The week in Medicare updates
APCs Insider, August 1, 2014
Want to receive articles like this one in your inbox? Subscribe to APCs Insider!
Statistical sampling initiative for claims begins
The Office of Medicare Hearings and Appeals (OMHA) was created by the Medicare Modernization Act of 2003 to simplify the appeals process and make it more efficient. It is responsible for Level 3 of the Medicare appeals process. OMHA statistical sampling is a pilot to provide appellants with an option for addressing large volumes of claim disputes at the Administrative Law Judge hearing level of the Medicare claim appeals process.
View details and eligibility.
Limitations in manufacturer reporting of Part B drug data detailed
On July 21, the Office of Inspector General posted an article detailing a study that compared data in CMS' background and crosswalk files—the agency's two average sales price (ASP) related files—with two national drug compendia to determine the number of manufacturers that did not report required ASPs in the third quarter of 2012.
View the report.
NCD for cardiac rehabilitation programs for chronic heart failure posted
On July 21, CMS posted an NCD regarding cardiac rehabilitation programs for chronic heart failure patients. Effective for dates of service on and after February 18, 2014, CMS determined that the evidence is sufficient to expand coverage for cardiac rehabilitation services under 42 CFR §410.49(b)(1)(vii) to beneficiaries with stable, chronic heart failure.
View the description.
Quarterly listing of program issuances published
On July 25, a quarterly notice was published in the Federal Register that lists CMS manual instructions, substantive and interpretive regulations, and other Federal Register notices that were published from April through June 2014.
View the notice in the Federal Register.
Want to receive articles like this one in your inbox? Subscribe to APCs Insider!
Related Products
Most Popular
- Articles
-
- Don't forget the three checks in medication administration
- Residency coordinators’ responsibilities
- RPA Subscriber Exclusive: February issue of Residency Program Alert now available
- Study: Shorter shifts reduces residents’ attentional failures
- Practice the six rights of medication administration
- Editor’s note
- The consequences of an incomplete medical record
- Nursing responsibilities for managing pain
- Note similarities and differences between HCPCS, CPT® codes
- Q&A: Primary, principal, and secondary diagnoses
- E-mailed
-
- White Paper: Postacute CDI: An Introduction to Long-Term Acute Care Hospitals
- Use modifiers -59, -91 to "explain" duplicate codes
- Tim Porter-O'Grady sounds off
- ICD-10-CM coma, stroke codes require more specific documentation
- Fracture coding in ICD-10-CM requires greater specificity
- Eight tips to improve MRI throughput
- Searched