Health Information Management

The week in Medicare updates

APCs Insider, May 3, 2013

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CMS issues proposed inpatient payment regulation

On April 26, CMS issued a press release on a proposed rule that would update fiscal year (FY) 2014 Medicare payment policies and rates for inpatient stays at general acute care and long-term care hospitals and to clarify admission and medical review criteria for hospital inpatient services.
View the proposed rule.
View a press release
View a related fact sheet on payment changes.
View a related fact sheet on quality improvement
Submit a comment.
 
CMS issues proposed rule to update wage index and payment rates for hospice benefit
On April 29, CMS issued a proposed rule updating fiscal year (FY) 2014 Medicare payment rates and the wage index for hospices serving Medicare beneficiaries. This proposed rule would also clarify how hospices are to report diagnoses on hospice claims, and proposes changes in the requirements for the hospice quality reporting program.
View the proposed rule
View a related fact sheet
 
CMS issues transmittal updating Chapter 33 Organ Procurement Organization and Tissue Typing Laboratory Cost Reports, Form CMS-216-94
On April 26, CMS issued a transmittal updating Chapter 33, Organ Procurement Organization and Tissue Typing Laboratory Cost Reports, Form CMS-216-94 of the Provider Reimbursement Manual to comply with an Executive order effective for cost reporting periods beginning or overlapping April 1, 2013.
View transmittal R5P233
 
CMS issues transmittal on reporting End Stage Renal Disease (ESRD) drugs administered through the dialysate
On April 26, CMS issued a transmittal requiring ESRD facilities to append a new modifier, JE (Administered via Dialysate) to all ESRD claims where drugs and biologicals are furnished to ESRD beneficiaries via the dialysate solution for claims with dates of service on or after July 1, 2013.
Effective date: July 1, 2013
Implementation date: July 1, 2013
View transmittal R2688CP
 
CMS issues transmittal on updates to Chapter 15 of the Program Integrity Manual (PIM)
On April 26, CMS issued a change request (CR) is to incorporate several recent policy clarifications into CMS Publication 100-08, Chapter 15.
Effective date: May 28, 2013
Implementation date: May 28, 2013
View transmittal R461PI.
View MLN Matters article MM8222
 
Federal Register issues proposed rule to revise requirements for Incentive Reward Program and provider enrollment
On April 29, CMS posted a proposed rule through the Federal Register revising the Incentive Reward Program provisions in § 420.405 and certain provider enrollment requirements in part 424, subpart P.
View the proposed rule
Submit a comment.



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