Corporate Compliance

Note: Implementation of the CY 2011 OPPS final rule begins

Medicare Insider, January 11, 2011

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Editor’s note: Judith Kares, JD, CPC, regulatory specialist for HCPro, Inc., is the author of this week’s note from the instructor.

As you are aware, the most significant changes to the Medicare rules that apply to outpatient hospital services under the OPPS become effective as of the beginning of the calendar year.  Although CMS publishes updates to these rules on a quarterly basis during the CY, the most important updates are those that are published effective January 1.  These updates are published in the form of transmittals reflecting substantive changes to the Medicare Claims Processing Manual (MCPM) and the Medicare Benefit Policy Manual (MBPM).  Hospitals are encouraged to read each of the initial quarterly updates for CY 2011 in considerable detail to assure that they are implementing the new rules timely and effectively.

Continue reading Judith's note on the MedicareMentor Blog.



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