Corporate Compliance

Other CMS and OIG Issuances

Medicare Insider, February 12, 2008

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CMS issues revised interpretive guidelines relating to Hospital Conditions of Participation (CoPs)

On February 8, CMS issued revised interpretive guidelines reflecting the most recent changes to the CoPs on history and physical examinations, authentication of verbal orders, securing medications, and post-anesthesia evaluations. The revised interpretive guidelines also reflect related changes made in the 2008 hospital outpatient prospective payment system final rule.

View the revised interpretative guidelines.

Comment period opens on FY 2009 long-term care hospital prospective payment system proposed rule

CMS is now accepting comments on the FY 2009 long-term care hospital prospective payment system proposed rule. The comment period ends on March 24, 2008.

To view and comment on the proposed rule, click here.

Frequently asked questions

On February 4, CMS issued the following new questions related to Medicare fee-for-service payment:

  • If a hospital bills for three sessions of cardiac rehabilitation services for a patient on a given day, must they each be a minimum of 60 minutes? (view)
  • Must one session of CPT code 93798 (Physician services for cardiac rehabilitation, with continuous ECG monitoring [per session]) be a minimum of 60 minutes if only one session is provided that day? (view)



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