Health Information Management

The week in Medicare updates

HIM-HIPAA Insider, April 28, 2014

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CMS extends coverage for aprepitant for chemotherapy-induced emesis
On April 15, CMS issued a change request to extend coverage of the oral antiemetic three-drug regimen of oral aprepitant, an oral 5HT3 antagonist, and oral dexamethasone to beneficiaries who are receiving one or more of the following anti-cancer chemotherapeutic agents.
Effective date: May 29, 2013
Implementation date: July 7, 2014
View Transmittal R165NCD.
View MLN Matters article MM8418.
Medicare Contractor for Jurisdiction 10 overpaid providers for selected outpatient drugs
The Medicare Contractor for Jurisdiction 10 made incorrect payments to providers for 492 of the 998 line items for outpatient drugs, according to the OIG. These incorrect payments resulted in overpayments of $1.2 million and underpayments of $20,000. Providers had not identified and refunded any overpayments for these line items before OIG fieldwork. The remaining 506 line items were correct.
View the report.
Data from inpatient psychiatric facilities increase transparency for consumers evaluating facilities
On April 17, CMS announced for the first time that quality measures from inpatient psychiatric facilities will be publicly reported on Hospital Compare, a consumer-oriented website that provides information on the quality of care hospitals are providing to their patients.
View the press release.
CMS Advisory Panel on Hospital Outpatient Payment (HOP) - Final recommendations, agenda, and comment period
The Advisory Panel on HOP released a list of its final hospital outpatient payment recommendations based on its March 10 meeting. CMS is proposing changes to certain outpatient supervision level requirements described in the CY 2012 Hospital Outpatient Prospective Payment System /Ambulatory Surgical Center Final Rule. The requirements open to public comment are outlined in CMS’ Preliminary Decisions on the Recommendations of the Hospital Outpatient Payment Panel on Supervision Levels for Select Services. Comments may be submitted via email to through 5 p.m. (Eastern) April 30. As indicated in the final rule, CMS will consider any comments and post final decisions that will be effective July 1.
View the final recommendations.
View the requirements open to public comment.
Medicare and Medicaid programs: Fire safety requirements for certain healthcare facilities
On April 16, CMS opened a proposed rule for public comment. The rule would amend the fire safety standards for certain Medicare and Medicaid participating hospitals and facilities. Further, this proposed rule would adopt the 2012 edition of the Life Safety Code (LSC) and eliminate references in CMS regulations to all earlier editions. It would also adopt the 2012 edition of the Health Care Facilities Code with some exceptions. CMS is providing the LSC citation, a description of the 2012 requirement, and an explanation of its benefits for health care facilities, patients, staff, and visitors over the 2000 version in each occupancy section. Comments must be received by 5 p.m. June 16.
Click here for more information.
CMS releases interim report on the CMS National Partnership to Improve Dementia Care in Nursing Homes
On April 11, CMS released an interim report that discusses the history of the National Partnership to Improve Dementia Care, summarizes activities to date, provides reasons for early progress and outlines next steps for future Partnership efforts.
View the survey and letter.

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