News & Analysis

June 22, 2016
News & Insights

Q: Are there any status indicator changes for July?

June 22, 2016
Medicare Insider

This week’s note is about swing beds in critical access hospitals.

June 22, 2016
Medicare Insider

This week’s updates include new physician specialty code for dentist; medical review of SNF PPS bills; and more!

June 15, 2016
News & Insights

Q: Our surgeons perform a lot of blepharoptosis repairs. Because each patient is different, different amounts of eyelid tissue has to be removed. One of our surgeons wants to set a maximum amount that is included in the procedure and then charge a blepharoplasty to cover anything over and above this maximum. We are trying to figure out how to even start to operationalize this. It seems to us that this is just a “patient differential” in the surgery like you have in any other surgery. Is there any guidance or standard for this?

 

June 15, 2016
Medicare Insider

This week’s note is about upcoming events and temporary pause in 2-Midnight reviews.

June 14, 2016
Medicare Insider

This week’s updates include the temporary pause of QIO short stay reviews; review of CMS' Pioneer Accountable Care Organization Payment Model first performance year administration; and more!

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