CMS is proposing significant changes to certain appeal processes for Medicare beneficiaries. In this Q&A, Kimberly A. Hoy, JD, CPC, director of Medicare and compliance for HCPro LLC, in Chicago, explains how the rule could affect hospitals, including new required notices and potential billing process updates, and strategies for managing patient status changes.
Understand CMS' rules for reimbursement for certain dental services under the Outpatient Prospective Payment System (OPPS) and the Medicare Physician Fee Schedule (MPFS).
CMS is taking steps to ensure hospitals are prepared to comply with the revised hospital price transparency requirements in the 2024 Outpatient Prospective Payment System final rule.
