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Displaying records 1 to 20 out of 2375 results for "payment status indicaotr".
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SORT RESULTS BY: RELEVANCY | PUBLICATION DATE
Q: Is CMS adding any items with pass-through status for 2016? We are starting to look at rei
CMS changed the status indicator for CPT code 99497 (advance care planning including the explanat
This payment occurs when a patient is transferred/discharged and readmitted to the same home heal
An automated Recovery Auditor review of discharge status codes identified improper payment
MAY 6, 2015
JUSTCODING
Q: Our provider-based clinics occasionally perform only status indicator N (no addition
This pocket card will help physicians determine the appropriateness of patient status based on ex
OCTOBER 13, 2015
This pocket card will help physicians determine the appropriateness of patient status based on ex
OCTOBER 20, 2015
This pocket card will help physicians determine the appropriateness of patient status based on ex
NOVEMBER 3, 2015
This pocket card will help physicians determine the appropriateness of patient status based on ex
DECEMBER 8, 2015
This pocket card will help physicians determine the appropriateness of patient status based on ex
JANUARY 5, 2016
This pocket card will help physicians determine the appropriateness of patient status based on ex
DECEMBER 29, 2015
Q: Did any new drugs receive pass-through status July 1?  
Q: Where can I find out more about new drugs or biologicals with pass-through status be
  Q: Did CMS add any new codes for drugs that have pass-through status this mon
Join us at 1 p.m. (Eastern) Thursday, August 27, for part three of our patient status summer webc
Join us at 1 p.m. (Eastern) Thursday, August 27, for part three of our patient status summer seri
AUGUST 11, 2015
Q: We have been watching our payments from Medicare since all the lab bundling was
For the last several years, CMS has updated the payment rates for separately payable drugs
Providers need to be careful when reporting multiple services with status indicator J1 on the s
CMS will not conduct post-payment patient status reviews for admis
Bring your entire team as we explore part three of our three-part patient status summer we
Q: Why do the payments for some separately payable drugs change? One week we get paid a certai
Q: Did CMS make any changes to drug payments for April?  
  Patient Status Pocket Cards for Physicians
A healthcare payment reform advocate is calling on Medicare officials to shift away from agency's
In the July quarterly I/OCE update, three drugs received status indicator G (additional pa
  Q: Will any new items receive pass-through payment beginning in July?
Q: Did CMS grant pass-through status for any new devices in April? 
Site-neutral payments recommended for IRFs and SNFs MedPA
SEPTEMBER 1, 2014
Stakeholders take NOTICE of mounting ­observation status reform legislation
  Bundled payments on hiatus?
OCTOBER 27, 2017
Documentation will be important to support supply utilization and payment. Claims
  How to Decode the Payment Arrangement Provision
MARCH 24, 2016
  SNF diagnosis coding and payment
  New voluntary bundled payment model
JANUARY 12, 2018
CMS continues to update payment logic for comprehensive APCs (C-APC) with additional chang
AUGUST 5, 2015
JUSTCODING
For any new skin substitute products approved for payment during 2014, CMS will use a $32
With CMS regulations making inpatient admission orders an express condition of Medicare payment,
MARCH 3, 2017
In the final 2018 outpatient prospective payment system (OPPS) rule released by CMS, total knee a
MARCH 15, 2019
Who has the ultimate say when it comes to admission status?   A U.S. Court
FEBRUARY 17, 2015
When the Centers for Medicare & Medicaid Ser-vices’ (CMS) new Patient Driven Payment Mo
JANUARY 11, 2019
  Forging Successful Payment Arrangements with Outside Service Partners
OCTOBER 23, 2015
  CMS unveils bundled payments for joint replacements
NOVEMBER 6, 2015
  Missteps that can jeopardize third-party payment
DECEMBER 11, 2015
  How does a payment ban impact Medicare SNF coverage?
JANUARY 15, 2016
  Prime internal processes and approaches for bundled payments
MARCH 11, 2016
  Proposed fiscal year 2017 payment and policy changes for Medicare announced
APRIL 22, 2016
  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
  CMS Finalizes the New Medicare Quality Payment Program
OCTOBER 28, 2016
  Advancing care coordination through episode payment models final rule
FEBRUARY 10, 2017
  CMS delays the expansion of bundled payment programs
MARCH 24, 2017
  Want to know more about the Quality Payment Program?
APRIL 21, 2017
  Next Generation ACO: All Inclusive Population Based Payment Implementation
APRIL 28, 2017
  New CMS Quality Payment Program listserv available
  Mandatory and expanded bundled payments on semi-permanent hiatus
AUGUST 16, 2017
  New voluntary bundled payment model announced
JANUARY 26, 2018
  CMS proposes Medicare Advantage and Part D payment and policy updates
FEBRUARY 2, 2018
  New voluntary bundled payment model announced
FEBRUARY 14, 2018
  Tips to avoid improper payments for lower limb orthoses
  Proposed payment rule PDPM: What SNFs need to know
  New proposed payment system, Part 2: Changes to the RAI process
  Resident-centered care in a data- and payment-driven industry
  Two strategic responses to bundled payment models
AUGUST 9, 2018
  [WEBINAR] Consolidated billing: How new payment reform affects SNFs
AUGUST 24, 2018
  MedPAC publishes resource for SNFs: Payment basics
OCTOBER 19, 2018
  Your Medicare Advantage plan may be inappropriately denying payments
OCTOBER 5, 2018
  Op ed: Are postacute, site-neutral payments the future?
NOVEMBER 20, 2018
The use of “Observation Status” – treating certain hospitalized Medicare patien
AUGUST 21, 2014
In 10% of cases, patients placed on observation status pay more for their care than they would ha
Payment for advance-care planning may be on the horizon. A group of providers recently recommende
SEPTEMBER 15, 2015
CMS 2015 SNF PPS final rule to increase payments to skilled nursing facilities
OCTOBER 1, 2014
  In a report produced jointly by the Medicare Payment Advisory Commission and the
JANUARY 30, 2015
While the HHGM is the most significant long-term change for agencies’ payments, in the shor
Do you have a Medicare patient who has been on observation status in your hospital for more than
SEPTEMBER 1, 2015
  CMS pushes SNFs toward payment reform in FY 2016 PPS final rule
SEPTEMBER 4, 2015
  Care Plans and Medicare Payments: Why care plans must move toward functionality
  Upcoming payment model advances CMS' Initiative to Reduce Avoidable Hospitalizations Among Nu
  Affordable Care Act payment model continues to improve care, lower costs
AUGUST 12, 2016
  Medicare fraud and improper payments remain black stain under President Trump's microscope
APRIL 14, 2017
  Medicare proposes changes to payment rates and quality programs for SNFs in FY18
  The transition to a unified payment system for PAC facilities could start as early as 2019, s
NOVEMBER 10, 2017
  MedPAC advises CMS to establish payment equity between postacute care settings
APRIL 20, 2018
  Q&A: Goodbye RUG-IV, hello RCS-1: Preparing for quality under a proposed payment system
APRIL 13, 2018
  CMS makes major revisions to RCS model, introduces new proposed Patient-Driven Payment Model
  Patient-driven payment model, survey, and quality: Understanding MDS accuracy and what you ne
  New proposed payment system, part I: Case-mix components drill-down
  SNF PPS final rule published, new payment model to begin October 1, 2019
AUGUST 3, 2018
  These 7 readmission risks could prevent you from receiving SNF VBP incentive payments
NOVEMBER 2, 2018
  Verma says drop in improper payment rate is result of "focused effort to target root causes"
NOVEMBER 20, 2018
  GAO: New payment rates for Part B lab tests may lead to billions in overpayments
DECEMBER 14, 2018
The government should adjust Medicare payment policies to better support the type of
Federal officials have announced an accelerated effort to use payment reform as a mechanism to sh
FEBRUARY 10, 2015
  Influenza vaccine payment allowance update On September 3, CM
An estimated 30% of Medicare payments are now tied to alternative payment models that reward the
On July 29, CMS issued a final rule (CMS-1645-F) outlining FY 2017 Medicare payment policies and
AUGUST 5, 2016
CMS has clarified some points related to homebound status and telehealth use to help home health
CMS sets sights on future quality, payment initiatives in 2016 SNF PPS proposed rul
The SNF value-based purchasing (VBP) program began adjusting Medicare payments a little over a ye
FEBRUARY 7, 2020
Federal officials announced an accelerated effort to use payment reform to shift Medicare and the
Hospitals are reporting a decrease in improper payments, according to the U.S. Department of Heal
On November 16, CMS issued the final rule for bundled payment demonstration (lower extremity) ef
DECEMBER 4, 2015
A new June 2017 Medicare Payment Advisory Commission (MedPac) report suggests implementing a unif
Home health value-based purchasing is a separate rewards system. Under the new payment model it w
A bill linking skilled nursing facilities' Medicare payments to hospital readmissions pass
MARCH 28, 2014
Evaluation and management (E/M) services payments—the principal payment method for physicia
The 2017 calendar year marks the beginning of a new approach to physician payment through the Qua
Medicare’s hospice payments, adjusted for inflation and other factors, would rise an estima
CMS is preparing to cancel four mandatory episode payment models for common cardiac and orthopedi
The Medicare Payment Advisory Commission (MedPAC) is once again recommending a 5% Medicare paymen
You note that the Home Health Payment Innovation Act of 2019, H.R. 2573, would prevent unwarrante
A bill changing notification of outpatient observation status for hospital patients has be
AUGUST 14, 2015
No, the patient must meet all the qualifications of homebound status: CMS advises
One in three hospitals eligible for The Joint Commission's 'top performer' status has provided an
NOVEMBER 5, 2013
Bring your entire team as we explore part two of our three-part patient status summer webcast ser
Most physicians are all too happy to ring out the Sustainable Growth Rate formula for payments wi
DECEMBER 27, 2016
by: Josh Poltilove Adjustments to Medicare’s home health payments und
CMS launched a voluntary five-year physician payment program dubbed
The site-neutral payment provision in CMS’ 2017 OPPS proposed rule could level the playing
  Due to maintenance, CMS shut down its Open Payments database on Saturday, August
SEPTEMBER 4, 2014
Q: What would be the response for M0150, Current Payment Sources, for an MA
MAY 6, 2015
JUSTCODING
by Josh Poltilove Rural add-on payments have changed significantly for many agen
Physician evaluation and management (E/M) payments cost Medicare $32.3 billion in 2010—abou
Medicare payment rates for home health agencies should be reduced by 5% in 2017, and there should
Two payment caps—the annual maximum amount per patient that a hospice organization
On Aug. 25, CMS published Medicare Claims Processing Transmittal 3853, updating billing, payment
SEPTEMBER 4, 2017
CMS has finalized its plan to cancel four mandatory episode payment models for common cardiac and
NOVEMBER 4, 2015
JUSTCODING
The idea behind CMS’ Comprehensive Care for Joint Replacement model is that payments for
On June 15, the Medicare Payment Advisory Commission (MedPAC) releases its June 2016 Report to t
The Medicare Payment Advisory Commission (MedPAC) has submitted a vote that recommends an additio
Although the new payment model does not value community-based referrals as well, I believe that c
CMS launched its Open Payments website this week, aiming to promote transparency within th
OCTOBER 2, 2014
The Medicare reimbursement for home health is a two-step, split-percentage payment. First, a Requ
HHS says the new payment system for Medicare clinicians provides flexible options that encourage
The Medicare reimbursement for home health is a two-step, split-percentage payment. First, a Requ
A new House bill seeks to eliminate the use of behavioral assumptions when determining payment ra
Two APCs were added with an effective date of January 1, 2014, and assigned status indicat
The biller should track additional development requests (ADR) by checking status locations daily
For hospitals that use The Joint Commission for deemed status: To ensure the proper functioning o
JULY 15, 2014
by Josh Poltilove Adjustments to Medicare’s home health payments under the
Communicating with patients about resident physicians’ status as trainees can be a balancin
APRIL 14, 2017
 Earlier this month, the Medicare Payment Advisory Commission (MedPAC) released the
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JANUARY 6, 2009
In 2012, CMS established the Hospital Outpatient Payment Panel as an independent review en
The 2016 OPPS final rule includes the first negative payment update for the system, but CMS also
With just hours before a 21% cut in Medicare payments went into effect, the U.S Senate app
APRIL 16, 2015
Last week, CMS issued a proposed rule to bundle hospital payments for services related to hip and
While CMS’ new payment rule bundling hip and knee replacement surgeries may have sparked so
DECEMBER 15, 2015
The Skilled Nursing Facility (SNF) Program for Evaluating Payment Patterns Electronic Report (PE
APRIL 15, 2016
CMS has to explain its calculation for a negative 0.2% reduction in inpatient payment rates as a
  “Under the Inpatient Prospective Payment system (IPPS), Medicare reimburse
These codes play no part in supply reporting or payment. An agency reports supplies; it does not
On November 16, CMS released a final rule that bundles acute care payments for knee and hip repla
DECEMBER 8, 2015
The Recovery Audit Program’s mission is to identify and correct Medicare improper pay-ments
FEBRUARY 1, 2019
by Kirsten Dize CMS is seeking to reduce agency payments even more than expected
In FY 2014, the OIG is setting out to review some aspects of billing and payments that were not i
A Comprehensive Error Rate Testing (CERT) contractor special study found improper payments
MAY 27, 2015
JUSTCODING
CMS is proposing to set payments for certain services performed by non-exempt off-campus provider
Adding modifiers to CPT® codes can bypass NCCI edits for Medicare payments,
According to the Federal Register, CMS is proposing a rule that would update the payment rates us
APRIL 24, 2015
The American Hospital Association (AHA) asked CMS to include potential payment solutions for shor
A new CMS report found that the agency paid more than $380 million in incentive payments through
APRIL 28, 2015
The Bipartisan Budget Act of 2018 provides rural add-on payments for home health episodes and vis
Historically, the healthcare revenue cycle has been dominated by fee-for-service (FFS) payment ar
OCTOBER 21, 2015
JUSTCODING
OCTOBER 21, 2015
JUSTCODING
On August 28, CMS released a recurring update notification stating that the payment allowances fo
SEPTEMBER 22, 2015
 Forward balances (FB) are included on the “Payment Summary” page of the remitta
There's a lot going on in CMS' proposed rule for year two of the quality payment program (QPP), s
Proposed payment rule Editor’s note: CMS released a proposed new paymen
Q: We have a resident being admitted with a new G-tube, NPO status and receivi
OCTOBER 31, 2014
MARCH 4, 2015
JUSTCODING
Much as 2016 has laid waste to the pantheon of pop culture, so has it decimated the status quo in
SEPTEMBER 15, 2016
Health Professional Shortage Area (HPSA) Post-payment Review Process
Health Professional Shortage Area (HPSA) Post-payment Review Process On March 25, CM
Health Professional Shortage Area post-payment review process On March
October 2014 update of the ambulatory surgical center (ASC) payment system
CMS issued its final rule, Fiscal Year 2020 Payment and Policy changes for Medicare Skilled Nursi
NOVEMBER 15, 2019
In response to the ever-changing regulatory and payment landscape of the long-term care and hom
FEBRUARY 26, 2010
CMS releases the Medicare fee-for-service 2013 improper payments report
FEBRUARY 1, 2015
AHA posts letter on 2-midnight policy and potential short-stay payment solutions&nb
“Policymakers must ensure that payment or policy changes to GME do not upend a world-class
JUNE 19, 2015
Starting in October, 2,592 hospitals will receive lower payments for Medicare patients due to pen
AUGUST 6, 2015
CMS updates the inpatient prospective payment system (IPPS) annually. In simplest terms,
With patient satisfaction surveys factoring more heavily into Medicare payments, medical schools
SEPTEMBER 18, 2015
October 2014 update of the hospital outpatient prospective payment System (OPPS)
October 2014 update of the hospital outpatient prospective payment System (OPPS) On
Come work for us
JANUARY 6, 2009
After a decade of performance-based healthcare payment initiatives, the Department of Heal
Physician payment transparency was a hot topic this week, with the release of a year’s wor
Payment adjustment for FY 2014 extended On June 16, CMS pos
CMS has contracted with an SMRC to lower improper payment rates
SEPTEMBER 1, 2014
On May 15, CMS released a change request amending payments to payment files issued to contractors
The American Hospital Association calls CMS’ proposed 2% reduction in outpatient payments &
P4P programs such as the Hospital Readmissions Reduction Program (HRRP) link the payment hospital
OCTOBER 6, 2015
On January 8, CMS released a change request stating that payment files were issued to contractors
New Program for Evaluating Payment Patterns Electronic Reports (PEPPERs) through CY 2016 are avai
CMS estimates the median length of days for request for anticipated payment (RAP) submission is 12 d
PDGM is designed to be budget neutral, but the impact on payment depends on type of provider and
Update to hospice payment pates, cap, wage index and Pricer for FY 2016
SEPTEMBER 15, 2015
September brings the start of a new season, and it with it, a good time to reassess the status of
SEPTEMBER 8, 2015
by Bob Markette With a new payment model set to take effect in less than six mon
For many, this is the time of year when the latest updated rules, regulations, and payment rates
Insufficient documentation led to approximately 97% of improper payments for kyphoplasty a
JULY 23, 2014
JUSTCODING
October 2014 update of the ASC payment system released On A
Challenges related to Medicare’s Merit-based Incentive Payment System (MIPS) top the list o
SEPTEMBER 25, 2017
Propublica, dissecting data released by Medicare on payments made to health professionals in 201
A significant portion of updates in the Fiscal Year 2015 Inpatient Prospective Payment Systems (I
Medicare recently announced the creation of a new accountable care payment model, which asks prov
JUNE 17, 2015
JUSTCODING
The first ever home health edition of the Program for Evaluating Payment Patterns Electro
With patient satisfaction surveys factoring more heavily into Medicare payments, hospitals are ma
SEPTEMBER 17, 2015
On November 9, CMS released a transmittal providing instructions for payment and CWF edits to be
On September 29, CMS released a change request providing instructions for payment and edits for t
Palmetto GBA announced it will conduct pre-payment, service-specific, probe medical review on Hos
Additional extension of the payment adjustment for FY 2014 extended  
Additional extension of the payment adjustment for FY 2014  
Q: Is the Medicare episode payment expected to cover ostomy supplies for urinary ost
CMS has now issued guidance permitting hospices seeking to correct their payments for RHC and SIA
JULY 29, 2015
JUSTCODING
Two-midnight policy and potential short stay payment solutions  
CMS bumps up SNF payment rate increase in FY 2015 proposal
AUGUST 1, 2014
Determining when a significant change in status assessment (SCSA) is necessary and completing the
About Us
SEPTEMBER 4, 2008
AHA posts letter on 2-midnight policy and potential short-stay payment solutions On Februa
Last Wednesday, the U.S. House of Representatives passed a bill to repeal the Independent Payment
  Most improper payments for diagnostic nasal endoscopies reviewed during a Compre
SEPTEMBER 30, 2015
JUSTCODING
More small practices can quality for exclusions from the Quality Payment Program (QPP), claim har