The CMS Administrator could have chosen a better example to highlight plans for lower costs during recent remarks.
With the release of the 2020 Inpatient Prospective Payment System (IPPS) Final Rule and the 2020 Outpatient Prospective Payment System (OPPS) and Medicare Physician Fee Schedule ...
Changes are effective Oct. 1, 2019
In this article, we aim to continue to remind Inpatient Rehabilitation Facilities (IRFs) of the looming transition from utilizing Functional Independence Measures (FIMtm) for the purposes of assigning patients to a case-mix group (CMG) to the use of key quality ...
Providers are encouraged to file protective appeals.
“In section XI of the preamble of the proposed rule, we discussed the growing number of Provider Reimbursement Review Board (PRRB) appeals made by providers and the action initiatives that are being implemented with the goal to decrease the ...
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The allegations in the case focused on CCs and MCCs.
EDITOR’S NOTE: This story appeared Aug. 20, 2019, in the ICD10monitor news.
A Texas federal judge recently dismissed a False Claims Act lawsuit alleging that Dallas-based Baylor Scott & White Health overbilled Medicare by improperly upcoding ...
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