Roundup: Relevant Medicare updates
Recovery Auditor Report, November 29, 2012
CMS issues notice on hospital outpatient payment panel
On November 27, CMS issued a notice in the Federal Register which announces meetings for the hospital outpatient payment panel this coming March, for which the panel will take comments for supervision levels.
OIG issues review of LifeCenter Northwest’s compliance with reporting organ statistics
On November 23, the OIG issued a review of LifeCenter Northwest, in which it found that it did not fully comply with Medicare requirements for reporting organ statistics in its fiscal year 2009 Medicare cost report. The review found that Medicare’s share of organ procurement costs was overstated by an estimated $88,000.
CMS issues fact sheet on FY 2012 improper payment rates
On November 21, CMS issued a fact sheet that publishes the improper payment rates for CMS programs in fiscal year 2012.
OIG issues Medicare compliance review of University of Iowa
On November 20, the OIG issued a Medicare compliance review of the University of Iowa Hospital in Iowa City, Iowa.. The review found that 274 of the 398 claims reviewed were billed incorrectly, resulting in $826,000 in overpayments for CYs 2008 through 2011.
OIG issues review of outpatient billing for a selected drug in California
On November 20, the OIG issued a review of Medicare outpatient billing for a selected drug at Community Hospital Long Beach Memorial in Long Beach, Calif. For the 19 line items reviewed, the hospital did not bill in accordance with Federal requirements, resulting in overpayments totaling $30,000.
OIG issues review of Noridian payments for Herceptin in Jurisdiction 2
On November 20, the OIG issued a review of Noridian payments in Jurisdiction 2 for full vials of Herceptin. The review found that 487 of 714 line items reviewed were incorrect, resulting in $567,000 in overpayments.
OIG issues review of outpatient billing for a selected drug in Arizona
On November 20, the OIG issued a review of Medicare outpatient billing for a selected drug at Banner Baywood Medical Center in Mesa, Ariz. For the three line items reviewed, the medical center did not bill in accordance with Federal requirements, resulting in overpayments totaling $54,000.
CMS issues press release on implementation of latest Affordable Care Act provisions
On November 20, CMS issued a press release which details the Obama administration’s action to implement provisions in the health care law that would make it illegal for insurance companies to discriminate against people with pre-existing conditions.
Related Products
-
Core Skills for Hospital Case Managers:
A guide to fundamental case management responsibilities, Core Skills for Hospital Case Managers serves as a training...
-
Prevent Denials and Win Appeals:
Hospital case managers and directors of case management will find Prevent Denials and Win Appeals to be a valuable partner...
-
The 2013 Medicare Compliance Forum: Las Vegas, NV
-
Level of Care Determinations for 2014: Las Vegas, NV
Attend the half-day seminar, Outpatient, Observation or Inpatient? Continuing to Walk the Tightrope of Regulatory Guidance...
-
OPPS and IPPS Reimbursement Fundamentals: Las Vegas, NV
Attend OPPS and IPPS Reimbursement Fundamentals, a half-day seminar on October 2nd in Las Vegas. Learn how CMS’ substantial...
Most Popular
- Articles
-
- CMS seeks comment on quality measures
- Practice the six rights of medication administration
- Don't forget the three checks in medication administration
- Note similarities and differences between HCPCS, CPT® codes
- CMS creates web portal for questions about 1135 waivers, PHE
- Nursing responsibilities for managing pain
- Q&A: Primary, principal, and secondary diagnoses
- ICD-10-CM coma, stroke codes require more specific documentation
- OB services: Coding inside and outside of the package
- TJC seeks input on new requirements for workplace violence prevention, resuscitative services
- E-mailed
-
- Coronavirus vaccination: 4 best practices for communicating with patients
- Q&A: Pressure ulcer POA code confusion resolved
- Neurological checks for head injuries
- Keyes Q&A: Generator lighting, fire dampers, eyewash stations, ISLM fire drills
- Including 46600 in E/M leveling systems
- How to get reimbursed for restorative nursing
- Fetal non-stress tests represent important part of maternal and fetal health
- Coding, billing, and documentation tips for teaching physicians, interns, residents, and students
- Coding tip: Know how to correctly code each procedure an otolaryngologist can perform on turbinates
- Coding Clinic reiterates guidelines for provider documentation
- Searched