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- GAO issues report on state of ZPICs
A new report from the U.S. Government Accountability Office (GAO) finds that Zone Program Integrity Contractors (ZPICs) have stopped more than $250 million in savings to Medicare in calendar year 2012 from actions such as stopping payment on suspect claims. Read on to learn more!
- Q&A: Are there new pass-through devices for 2014?
Q: We have started our charge description master (CDM) updates for 2014 and wonder if there will be any pass-through devices for next year. In the 2014 OPPS Proposed Rule, CMS noted that HCPCS codes C1830 (powered bone marrow biopsy needle), C1840 (lens, intraocular [telescopic]), and C1886 (catheter, extravascular tissue ablation, any modality [insertable]) will expire at the end of December.
- CMS collapses clinic E/M codes, introduces more packaging
CMS released the 2014 OPPS Final Rule November 27 and while not all of the sweeping changes from the proposed rule were finalized, CMS continued its move toward increased packaging, along with collapsing clinic evaluation and management (E/M) codes into a single G-code.
- AMA and AHA urge delay of 2-midnight rule
The American Hospital Association (AHA) and American Medical Association (AMA) are urging CMS to delay enforcement of the 2-midnight rule finalized in the 2014 IPPS final rule to October 1, 2014. In a letter to CMS administrator Marilyn Tavenner, the AHA and AMA said the delay is necessary to allow hospitals more time to reevaluate policies and procedures impacted by the rule.
- New guidelines for preventing and remedying medical identity theft
The State of California Department of Justice Office of the Attorney General recently released a report featuring new guidelines for the prevention and remedy of medical identity theft. AHIMA and various industry professionals contributed to the development of the guidelines in the report, entitled Medical Identity Theft: Recommendations for the Age of Electronic Medical Records.
- OIG study recommends developing new quality measure
A new Office of the Inspector General (OIG) study has recommended to the Centers of Medicare & Medicaid Services (CMS) that they develop a quality measure that describes nursing home resident hospitalization rates. Read on to learn more!