Health Information Management

The week in Medicare updates

APCs Insider, August 14, 2015

Want to receive articles like this one in your inbox? Subscribe to APCs Insider!

CMS posts quarterly listing of program issuances
On August 3, CMS posted a quarterly notice in the Federal Register providing only the specific updates that have occurred in the three-month period from April through June 2015 along with a hyperlink to the full listing that is available on the CMS website or the appropriate data registries that are used as resources.
View the notice in the Federal Register.
 
CMS posts Advisory Panel on Hospital Outpatient Payment agenda
On August 3, CMS posted the agenda for the August 24 meeting of the Advisory Panel on Hospital Outpatient Payment. Look for coverage of the meeting in an upcoming edition of APCs Insider.
View the agenda.
 
Medicare contractor payments for hospital outpatient dental services did not comply with Medicare requirements
On August 6, the Office of Inspector General (OIG) posted a report stating that Medicare contractor payments to providers in Jurisdiction 15 (Kentucky and Ohio) for hospital outpatient dental services did not comply with Medicare requirements. Of the 100 dental services in the stratified random sample, 97 did not comply with Medicare requirements. Using the sample results, OIG estimated that Medicare contractors improperly paid providers at least $1.7 million for dental services provided during the period January 1, 2011, through December 31, 2013.
View the report.
 
OIG posts Medicare review of Mary Hitchcock Memorial Hospital
On August 6, the OIG posted a report stating Mary Hitchcock Memorial Hospital complied with Medicare billing requirements for 190 of the 445 inpatient and outpatient services reviewed. However, the hospital did not fully comply with Medicare billing requirements for the remaining 255 services, resulting in net overpayments of $771,000. These errors occurred primarily because the hospital did not have adequate controls to prevent the incorrect billing of Medicare services within the selected risk areas that contained errors. On the basis of the statistical and judgmental sample results, OIG estimated that the hospital received net overpayments of at least $1.4 million.
View the report.
 
CMS announces membership and meeting update for clinical diagnostic laboratory tests panel
On August 7, CMS posted a notice in the Federal Register announcing 15 membership appointments to the Advisory Panel on Clinical Diagnostic Laboratory Tests. The purpose of the panel is to advise on issues related to clinical diagnostic laboratory tests. The membership appointments are for three years. This notice also announces the first meeting date of the panel August 26.
View the notice in the Federal Register.
Register for the meeting.



Want to receive articles like this one in your inbox? Subscribe to APCs Insider!

    Briefings on APCs

  • 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