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…
Lessons Learned from the Two-Midnight Rule: Compliance Tips for Short Stay Claims Reviews
Over the past year, there has been a growing controversy over the impact the Two-Midnight Rule will have on hospitals…
HHS Issues Final Rule Regarding ICD-10 Compliance Date.
The Department of Health and Human Services recently issued a final rule, which confirmed October 1, 2015 as the compliance…
CMS Releases IPPS and LTCH PPS Final Rule.
The Centers for Medicare & Medicaid Services (CMS) issued the Inpatient Prospective Payment System (IPPS) and the Long-Term Care Hospital…
RAC Program Paused by CMS
The Centers for Medicare & Medicaid Services (CMS) announced a pause in the Medicare Recovery Audit Contractor (RAC) Program until…
CMS Announces National ICD-10 Testing Week March 3-7.
The Centers for Medicare & Medicaid Services (CMS) announced a national testing week from March 3 through March 7, 2014…
CMS Releases Additional 2-Midnight Rule Guidance.
The Centers for Medicare & Medicaid Services (CMS) recently released additional guidance for hospital inpatient admission orders and certification requirements…
CMS Issues Medicare Advantage and Medicare Prescription Drug Benefit Programs Proposed Rule
The Centers for Medicare & Medicaid Services (CMS) recently issued a proposed rule with comment period, which will strengthen protections,…
CMS Issues Claims Processing Guidance for ICD-10.
The Centers for Medicare & Medicaid Services (CMS) issued an updated version of the Medicare fee-for-service claims processing guidance for…
CMS Provides Instructions for Post Payment Patient Status Reviews.
The Centers for Medicare & Medicaid Services (CMS) released instructions relating to the time period that contractors should begin “patient…
CMS Issues Additional 2-Midnight Rule Guidance and FAQs.
The Centers for Medicare & Medicaid Services (CMS) has issued additional guidance, updated frequently asked questions (FAQs), and information for…