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center…
CMS Offers Settlement Agreements to Resolve Patient Status Claims Denials.
The Centers for Medicare & Medicaid Services (CMS) is allowing hospitals to settle claims denied based on patient status for…