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Top Stories
- CMS issues IPPS proposed rule for FY 2013
Inpatient acute care hospitals could see a 2.3% increase in payment rates under the fiscal year (FY) 2013 Inpatient Prospective Payment System (IPPS) proposed rule, released April 24. The 2.3% is a net update after inflation, improvements in productivity, a statutory adjustment factor, and adjustments for hospital documentation and coding changes.
- HHS proposes one-year delay of ICD-10-CM/PCS
HHS released a proposed rule today announcing a one-year delay of the implementation of ICD-10-CM/PCS. If finalized, ICD-10 would become effective October 1, 2014.
- Recent OIG reports show critique on CMS' processes and programs
During the past few months, there have been a number of Office of Inspector General (OIG) reports released that seem to question some of CMS’ audit programs and perhaps find them lacking.
- CMS instructs on payment methodology for anesthesiology claims submitted with a -GC modifier
On April 26, CMS issued transmittal R2452CP that implements the payment methodology for anesthesiology claims submitted with modifier –GC (resident /teaching physician service) for CAH Method II providers.
- Q/A: Payment for HCPCS code J2354
Q: We don’t understand why our MAC is denying HCPCS code J2354 (injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg. Use this code for Sandostatin®). It appears on the self-administered drug list, but its status indicator is N, so we receive no payment. Why is our MAC denying a line item for a drug with no payment?
- Consulting firm seeks to drop lawsuit over missing laptop
Accretive Health, Inc., a consulting firm charged with violating health privacy laws, has asked to have the lawsuit dismissed, according to an April 30 report in the StarTribune. Accretive lost a laptop computer containing the medical data of 23,500 Minnesota residents last year.
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