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Displaying records 1 to 20 out of 4190 results for "CMS Conditions".
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SORT RESULTS BY: RELEVANCY | PUBLICATION DATE
  CMS updates Conditions of Participation in Final Rule
NOVEMBER 4, 2016
Compliance with the Conditions of Participation (CoP) is required to meet Medicare and Medicaid
FEBRUARY 28, 2017
The CMS will make data on eight hospital-acquired conditions available on its website, a year aft
SEPTEMBER 9, 2014
CMS underpaid Medicare Advantage plans for the cost of treating patients with multiple chronic co
CMS finalized changes for conditional packaging of ancillary services in the 2015 OPPS fin
The CMS last week announced the final list of hospitals that are receiving a 1% penalty for havin
DECEMBER 23, 2014
CMS has sent a memo to state survey agency directors about the new tags surveyors should use to s
CMS recently released cms.gov/Medicare/Coding/ICD10/Downloads/ICD10Spec
The Centers for Medicare & Medicaid Services (CMS) has issues a Change Request (CR) 9497. The
CMS has approved the 2018 standards set forth by the home health accrediting body Community Healt
On November 24, CMS announced that it will extend the time frame for providers to comment on the
A revamped version of the CMS Partnership for Patients program will launch with an improved track
FEBRUARY 17, 2015
Today, the Centers for Medicare & Medicaid Services (CMS) announced two initiatives to
OCTOBER 9, 2014
Expect CMS to continue to put pressure on The Joint Commission (TJC) and other accrediting organi
OCTOBER 9, 2018
The Centers for Medicare & Medicaid Services (CMS) have released new home health Conditions o
After CMS review, The Joint Commission has finally prepublished revisions to the Emergency Manage
Federal regulators are considering changes to the Affordable Care Act’s Hierarchical Condit
CMS last week proposed revisions that would add recognition of same-sex spouses to the Condition
What are the home health CMS & the Medicare/Medicaid Policy for PTA supervision by a
CMS has issued new guidance that explains how agencies can go about converting subunits to branc
CMS has decided to wait a year from Jan. 13 before imposing civil monetary penalties involving th
Both organizations have changed their expectations on the defintion of a hospital. CMS’s ne
DECEMBER 12, 2017
Agencies would have until Jan. 13, 2018, to prepare for most of the revised Home Health Condition
CMS recently released an cms.gov/Medicare/Coding/ICD10/Downloads/ICD10Specia
DECEMBER 15, 2015
Although CMS has issued blanket waivers, the vast majority of the Medicare requirements remain in
By A.J. Plunkett (aplunkett@decisionhealth.com) Expect CMS to continue i
NOVEMBER 10, 2019
The Government Accountability Office (GAO) found that while CMS’ transparency tools such as
According to the Federal Register, CMS is proposing a rule that would update the payment rates us
APRIL 24, 2015
CMS has finalized its plan to cancel four mandatory episode payment models for common cardiac and
The final interpretive guidelines for the revised Home Health Conditions of Participation (CoPs)
All payers must follow the Conditions of Participation, which require an update to the comprehens
Coding guidelines direct to code all documented conditions that exist at the time of the visit an
  CMS recently updated the Medicare Claims Processing Manual, with changes
SEPTEMBER 17, 2014
JUSTCODING
The Centers for Medicare & Medicaid Services (CMS) last week released revised hospital guidan
NOVEMBER 11, 2015
The Centers for Medicare & Medicaid Services (CMS) last week released revised hospital guidan
NOVEMBER 10, 2015
The Centers of Medicare & Medicaid Services (CMS) has released a new public data set, the Hom
CMS’ grace period for reporting families of ICD-10-CM codes is coming to a close. Physician
SEPTEMBER 6, 2016
In response to CMS’ final emergency preparedness rule issued earlier this month,
DECEMBER 1, 2017
On February 1, 2018, CMS proposed new Medicare Advantage and Part D payment and policy updates to
With the kickoff of ICD-10 just a handful of days away, CMS has
Expect CMS to continue to put pressure on The Joint Commission (TJC) and other accrediting organi
DECEMBER 1, 2018
Expect CMS to continue to put pressure on The Joint Commission (TJC) and other accrediting organi
DECEMBER 1, 2018
by: Josh Poltilove Experts fear a lack of detailed surveyor training from CMS on
CMS has offered some clarity on what it considers to be a “family of codes” in ICD-10
CMS finalized changes to multiple quality measures in the cms.gov/Medicare
BY A.J. PLUNKETT (APLUNKETT@H3.GROUP) Expect CMS to continue pressuring
DECEMBER 1, 2018
CMS proposes to continue expanding its policies for packaging ancillary services one year
Q: In regards to the new CMS requirements regarding corridor projections, will alcohol-based hand
OCTOBER 20, 2016
The National Association for Home Care & Hospice (NAHC) filed comments to CMS regarding the i
NAHC submits recommendations to CMS regarding the hospice cost report
  Special conditions
FEBRUARY 1, 2012
Hospitals may find themselves directly in the line of fire as CMS ramps up its oversight of The J
DECEMBER 1, 2018
Hospitals may find themselves directly in the line of fire as CMS ramps up its oversight of The J
DECEMBER 1, 2018
By John Commins Hospital-acquired conditions dropped 13% from 201
FEBRUARY 14, 2019
By John Commins Hospital-acquired conditions dropped 13% from 201
FEBRUARY 5, 2019
With CMS regulations making inpatient admission orders an express condition of Medicare payment,
MARCH 3, 2017
No, the patient must meet all the qualifications of homebound status: CMS advises
CMS recently clarified policy on acceptable control materials for lab testing. While not changing
APRIL 26, 2016
Last week, CMS published a list of proposed rule changes for
JUNE 21, 2016
CMS provides examples of claims that are related On August 8, CMS released a change
CMS continues to move toward increased packaging with its policies in the
JULY 8, 2015
JUSTCODING
by A.J. Plunkett (aplunkett@decisionhealth.com) CMS announced it is comb
MARCH 20, 2020
by A.J. Plunkett (aplunkett@decisionhealth.com) CMS announced it is comb
MARCH 26, 2020
CMS needs to evaluate, clarify, and modify sections of the Notice of Observation Treatment and Im
Claims that are related   On August 8, CMS released a
Correction notice to IPPS final rule On March 18, CMS and HHS issued a
CMS posts final decision on HIV screening   On April 13, CMS posted a final dec
Contractors given discretion to deny 'related' claims On August 8, CMS
The CMS made hospital quality improvement a major part of its fiscal year 2015 Inpatient Prospect
AUGUST 12, 2014
CMS updates billing instructions for TMVR  On April 24, CMS rescin
CMS posts final decision on HIV screening   On April 13, CMS poste
On December 18, CMS published its cms.gov/Medicare/Quality-Initiatives-Patie
DECEMBER 29, 2015
On February 5, CMS released a change request stating CMS has determined that for dates of service
FEBRUARY 23, 2016
by Josh Poltilove CMS feels it’s necessary to develop a comprehensive, sta
Industry stakeholders seek clarity from CMS about draft interpretive guidelines.
Aftercare, or Z codes, should not be used for conditions found in Chapter 19 of the ICD-10-CM
SEPTEMBER 8, 2015
CMS continues the expansion of pay-for-performance (P4P) programs in the 2015 IPPS final r
AUGUST 27, 2014
JUSTCODING
Focus on documentation. CMS believes it is the responsibility of the homecare provider to attempt
CMS CoPs New final rule refines and redefines medical staff
AUGUST 1, 2014
Just in time for the holidays, CMS is offering the gift of a newly revised State Operations Manua
DECEMBER 23, 2019
Providers probably weren't surprised that CMS continued its push to increase packaging in
On June 2, CMS issued a new cms.gov/Medicare/Provider-Enrollment-and-Certifi
HOP Panel summer meeting scheduled CMS announced the summer meeting of
CMS released 2016 OPPS proposed rule On July 1, CMS released CMS-1633-
CMS issued the fiscal year (FY) 2017 IPPS proposed rule yesterday with updates to several quali
CMS posts July update to Medicare Physician Fee Schedule Database On June 6, CMS rel
In annual report to Congress, CMS says accreditation organizations have their work cut out for t
NOVEMBER 1, 2017
CMS has made it clear it is looking to ensure patient rights are respected and expanded with much
CMS updates Program Integrity Manual On May 2, CMS released a change re
On July 7, CMS posted a cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/20
Use of claim adjustment reason (CARC) code 23 On November 14, CMS issued a transmi
CMS rescinds and replaces Transmittal 166 for technical correction On M
CMS’ recently released 2015 IPPS final rule focuses on quality initiatives mandated by the
by Josh Poltilove CMS has just given itself an additional year — until Nov
CMS has terminated its Medicare agreement with Yorkville Endoscopy, a New York City clinic that
CMS is preparing to cancel four mandatory episode payment models for common cardiac and orthopedi
CMS on Oct. 27 provided the National Association for Home Care & Hospice (NAHC) a draft versi
Last Thursday, CMS issued a cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets
The Joint Commission (TJC) is revising five elements of performance (EP) following a CMS review o
DECEMBER 1, 2018
 CMS proposes aligning its conditional packaging logic with how it applies packaging to labs
This month, CMS plans to add a new “five-star” hospital rating system to its
APRIL 19, 2016
In the last week of September, CMS gave $347 million to 16 different hospital associations, Quali
OCTOBER 4, 2016
CMS updates billing instructions for TMVR On April 24, CMS rescinded and replaced Trans
CMS released an interim final rule on March 31 in an effort to ease restrictions for health care
CMS addressed a question about whether agencies should discharge a patient when a home health pat
 New pass-through items in 2016 Q: Is CMS adding any items with pass-thr
In the final days of 2015, CMS released a draft of OASIS-C2. The document includes some minor cha
When examining the new draft guidelines for the revised Home Health Conditions of Participation (
by Josh Poltilove Nearly eight months after the revised Home Health Conditions o
With all the folderol relating to the changes in the management of life safety conditions in our
AUGUST 11, 2016
CMS revisions regarding therapeutic diet orders may give MSPs plenty to chew on
NOVEMBER 1, 2014
  Last Thursday, CMS issued a proposed rule that would update fiscal year (FY) 201
Sure. (M1028) (SR) is for “Active Diagnoses—Comorbidities and Co-existing Conditions&
CMS updates information for billing screening services On April 3, CMS
CMS releases October 2014 OPPS update  On August 1, CMS relea
by A.J. Plunkett (aplunkett@decisionhealth.com) Check CMS and CDC online
APRIL 19, 2020
CMS releases April 2015 I/OCE specifications On March 13, CMS released a notification to p
Another mixed bag of stuff for you this week, leading off with a quick spin through CMS’ re
NOVEMBER 1, 2018
CMS releases July 2014 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files
After several requests, CMS finally issued a waiver for some — but not all — equipmen
MAY 8, 2020
CMS continued its focus on improving the quality of patient care in the
OCTOBER 7, 2015
JUSTCODING
CMS updates contractor instructions for enrollment and re-enrollment applications
CMS updates contractor instructions for enrollment and re-enrollment applications
CMS updates contractor instructions for enrollment and re-enrollment applications  
Home Health Star Rating previews are now available to agencies CMS has an
CMS updates information for billing screening services On April 3, CMS released a c
In the 2015 OPPS proposed rule narrative text, CMS tells us it is proposing to conditional
When the Partnership for Patients (PfP) program was announced in April 2011, it was billed by CMS
NOVEMBER 5, 2014
Since the implementation of the Hospital Value-Based Purchasing (HVBP) Program in 2013, CMS has a
CMS views readmission rates as a key quality metric for hospitals, which is part of the reason so
AUGUST 2, 2016
by Josh Poltilove Within the revised Home Health Condi-tions of Participa
Involving patients in their care isn’t just polite, it’s a CMS requirement. Condition
FEBRUARY 22, 2018
CMS released its fiscal year (FY) 2016 IPPS proposed rule, and announced changes to MS-DRGs and t
CMS replaces transmittal for Fluorodeoxyglucose (FDG) Positron Emission Tomography (PET) for s
Claims that are related   On September 12, CMS release
SEPTEMBER 23, 2014
Claims that are related On September 12, CMS released a fourth version
CMS continued its focus on improving the quality of patient care in the
SEPTEMBER 9, 2015
JUSTCODING
CMS has clarified some points related to homebound status and telehealth use to help home health
CMS releases April 2015 I/OCE specifications On March 13, CMS released
The Center for Medicare and Medicaid Service (CMS) released a new core measure that mandates evi
FEBRUARY 2, 2017
CMS updates the inpatient prospective payment system (IPPS) annually. In simplest terms,
CMS is calling on healthcare providers to team up with Quality Innovation Network-Quality Improve
APRIL 5, 2016
by A.J. Plunkett (aplunkett@decisionhealth.com) CMS is gearing up to res
AUGUST 20, 2020
CMS' 2015 IPPS proposed rule, released April 30, focuses on quality measures, such as hosp
JUNE 18, 2014
JUSTCODING
CMS releases 2016 proposed hospital OPPS rule On July 1, CMS released CM
  In the 2016 IPPS final rule, CMS added three new claims-based measures and one s
OCTOBER 7, 2015
JUSTCODING
Expect CMS surveyors to be referring to recommendations set out by The Joint Commission (TJC) las
OCTOBER 1, 2018
CMS finalizes shorter risk period for overpayments The Centers f
http://www.medicarecompliancewatch.com/network-events/cms-events   Upcoming CMS e
http://www.medicarecompliancewatch.com/network-events/cms-events Upcoming CMS
http://www.medicarecompliancewatch.com/network-events/cms-events Upcoming CMS events
by Josh Poltilove CMS is proposing to eliminate three requirements it has deemed
by Josh Poltilove A new change request from CMS implements the policies of the
MARCH 11, 2015
JUSTCODING
The new ICD-10-CM/PCS implementation date looks to be October 1, 2015. CMS mentioned October
  CMS made relatively few changes in the cms.gov/Regulations-a
MAY 28, 2014
JUSTCODING
The release earlier this month of secret Medicare Advantage audits CMS conducted on several major
FY 2016 Medicare Part A SNF PPS pricer update On June 26, CMS released
by A.J. Plunkett (aplunkett@decisionhealth.com) CMS is revising its
APRIL 26, 2020
Update to surety bond collection procedures On May 16, CMS released a change request
CMS updates Chapter 3 of the Program Integrity Manual (PIM)  
CMS update Program Integrity Manual (PIM) On November 26, CMS re
Know what your providers can message each other In January, CMS decided to clear up th
MARCH 1, 2018
In a new memo to its state survey agencies, CMS said it would use Joint Commission ligature recom
OCTOBER 1, 2018
Time’s almost up: CMS emergency prep CoPs kick in soon Th
OCTOBER 1, 2017
Be prepared to ask for time extensions from your accrediting organization and CMS to bring doors
OCTOBER 1, 2018
 Be prepared to ask for time extensions from your accrediting organization and CMS to bring
OCTOBER 1, 2018
On May 2, CMS released a change request to update various sections of Chapter 15 of t
  CMS HCPCS update files
NOVEMBER 6, 2015
  Upcoming CMS open door forums
AUGUST 31, 2018
Update to CMS publication 100-08, Program Integrity Manual, Chapter 3, section 3
 by Debbie Mackaman, RHIA, CPCO, CCDS CMS released the 2017 OPPS proposed r
After several requests, CMS finally issued a waiver for some—but not all—equipment in
JULY 25, 2020
The cms.gov/Medicare/Coding/OutpatientCodeEdit/OCEQtrReleaseSpecs.html
FEBRUARY 18, 2015
JUSTCODING
Excellent question, given the active season we’ve been having. You must comply with CMS&rsq
by Josh Poltilove CMS’ long-awaited draft version of the interpretive guidel
Involving patients in their care isn’t just polite, it’s a CMS requirement. Condition
FEBRUARY 20, 2018
by Kirsten Dize and Megan Herr The latest release of CMS’s quarterly OASIS
You can expect renewed interest in your water management program. This summer, CMS sent out a new
OCTOBER 1, 2018
How CMS and Joint Commission decide what accreditation program to put you in The differ
FEBRUARY 1, 2018
Because CMS has not created any national ED E/M guidelines, providers must create their ow
SEPTEMBER 30, 2015
JUSTCODING
  For the first time in some 20 years, CMS has updated its Conditions of Participati
FEBRUARY 1, 2017
by Josh Poltilove Editor's note: CMS and its contractor, the RAND Corporation, explai
JustCoding’s Clinical Conditions Encyclopedia is the perfect reso
OCTOBER 1, 2014
JUSTCODING
by A.J. Plunkett (aplunkett@decisionhealth.com) Last fall, as CMS and ac
APRIL 23, 2020
by A.J. Plunkett (aplunkett@decisionhealth.com) Last fall, as CMS and ac
Preliminary estimates for 2013 show a 9% decline in the rate of hospital-acquired conditions (HAC
CMS’ Readmissions Reduction Program has come under fire numerous times from individuals and
CMS' introduction of the 2-midnight rule in the
JULY 16, 2014
JUSTCODING
CMS data shows cost disparities in home health services Not unlike hospit
CMS solidifies a fix to the COT OMRA policy in 2015 final rule
NOVEMBER 1, 2014
by Kirsten Dize After four years, a proposed rule and a deadline extension, CMS
Keeping up with education and training with The Joint Commission and CMS Editor
Last week, CMS announced the participants in a new model that bridges hospice and curative
by Kirsten Dize The OASIS-C2 Q&As that CMS posted February 24 finally offer di
Hospice Final Rule for 2017 raises payments Last Friday, CMS issued a fin
MAY 6, 2015
JUSTCODING
CMS designates a certain set of procedures as inpatient-only, meaning it will only reimburse faci
OCTOBER 8, 2014
JUSTCODING
In the final 2018 outpatient prospective payment system (OPPS) rule released by CMS, total knee a
MARCH 15, 2019
CMS is taking action to reduce health disparities between U.S. patients. The plan
SEPTEMBER 22, 2015
CMS has launched the Virtual Research Data Center (VRDC) to meet the rising demand for timelier M
  CMS proposes major revision to regulations for long-term care
  CMS unveils bundled payments for joint replacements
NOVEMBER 6, 2015
  Notes from the CMS LTC/SNF Open Door Forum
APRIL 29, 2016
  CMS releases six new quality measures
  CMS allowing physicians to pick their pace of participation with Quality Payment Program
SEPTEMBER 9, 2016
  CMS Proposes Additional Bundled Payments: The Postacute Implications
SEPTEMBER 9, 2016
  New CMS rule contains changes to binding arbitration clauses
SEPTEMBER 30, 2016
  CMS Finalizes the New Medicare Quality Payment Program
OCTOBER 28, 2016
  The IMPACT Act in 2017- last chance to register for CMS event
FEBRUARY 24, 2017
  CMS delays the expansion of bundled payment programs
MARCH 24, 2017
  CMS seeks comment on RUG-IV replacement
  Technical experts needed for the CMS SNF QRP panel
  New CMS Quality Payment Program listserv available
  CMS to grant exceptions to providers affected by Hurricane Irma
SEPTEMBER 15, 2017
  CMS cancels two mandatory bundled-pay models
DECEMBER 8, 2017
  CMS proposes Medicare Advantage and Part D payment and policy updates
FEBRUARY 2, 2018
  New CMS policy could change inpatient rehab denial trend
  CMS releases 2019 Medicare Parts A&B premiums and deductibles
OCTOBER 19, 2018
  CMS publishes 2016 SNF PUF data
OCTOBER 12, 2018
  Civil monetary penalties to fund new CMS quality improvement initiative
NOVEMBER 30, 2018
  Submit your PDPM questions to CMS for December 11 call
NOVEMBER 30, 2018
NOVEMBER 19, 2014
JUSTCODING
CMS extends Medicare home health moratorium   CMS has exten
by Josh Poltilove CMS’ supplemental medical review contractor (SMRC) has beg
CMS is offering providers a version of its online training for surveyors on the new emergency pre
DECEMBER 1, 2017
JUNE 18, 2014
JUSTCODING
CMS sets sights on future quality, payment initiatives in 2016 SNF PPS proposed rul
  CMS' 2014 IPPS final rule redefined inpatient admissions when it implemented the
Time is running out to meet the new emergency management (EM) Conditions of Participation (CoP) a
AUGUST 15, 2017
CMS pilots focused surveys to assess dementia care, MDS accuracy
SEPTEMBER 1, 2014
CMS proposes hospice changes for FY2017 CMS last week issued a proposed
Most facilities know that CMS amended Title 42 of the
AUGUST 27, 2014
JUSTCODING
Medicare usage all over the map The CMS Office of Minority Healt
The Centers for Medicare & Medicaid Services (CMS) will soon launch a series of updates for
To keep themselves as closely aligned with CMS as possible, HFAP has updated their Acute Care
SEPTEMBER 1, 2018
APRIL 9, 2014
JUSTCODING
CMS has released a new resource to help providers find the right contacts for ICD-10 questions in
OCTOBER 21, 2015
JUSTCODING
Our expert answers your questions about CMS’ newly adopted rule and what you need to know
FEBRUARY 16, 2017
CMS’ 2014 final rule clarified its position that categories of non-physician practitioners
The Centers for Medicare & Medicaid Services (CMS) has issued an updated version of the Hospi
CMS and Joint Commission tell facilities to test for Legionella in off-site and non-patient area
JANUARY 1, 2018
CMS and Joint Commission are cracking down on potential ligature and self-harm risks A
NOVEMBER 1, 2017
On June 2, CMS issued cms.gov/Medicare/Provider-Enrollment-and-Certification
AUGUST 1, 2017
  In a cms.gov/Research-Statistics-Data-and-Systems/Monitoring
  CMS pushes SNFs toward payment reform in FY 2016 PPS final rule
SEPTEMBER 4, 2015
  CMS' updated 60-day overpayment provision may cause practical implementation challenges
  CMS is rolling out the next version of Transforming Clinical Practice Initiative Support and
  Upcoming payment model advances CMS' Initiative to Reduce Avoidable Hospitalizations Among Nu
  CMS extends, expands fraud-fighting enrollment moratoria efforts in six states
AUGUST 5, 2016
  CMS examines inappropriate guiding of people eligible for Medicare or Medicaid into Marketpla
AUGUST 19, 2016
  In Focus: CMS announces demonstration saved $10 million second time around
  CMS releases second year of durable medical equipment utilization and payment data
NOVEMBER 18, 2016
  CMS launches three new policies, continuing the shift to value-based care
DECEMBER 22, 2016
  Antibiotic stewardship addressed head on in CMS’ revised infection control requirements
  CMS Issues Proposed Rule to Increase Patients' Health Insurance Choices for 2018
FEBRUARY 16, 2017
  Transforming Health Care Delivery through the CMS Innovation Center: Better Care, Healthier P
MARCH 10, 2017
  CMS is hosting a live webcast for SNFs: How review and correct reports fit into quality repor
  RCS-1 CMS case-mix pre-rule: Get ready for big changes
  CMS Special Open Door Forum: The IMPACT Act and Improving Care Coordination
SEPTEMBER 8, 2017
  Lawmakers estimate CMS mandate will cost providers $50,000 annually, letters submitted to del
OCTOBER 20, 2017
  Lawmakers estimate CMS mandate will cost providers $50,000 annually, letters submitted to del
OCTOBER 27, 2017
  CMS gives providers a peak into assessment protocols for data elements under IMPACT Act
DECEMBER 15, 2017
  MedPAC comments on CMS’s proposed rule on Medicare Part C and Part D
JANUARY 5, 2018
  CMS invites Medicare Part A providers to learn new Medicare Cost Report e-filing system
OCTOBER 5, 2018
  CMS publishes corrections to RUG-IV federal per diem rates & MDS item in SNF PPS final rule
OCTOBER 5, 2018
  CMS final rule makes changes to how physicians are paid, delays E/M coding reform
NOVEMBER 2, 2018
CMS first added ratings in 2005 and in 2008, added the first five-star quality rating to nursing
APRIL 14, 2015
Centers for Medicare & Medicaid Services (CMS) Acting Principal Deputy Administrator P
The Centers for Medicare & Medicaid Services (CMS) has begun a three-year pilot project to i
JANUARY 8, 2016
The Centers for Medicare & Medicaid Services (CMS) and America’s Health Insurance Plans
FEBRUARY 19, 2016
On May 3, 2016, the Centers for Medicare & Medicaid Services (CMS) announced a final rule (
CMS is currently soliciting nominations for technical expert panel members for quality measures
AUGUST 12, 2016
CMS' star rating system for nursing homes on shaky ground
DECEMBER 1, 2014
CMS recognizes the massive number of ultra-high therapy claims submitted by SNFs over the years
DECEMBER 9, 2016
How will the CMS adoption of the 2012 editions of NFPA 101 and NFPA 99 affect you? 
AUGUST 31, 2017
Some pressure ulcer data was mistakenly excluded from recent CMS reports on quality measures for
Want to know what the best care options are for patients with specific diseases or conditions? S
CMS Publication 100-2, Chapter 7, speaks to two types of therapy: restorative therapy geared towa
The Centers for Medicare & Medicaid Services (CMS) is proposing to expand for HIV scre
FEBRUARY 6, 2015
Last Friday, CMS posted the annual update for the 2014 electronic clinic quality measures (eCQM)
When CMS shared the findings of the 2015 Physician Quality Reporting System (PQRS), it also publi
During the call on 5/14/15, CMS unpacked the proposed rule provisions a bit. Questions cam
While you may not be ready for ICD-10, CMS says testing now shows its system is well equipped for
SEPTEMBER 15, 2015
1:00–2:30 p.m. ET, Wednesday, February 24, 2016 As CMS increases the frequ
FEBRUARY 18, 2016
On December 18, 2015, CMS posted the draft Quality Measure Development Plan, a strategic framewo
The Centers for Medicare & Medicaid Services (CMS) has announced that the pre-claim review de
Based upon a data analysis, CMS concluded that on average the first 30 days of an episode were mo
CMS is hosting an open door forum 2 p.m. to 3 p.m. EST Oct. 10 to discuss modifications and propo
Over the past 15 years, CMS has refined its understanding of and commitment to OPPS as a p
  cms.gov/2015/01/29/cms-intends-to-modify-requirements-for-m
CMS should retire its all or nothing approach to meaningful use,
CMS released the cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Ins
Moving on to the rest of the guidance document (it cms.gov/Medicare/Provider
FEBRUARY 21, 2019
Moving on to the rest of the guidance document (it still cms.gov/Medicare/Pr
FEBRUARY 28, 2019
A provision in CMS’ new rule to modify or eliminate unnecessary regulations will ease requ
A federal judge, finding in favor of hospitals, rejected CMS’s arguments that it met all le
On November 3, 2015, the Centers for Medicare & Medicaid Services (CMS) released an interac
NOVEMBER 6, 2015
CMS releases the Medicare fee-for-service 2013 improper payments report
FEBRUARY 1, 2015
When the Centers for Medicare & Medicaid Ser-vices’ (CMS) new Patient Driven Payment Mo
JANUARY 11, 2019
CMS proposed that a new HCPCS modifier be appended to every code for a service furnished i
CMS is adequately preparing to implement ICD-10 October 1, according to a
FEBRUARY 24, 2015
By Steven Andrews   The latest guidance from CMS on modifier
By A.J. Plunkett (aplunkett@decisionhealth.com) As of January 1, CMS eliminated th
JANUARY 23, 2019
OCTOBER 21, 2015
JUSTCODING
Since January, providers have been struggling to reconcile conflicts between CMS' rules an
CMS made relatively few changes in the April quarterly I/OCE update, introducing four new
CMS refined and updated its Comprehensive APC policy in the 2015 OPPS proposed rule releas
  To help reduce the number of appeals over short-term inpatient stay claims, CMS
SEPTEMBER 4, 2014
The CMS last week rolled out a new star rating system on
APRIL 21, 2015
On July 13, 2015, the Centers for Medicare & Medicaid Services (CMS) announced a propo
Four major healthcare organizations asked CMS to postpone implementation of the severe sepsis and
SEPTEMBER 2, 2015
On September 21, 2015, the Centers for Medicare & Medicaid Services (CMS) announced th
SEPTEMBER 25, 2015
On September 21, 2015, the Centers for Medicare & Medicaid Services (CMS) announced
SEPTEMBER 25, 2015
What are the CMS and Joint Commission hot spots for 2016? Join Bud Pate, REHS, and Lisa Eddy, RN,
NOVEMBER 4, 2015
cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArtic
The Centers for Medicare and Medicaid Services (CMS) issued a proposed rule this week that would
APRIL 21, 2016
CMS has released Q&As in writing on its Home Health Quality Reporting Training website.
CMS has updated pages of the Hospice Item Set Manual V2.00 as a result of the federal Medicare ag
  CMS Administrator Marilyn Tavenner confirmed last week at the Healthcare Informa
MARCH 5, 2014
JUSTCODING
On February 25, CMS released a fact sheet regarding the transition to ICD-10. It states CMS is wo
CMS cms.gov/Medicare/Coding/ICD10/Downloads/2015-April-Testing-Results
CMS is considering waiving the three-day hospital stay rule, required before a patient can be re
JANUARY 29, 2016
The Centers for Medicare & Medicaid Services (CMS) has released its final PPS Rule for 2017
The Centers for Medicare & Medicaid Services (CMS) today issued final regulations for the Med
In 2012, CMS established the Hospital Outpatient Payment Panel as an independent review en
Providers are going to have their work cut out for them come January 1, 2015, due to CMS r
On October 31st, 2014 CMS released Survey and Certification Memo 15-06-NH announcing the e
NOVEMBER 7, 2014
  CMS removed two procedures from the inpatient-only list and added one in the
NOVEMBER 19, 2014
JUSTCODING
CMS accepted 76% of all national ICD-10 test claims submitted during its November 2014 ICD
JANUARY 7, 2015
JUSTCODING
CMS accepted 76% of all national ICD-10 test claims submitted during its November 2014 ICD-10 ack
On Friday, December 19, CMS announced that it is still reviewing the many applications it has rec
  CMS has reopened the submission period with a deadline of November 1 for hospita
OCTOBER 9, 2014
The Centers for Medicare & Medicaid Services (CMS) released final Medicare Advantage (MA) and
APRIL 17, 2015
On April 16, 2015, the Centers for Medicare & Medicaid Services (CMS) introduced star
APRIL 17, 2015
CMS is adequately preparing to implement ICD-10 October 1, according to a
FEBRUARY 11, 2015
JUSTCODING
The Centers for Medicare and Medicaid Services (CMS) has issued updated guidance as the la
CMS announced this week an expected cms.gov/Research-Statistics-Data-and-Sys
CMS is proposing a new status indicator to be assigned to laboratory tests so when the tes
AUGUST 19, 2015
JUSTCODING
Centers for Medicare & Medicaid Services (CMS) will host a Special Open Door Forum on
OCTOBER 9, 2015
The Centers for Medicare & Medicaid Services (CMS) have shared the revised survey tools used
DECEMBER 11, 2015
The 11th edition of the Centers for Medicare & Medicaid Services (CMS) Nursing Home Data Com
The next CMS Skilled Nursing Facilities (SNF)/Long Term Care (LTC) Open Door Forum scheduled for:
On August 10, 2016, the Centers for Medicare & Medicaid Services (CMS) updated the popular N
AUGUST 12, 2016
Updates to the Clarifying Questions and Answers Related to the July 6, 2015 CMS/AMA Joint Announ
AUGUST 19, 2016
On August 18, 2016, The Centers for Medicare & Medicaid Services (CMS) issued a request for
AUGUST 19, 2016
CMS released cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/ML
The Centers for Medicare & Medicaid Services (CMS) has issued a Request for Information (RFI)
The National Association for Home Care & Hospice (NAHC) has contacted CMS regarding claims th
CMS finalizes Medicaid face to face rule CMS has issued a final rule re
The CMS deadline for annual fire door inspections is New Year's Day 2018, but AOs aren't bound b
NOVEMBER 1, 2017
Two new conditions in our conditions-encyclope
NOVEMBER 5, 2014
JUSTCODING
CMS outlined how to access updates to ICD-10 Local Coverage Determinations (LCDs) in its M
JUNE 25, 2014
JUSTCODING
 CMS wants your thoughts on its 2017 OPPS proposed changes. In various places in the propose
CMS promised in May that a new ICD-10 implementation date would be revealed in the "n
CMS reintroduced Comprehensive APCs for device-dependent APCs with additional refinements
CMS releases directions on the off-label/modified use of waived blood glucose monitorin
 CMS releases proposed emergency preparedness requirements
Editor’s note: The following Q&A comes from HCPro’s webinar, “CMS&rsquo
MARCH 16, 2018
In the new year, it’s clear with new finalized Conditions of Participation that CM
CMS releases overview of Physician Feedback and Value-Based Modifier Programs On Feb
by Josh Poltilove Use CMS’ new GG self-care and mobility activity decision
CMS issues changes regarding Defense of Marriage Act and ICD-10 On Oct
by Josh Poltilove and Kirsten Dize CMS is conducting data analysis to prepare fo
Cl
JULY 30, 2014
JUSTCODING
An assessment of the frequency of hospital-acquired conditions (HAC) before and after resident du
MAY 12, 2017
Nearly 40% of physicians are reluctant to seek formal medical care for mental health conditions d
OCTOBER 13, 2017
In exchange for dropping appeals, CMS says it will provide partial payment of previously d
CMS recently cms.gov/Newsroom/MediaReleaseDatabase/Press-releases/2014-Press-
CMS has reversed its stance requiring Medicare Advantage (MA) plans to apply Medicare fee-for-ser
This Friday, CMS will accept final technical expert panel (TEP) cms.gov/Medic
OPPS costs rose approximately $1 billion more than expected in 2014 due to a CMS overestim
Q: CMS released guidance this summer about not auditing or counting errors for the specif
CMS and America’s Health Insuranc
FEBRUARY 17, 2016
CMS pushed back the deadline for physicians to enroll to prescribe Medicare Part D drugs. Physici
Ensure compliance with CMS’ restraint guidelines! Use of re
MARCH 15, 2016
In the five months since CMS released its sepsis management bundle, a major change to the definit
APRIL 12, 2016
Now that the CMS has adopted the 2012 Life Safety Code (LSC), safety experts are looking
AUGUST 31, 2016
CMS last week released a list of 97 reporting measures for hospit
NOVEMBER 29, 2016
RAPs will continue to be available under the HHGM in 2019. But CMS believes—based upon data
by: Josh Poltilove CMS has recently announced that the location search field on Ho
On Wednesday, CMS will host a special open door forum to solicit provider feedback on the
The latest guidance from CMS on modifier -59 (distinct procedural service)
FEBRUARY 24, 2015
CMS missed the mark in its recent CMS-ONC-request-
The Centers for Medicare & Medicaid Services (CMS) has announced the 2014 Part B premiu
NOVEMBER 22, 2013
The CMS last week issued a rule designed to save $660 million annually and $3.2 billion over five
CMS yesterday announced a proposed rule on the adoption of the 2012 editions of the Life Safet
APRIL 15, 2014
As part of the changes in its recent final rule, CMS has eliminated the requirement that ambulat
CMS recently added HCPCS code C2644 (brachytherapy source, cesium-131 chloride solution, p
CMS Administrator Marilyn Tavenner issued cms.gov/Newsroom/MediaReleaseDatabase/P
SEPTEMBER 4, 2014
On December 3, 2014, CMS Administrator Marilyn Tavenner announced new rules that strengthe
DECEMBER 5, 2014
CMS has given patients a new resource to help them choose the best healthcare practitioner. The g
JANUARY 6, 2015
  Two CMS programs benefitting small rural hospitals have been extended through th
JUNE 19, 2014
In December 2014, CMS posted a document on its Advisory Panel on Hospital Outpatient Payme
On April 16, CMS posted a proposed decision memorandum stating evidence is sufficient to add Huma
CMS announced this week it is making changes to the ICD-10 implementation transition period to h
On July 16, 2015, the Centers for Medicare & Medicaid Services (CMS) published propose
SEPTEMBER 25, 2015
To help reduce adverse events and readmissions, a rule proposed by CMS and published this week wo
NOVEMBER 3, 2015
CMS finalized its proposal to reduce the conversion factor by 2% to account for its overestimat
On April 27, the Centers for Medicare & Medicaid Services (CMS) added six new quality measur
APRIL 29, 2016
On June 7, the OIG posted a report stating it reviewed CMS’ administration of the Pioneer A
On November 17, CMS posted a cms.gov/Newsroom/MediaReleaseDatabase/Press-rel
NOVEMBER 29, 2016
CMS approved a new specialty designation code that will help the agency distinguish between diffe
DECEMBER 13, 2016
Home health agencies can now view the Home Health PPS PC Pricer for the 2017 calendar year. CMS p
According to CMS’ final rule, 35 OASIS items would be deleted or modified for 2019. NAHC be
  cms.gov/Medicare/Coding/ICD10/Downloads/PartialCodeFreeze.
MAY 30, 2014
By Steven Andrews, Editor   CMS has finally released details
cms.gov/Outreach-and-Education/Outreach/FFSProvPartProg/Provider-Partn
Last Friday, CMS cms.gov/Research-Statistics-Data-and-Systems/Monitori
Providers who want to volunteer to participate in CMS' final round of ICD-10 end-to-end testing h
An cms.gov/Medicare/Coding/ICD10/Downloads/ICD10NextStepsInfographic201603
CMS must improve its physician outreach and beef up its IT systems to successfully implement the
It’s finally here. CMS’ new Emergency Preparedness rule goes into effect on W
NOVEMBER 14, 2017
CMS details changes to reimbursement manual On September 19, CMS releas
CMS makes policy and payment changes to the Medicare Physician Fee Schedule for 2015
CMS and Obamacare have increasingly been moving healthcare toward a more value-based model
SEPTEMBER 24, 2014
JUSTCODING
CMS posted updated versions of all the guidance documents posted on the cms.g
MARCH 26, 2014
JUSTCODING
On January 23, CMS released cms.gov/Outreach-and-Education/Medicare-Learn
Last Wednesday, CMS re-enabled provider registration in the Individuals Authorized Access
CMS has released a cms.gov/Outreach-and-Education/Outreach/NPC/Downloads/201
  CMS has released cms.gov/Outreach-and-Education/Outreach/NP
SEPTEMBER 9, 2015
JUSTCODING
MARCH 9, 2017
Surveyors from CMS and The Joint Commission are taking an interest in dialysis compliance. That m
OCTOBER 1, 2018
Surveyors from CMS and The Joint Commission are taking an interest in dialysis compliance. That m
NOVEMBER 1, 2018
CMS finalized a new data collection requirement for services performed in off-campus, prov
NOVEMBER 12, 2014
JUSTCODING
CMS releases overview of Physician Feedback and Value-Based Modifier Programs
CMS accepted an average of 89% of ICD-10 claims submitted during the national front-end te
JUNE 4, 2014
JUSTCODING
The July quarterly I/OCE update from CMS brought few new APCs or edit updates, but did del
CMS and its contractors will conduct three ICD-10-CM/PCS testing periods in November, March, and
CMS has included several proposals in the
CMS is currently looking for 850 volunteers from various specialties and sizes for the Jan
Last year, CMS piloted MDS focused surveys to evaluate the effectiveness of practices asso
JANUARY 16, 2015
CMS has released a proposal to strengthen the Shared Savings Program for Accountable Care Organiz
CMS clarified changes to the Medicare Program Integrity Manual that alter the timeframe fo
CMS is currently looking for 850 volunteers from various specialties and sizes for the January 26
Q: Did CMS grant pass-through status for any new devices in April? 
Several years ago, CMS defined a list of nonsurgical extended duration therapeutic service
A change CMS made cms.gov/Medicare/Coding/OutpatientCodeEdit/OCEQtrRel
CMS recently released an ICD-10 quick start cms.gov/Medicare/Coding/ICD10/Dow
CMS announced acms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2015-Fact-sheets
JULY 15, 2015
JUSTCODING
The American Hospital Association calls CMS’ proposed 2% reduction in outpatient payments &
CMS wants to replace the meaningful use program for physicians with a program that is "far s
CMS may consider delaying implementation of the Medicare Access and CHIP Reauthorization Act (MAC
A proposed rule (CMS-5524-P) released by CMS on August 15, 2017 would make the Comprehensive Care
Agencies can breathe a deep sigh of relief. CMS won’t launch its drastically revised home h
Codes for reporting conditions relating to the endocrine system are located in Chapter 4 o
Home health patients with chronic, complex conditions present care coordination challenges that a
One on One Education   On October 31, CMS released a c
CMS announces final regulatory changes affecting Medicare Parts C and D
AUGUST 1, 2014
  Providers who want to volunteer to participate in CMS' final round of ICD-10 end
MARCH 18, 2015
JUSTCODING
Last week, CMS issued a proposed rule to bundle hospital payments for services related to hip and
CMS releases October 2015 I/OCE specifications On August 14, CMS releas
CMS cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2015-Fact-sheets-items
NOVEMBER 4, 2015
JUSTCODING
Q: CMS released guidance this summer about not auditing or counting errors for the specifi
CMS and representatives of the private insurance industry have agreed to use a single set of heal
With spending on inpatient hospital services expected to increase by $746 million next year, CMS
AUGUST 9, 2016
CMS launches new physician engagement imitative On October 13, CMS announced a push to im
OCTOBER 18, 2016
Effective 04/01/2014, Medicare stopped accepting paper claims on the old CMS 1500 claim fo
CMS releases July update to Medicare Physician Fee Schedule database 
Q: Has CMS released further guidance on billing lab tests under the OPPS for separate paymen
New data from the Centers for Medicare and Medicaid Services (CMS) shows that the 360 Medicare Ac
DECEMBER 23, 2014
  Due to maintenance, CMS shut down its Open Payments database on Saturday, August
SEPTEMBER 4, 2014
The Centers for Medicare and Medicaid (CMS) has fined 12 Medicare Advantage plans nearly $4 milli
APRIL 21, 2015
Since the passage of the Affordable Care Act (ACA), CMS has been slowly making its transition awa
JULY 8, 2015
The Centers for Medicare & Medicaid Services (CMS) will reward 1,800 hospitals through its va
OCTOBER 27, 2015
Last week, CMS and the Core Quality Measures Collaborative (CQMC) made a huge announcement with t
FEBRUARY 23, 2016
CMS last week announced plans to move forward with its prior authorizat
This week, the Centers for Medicare & Medicaid Services (CMS) issues Transmittal 3591. It p
The Centers for Medicare & Medicaid Services (CMS) announced a six-month extension of a state
In January, CMS posted the first Patient Survey Star Rating information on the Home Health Compar
CMS updates Medicare Claims Processing Manual to provide language-only changes f
CMS issues changes regarding Defense of Marriage Act and ICD-10 On Oct
CMS posts guidelines for clinical laboratories concerning possible Ebola virus 
CMS today announced a new ICD-10 education and training-driven collaboration with the Amer
by: Josh Poltilove During a Feb. 28 open door forum, CMS provided details about ho
CMS refined and updated its Comprehensive APC policy in the
SEPTEMBER 3, 2014
JUSTCODING
CMS releases October 2015 quarterly update of HCPCS drug/biological code changes
CMS revises July 2015 quarterly drug code updates On July 10, CMS resci
CMS updates National Coverage Determination Manual for speech generating devices
Citing “stakeholder concerns,” the Centers for Medicare & Medicaid Services (CMS)
SEPTEMBER 1, 2018
CMS proposed a new HCPCS modifier be appended to every code for a service furnished in a h
FEBRUARY 4, 2015
JUSTCODING
The CMS began its restructuring of the quality improvement organization (QIO) program with change
The Centers for Medicare & Medicaid Services (CMS) has issued guidance effective immediately
JUNE 10, 2014
CMS hosts a national provider call on transitioning to ICD-10 Wednesday, November 5, at 1:30 p.m.
CMS will host a national provider call on transitioning to ICD-10 at 1:30 p.m. (Eastern) Wednesda
OCTOBER 22, 2014
JUSTCODING
  The American Medical Association (AMA) has asked CMS to postpone the deadline fo
AUGUST 21, 2014
On April 23, 2015, the Centers for Medicare & Medicaid Services (CMS) issued a propose
APRIL 24, 2015
The American Hospital Association (AHA) asked CMS to include potential payment solutions for shor
According to a press release issued on Feb 20, 2015 by CMS, there are proposed changes for
FEBRUARY 27, 2015
CMS identifies obsolete shared systems reports On May 1, CMS released a
CMS has proposed paying healthcare providers for the time they spend discussing end-of-life medic
JULY 14, 2015
CMS may not be getting it right when it comes to readmissions, according to a new study published
Earlier in July, CMS sent a letter out to Medicare providers. The letter was sent as a rem
CMS announced its ICD-10 Coordination and Maintenance Committee Meeting to take place on Septembe
CMS announced on September 2, 2015, that they will grant awards totaling $67 million to support o
SEPTEMBER 4, 2015
CMS proposes adding new comprehensive APCs (C-APC) in 2016, but did not change the logic o
On October 6, 2015, the Centers for Medicare & Medicaid Services (CMS) and Office of t
OCTOBER 9, 2015
On October 2, CMS released a change request to allow contractors to accept initials instead of si
What are the CMS and Joint Commission hot spots for 2016? Join Bud Pate, REHS, and Lisa Eddy, RN,
NOVEMBER 3, 2015
On October 9, 2015, CMS posted Transmittal 149 to provide clarification to all providers
On March 8th, the Centers for Medicare & Medicaid Services (CMS) announced a proposed rule t
MARCH 11, 2016
On March 9th, the Centers for Medicare & Medicaid Services (CMS) released a public data set t
MARCH 18, 2016
On April 14, 2016, the Centers for Medicare & Medicaid Services (CMS)  announced its la
APRIL 15, 2016
The next CMS Skilled Nursing Facilities (SNF)/Long Term Care (LTC) Open Door Forum scheduled for
APRIL 29, 2016
The National Association for Home Care & Hospice (NAHC) has raised concerns regarding CMS&rsq
CMS is creating a centralized database to help eligible professionals (EP) meet meaningful use re
On December 8, The Centers for Medicare & Medicaid Services (CMS) hosted a special open door
CMS aims to develop and implement two Transfer of Health (TOH) Information and Care Preferences q
The Centers for Medicare & Medicaid Services (CMS) announced on a January 19 call that they a
CMS has once again extended its moratoria on new home health agencies and new branches of existin
Is it likely CMS will make any adjustments to the list of acceptable primary diagnosis co
As CMS focuses surveys on infection control in SNFs, it’s important for SNFs to make sure t
By Steven Andrews, Editor   CMS is introducing four new HCPCS
To clarify and correct existing instructions On September 19, CMS relea
Last week, CMS proposed a new rule intended to boost the success of Accountable Care Organiz
Providers have one last chance to volunteer for ICD-10 end-to-end testing, with CMS extend
MAY 13, 2015
JUSTCODING
  By Steven Andrews   CMS announced this week an expe
CMS is expanding the information available on its
DECEMBER 15, 2015
CMS releases advanced care planning fact sheet The Centers for M
Q: Can anyone tell me if CMS extended the RAP cancellation timeline due to the crisis? Ou
CMS updates interest rate for Medicare overpayments and underpayment 
You have one more chance to participate in CMS’ end-to-end testing. The agency is currently
OCTOBER 7, 2015
JUSTCODING
The idea behind CMS’ Comprehensive Care for Joint Replacement model is that payments for
The Centers for Medicare & Medicaid Services (CMS) has issued a cms.gov/
On May 12, 2016, CMS posted the third annual release of the Physician and Other Supplier Utiliza
On September 1, CMS published MLN Matters 10235 to supplement CMS Medicare Claims Processing Tran
SEPTEMBER 18, 2017
On September 1, CMS published MLN Matters 9815 to supplement CMS Medicare Financial Management Tr
SEPTEMBER 18, 2017
CMS is clearing up recent confusion on what medical providers can text each other. The agency con
JANUARY 2, 2018
by Josh Poltilove In the short term, a new MLN Matters article announcing CMS wi
FEBRUARY 25, 2015
JUSTCODING
CMS issues National Coverage Determination (NCD) for single chamber and dual chamber permanent
Changes to the definition of one-on-one education On October 31, CMS re
CMS updates Program Integrity Manual On November 26, CMS release
In August, the Centers for Medicare & Medicaid Services (CMS)
NOVEMBER 22, 2013
Q: Did CMS issue any new HCPCS codes for drugs and biologicals for April 2014?
We won’t need to learn any new ICD-10-PCS codes or guidelines for 2015. CMS released the d
CMS released its second in a series o
AUGUST 20, 2014
JUSTCODING
The July quarterly I/OCE update from CMS brought few new APCs or edit updates, but did del
CMS releases fourth version of related claims transmittal On September
CMS will no longer implement specific procedure-to-device or device-to-procedure edits for
As CMS pushes the OPPS from a fee-for-service program toward more of a true prospective pa
CMS finalized several changes to the Hospital Outpatient Quality Reporting (OQR) program i
CMS made incorrect payments to hospitals for established patient clinic visits estimated a
JANUARY 21, 2015
JUSTCODING
As CMS pushes the OPPS from a fee-for-service program toward more of a true prospective pa
In 2014, CMS added skin substitutes to the list of packaged drugs and biologicals, dividin
  CMS added one modifier for 2015, but will not require its use until January 1, 2
According to a cms.gov/medicare-coverage-database/details/nca-decision-memo.a
FEBRUARY 20, 2015
When CMS introduced the –X {EPSU} modifiers in August 2014 to be used in specific in
On April 15, CMS posted a proposed rule in the Federal Register that would change the Medicare an
CMS released updated I/OCE specifications in January with several changes that could requi
A proposed payment rule posted earlier this week outlines the CMS’ plan to allow physicians
  CMS continues expand its ICD-10 Clinical Concepts Series for specialties on
AUGUST 26, 2015
JUSTCODING
CMS releases 2015–16 influenza resources for healthcare professionals
CMS notes that as comprehensive APC (C-APC) policies expand, the agency needs a way to ide
CMS has issued a draft of the Outcome and Assessment Information Set (OASIS)-C2, aiming to standa
A bill that allows CMS to expedite physicians’ applications for a meaningful use hardship e
DECEMBER 29, 2015
The Centers for Medicare & Medicaid Services (CMS) posted a series of Frequently Asked Questi
It’s finally here. CMS’ new Emergency Preparedness rule goes into effect on W
NOVEMBER 16, 2017
A new CMS memo creates a definition of a ligature risk, a time frame for correcting them, and int
DECEMBER 19, 2017
Bilateral procedures may have been incorrectly paid On June 30, CMS released MLN
CMS updates influenza vaccine payment allowance  On September 3, C
April 2014 update of the OPPS On February 28, CMS issued a recurring update
CMS extends coverage of aprepitant for chemotherapy-induced emesis 
By Steven Andrews, Editor   One of CMS' proposals in the
Cardiac rehabilitation programs for chronic heart failure On August 29, CMS rescinde
CMS releases January 2015 update of the ASC payment system  On Jan
Last Monday, CMS posted a cms.gov/Regulations-and-Guidance/Legislation/Paper
CMS offered some clarity on what it considers to be a family of codes in ICD-10-CM.
Q: Is it appropriate to assign code Y95, nosocomial condition, based on the documentatio
January 2015 update of the ASC payment system On January 9, CMS released a recurring
CMS provides front-end updates for July On March 26, CMS released a cha
CMS releases revised 2014 update for clinical laboratory fee schedule and laboratory se
CMS has released the final draft of its strategic vision plan for how healthcare professionals&rs
CMS introduced several new HCPCS codes and added comprehensive APCs (C-APC), including one for ob
NOVEMBER 11, 2015
JUSTCODING
CMS extended the deadline for hospitals and EPs to attest 2015 meaningful use data to
FEBRUARY 23, 2016
This April, CMS sent out a memo with big proposals for accrediting organizations (AO). If passed,
JULY 11, 2017
CMS issues change request for lumbar decompression coverage On May 16,
CMS extends coverage for aprepitant for chemotherapy-induced emesis On
CMS converting most MUEs to per-day edits On June 30, CMS released M
CMS clarifies treatment of extracorporeal photopheresis  On August
CMS revises coverage of cardiac rehabilitation programs On August 29, C
  By Steven Andrews, Editor   CMS’ finalization
CMS updates implementation date for laboratory travel allowance fee 
CMS posted a handful of notable updates in recent weeks related to hospice quality init
The Centers for Medicare & Medicaid Services (CMS) is proposing new regulations that implemen
MARCH 19, 2014
JUSTCODING
APRIL 2, 2014
JUSTCODING
APRIL 30, 2014
JUSTCODING
MAY 7, 2014
JUSTCODING
Otitis media is the inflammation of the middle ear. This condition can be suppurative or n
JUNE 11, 2014
JUSTCODING
JUNE 25, 2014
JUSTCODING
JULY 23, 2014
JUSTCODING
A smoky air-conditioning system was the cause of partial evacuation of a Santa Rosa, California h
JULY 31, 2014
AUGUST 6, 2014
JUSTCODING
AUGUST 20, 2014
JUSTCODING
SEPTEMBER 3, 2014
JUSTCODING
SEPTEMBER 3, 2014
JUSTCODING
SEPTEMBER 10, 2014
JUSTCODING
SEPTEMBER 24, 2014
JUSTCODING
OCTOBER 8, 2014
JUSTCODING
OCTOBER 29, 2014
JUSTCODING
NOVEMBER 12, 2014
JUSTCODING
NOVEMBER 26, 2014
JUSTCODING
NOVEMBER 19, 2014
JUSTCODING
DECEMBER 3, 2014
JUSTCODING
JANUARY 7, 2015
JUSTCODING
JANUARY 21, 2015
JUSTCODING
MARCH 18, 2015
JUSTCODING