Hospitals are allowed to publish a list of charges that contains UB-04 revenue codes when complying with 2019 IPPS final rule requirements requiring the publication of standard charges, the American Hospital Association (AHA) said in a regulatory advisory bulletin
CMS recently released the 2019 NCCI Policy Manual for Medicare Services, which includes updates to payment policies and coding methodologies effective January 1.
On December 4, CMS released additional FAQs regarding the 2019 IPPS final rule requirement that hospitals post a list of their standard charges on the internet.
The American Medical Association (AMA) recently released the 2019 CPT Manual with 335 code changes, primarily adding care coordination services, central nervous system assessments, skin biopsies, and fine needle aspirations.
ACDIS' 12th annual conference will be held May 20-23, 2019, at the Gaylord Palms Resort & Convention Center in Kissimmee, Florida. ACDIS is currently accepting applications for speakers. The deadline for submissions is August 31, 2018.
The 2019 IPPS final rule finalizes an overhaul of the newly coined Promoting Interoperability Programs, significant reductions to reporting requirements for quality initiatives, and updates to payment rates.
CMS’ 2019 OPPS proposed rule continues the agency’s efforts to enforce site-neutral payments and reduce drug payments by introducing policies to reduce reimbursement for hospital outpatient clinic visits at off-campus, provider-based departments (PBD) and expanding last year’s payment reductions for drugs purchased under the 340B discount pricing program by nonexcepted PBDs.
The 2019 Medicare Physician Fee Schedule (MPFS) proposed rule, released July 12, introduces policies that focus on expanding the framework for reporting E/M visits and removing certain process measures under the Quality Payment Program (QPP).
When we first set out to research the revenue integrity profession more than a year ago, we didn’t know quite where it would take us. Revenue integrity titles and departments were becoming more common in the healthcare industry, and we sought to understand the needs and roles of this profession so we could create solutions that would help its members succeed.
Use this white paper to learn about a new CMS calculation for uncompensated care, presenting both an opportunity and a compliance risk for Disproportionate Share Hospitals.