Health Information Management

The week in Medicare updates

APCs Insider, May 23, 2014

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HOP Panel summer meeting scheduled
CMS announced the summer meeting of the Advisory Panel on Hospital Outpatient Payment (HOP Panel) for 2014. The second semi-annual meeting is scheduled for August 25-26.
View the notice in theFederal Register.
Final rule to promote program efficiency, transparency, and burden reduction posted
This final rule, posted May 12, reforms Medicare regulations that CMS has identified as unnecessary, obsolete, or excessively burdensome on healthcare providers and suppliers, as well as certain regulations under the Clinical Laboratory Improvement Amendments of 1988. It also increases the ability of healthcare professionals to devote resources to improving patient care, by eliminating or reducing requirements that impede quality patient care or that divert resources away from providing high-quality patient care.
View the notice in theFederal Register.
Revisions made to the OIG’s civil monetary penalty rules
Posted May 13, this proposed rule would amend the civil monetary penalty (CMP) rules of the OIG to incorporate new CMP authorities, clarify existing authorities, and reorganize regulations on civil money penalties, assessments, and exclusions to improve readability and clarity.
View the notice in the Federal Register
View the comment docket. Comments are due by July 11.
Aprepitant for chemotherapy-induced emesis
On May 13, CMS issued a technical correction to Appendix A of its decision memo.
View the document.
CMS posts proposed decision memo for transcatheter mitral valve procedures
On May 15, CMS posted a proposed decision memo to cover transcatheter mitral valve repair under Coverage with Evidence Development with some conditions.
View the memo.
Hospital restraint/seclusion deaths to be reported using Form CMS-10455
Hospitals must use Form CMS-10455 to report those deaths associated with restraint and/or seclusion that are required by 42 CFR §482.13(g) to be reported directly to their CMS Regional Office. This requirement also applies to rehabilitation or psychiatric distinct part units in CAHs.
View the survey and certification letter
CMS revises Internet-Only Manual Chapter 4
On May 14, CMS released a change request regarding overpayments, which are payments a provider has received in excess of amounts due and payable under the statute and regulations. Once an overpayment is discovered and a final determination is made, an initial demand letter is sent. This change will clarify, update, and include new instructions to Chapter 4 of the Internet-Only Manual.
Effective date: July 7, 20014
Implementation date: July 7, 2014
View Transmittal R235FM.

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