The week in Medicare updates
HIM-HIPAA Insider, July 7, 2014
Want to receive articles like this one in your inbox? Subscribe to HIM-HIPAA Insider!
CMS updates Chapter 3 of the Program Integrity Manual (PIM)
On June 20, CMS released a change request to update a section of Chapter 3 of the PIM. The changes address reimbursing providers and health information handlers for additional documentation.
Effective date: July 22, 2014
Implementation date: July 22, 2014
View Transmittal R523PI.
CMS clarifies billing instructions related to the home health benefit
On June 20, CMS released a change that updates Pub. 100-04, Medicare Claims Processing Manual, to specify the physician specialty codes that are excluded from home health consolidated billing. It also will make conforming changes related to the retirement of the home health advance beneficiary notice, and make miscellaneous changes to conform term and code usage to national standards.
Effective date: September 23, 2014 (ICD-10: Upon Implementation of ICD-10)
Implementation date: September 23, 2014 (ICD-10: Upon Implementation of ICD-10)
View Transmittal R2977CP.
CMS receives application for critical access hospital (CAH) accreditation program
On June 27, CMS posted an acknowledgement in the Federal Register that it received an application from Det Norske Veritas Healthcare. This organization is applying for continued recognition as a national accrediting organization for CAH facilities that wish to participate in the Medicare or Medicaid programs.
View the notice in the Federal Register.
Leave a comment.
CMS accepting comments The Joint Commission’s (TJC) ambulatory surgical accreditation
On June 27, CMS posted a proposed notice in the Federal Register that acknowledges the receipt of an application from TJC for continued recognition as a national accrediting organization for ambulatory surgical centers that wish to participate in the Medicare or Medicaid programs. Comments are due by July 28.
View the notice in the Federal Register.
Leave a comment.
TJC hospital accreditation program for hospitals approved
On June 27, CMS posted a final notice in the Federal Register announcing their decision to approve TJC for continued recognition as a national accrediting organization for hospitals that want to participate in the Medicare or Medicaid programs. A hospital that participates in Medicaid must also meet the Medicare conditions of participation. This approval is effective July 15, 2014, through July 15, 2020.
View the notice in the Federal Register.
OIG issues special fraud alert: Laboratory payments to referring physicians
On June 25, OIG posted a special fraud alert to its website that addresses compensation paid by laboratories to referring physicians and physician group practices for blood specimen collection, processing, and packaging, as well as for submitting patient data to a registry or database.
View the report.
“Medicare Program Integrity: Screening Out Errors, Fraud, and Abuse” hearing update
On June 25, OIG posted the testimony of Gary Cantrell, deputy inspector general for investigations at OIG, regarding OIG's efforts to improve Medicare oversight and reduce waste, fraud, and abuse. He stated fighting waste, fraud, and abuse in Medicare and other programs is a top priority.
View the testimony.
Want to receive articles like this one in your inbox? Subscribe to HIM-HIPAA Insider!
Related Products
-
Briefings on APCs
Worried about the complexities of the new rules under OPPS and APCs? Briefings on APCs helps you understand the new rules...
-
HIM Briefings
Guiding Health Information Management professionals through the continuously changing field of medical records and toward a...
-
Briefings on Coding Compliance Strategies
Submitting improper Medicare documentation can lead to denial of fees, payback, fines, and increased diligence from payers...
-
Briefings on HIPAA
How can you minimize the impact of HIPAA? Subscribe to Briefings on HIPAA, your health information management resource for...
-
APCs Insider
This HTML-based e-mail newsletter provides weekly tips and advice on the new ambulatory payment classifications regulations...
Most Popular
- Articles
-
- Don't forget the three checks in medication administration
- Practice the six rights of medication administration
- Note similarities and differences between HCPCS, CPT® codes
- Code diagnoses and outpatient treatment for PTSD
- What to include on the incident report
- OB services: Coding inside and outside of the package
- Q&A: Primary, principal, and secondary diagnoses
- Differentiate between types of wound debridement
- Complications from immobility by body system
- Know guidelines and subtle differences in code descriptions for laceration repairs
- E-mailed
-
- New workplace violence training program focuses on healthcare settings
- Q&A: Resection or excision in ICD-10
- Can we charge for insertion of a PICC line when a certified nurse performs it?
- Inpatient-only procedures: Accuracy helps avoid denials, ensure compliance
- Answer appropriate questions before billing for IV antibiotics and dressing change
- HIPAA Q&A: You've got questions. We've got answers!
- Fracture coding in ICD-10-CM requires greater specificity
- Don't forget the three checks in medication administration
- Dig into the details of wound care documentation
- Correctly code for obstetric/maternity services provided during various stages of delivery
- Searched
