By
OPPS rule could result in higher revenue. Whenever a rule changes, expect Recovery Audit Contractor (RAC) and/or targeted probe-and-educate (TPE) audits to hone in on the topic associated with the altered rule – and expect auditors to forget when the rule actually changed. Physician supervision has been a hot topic…
By
One rule is proposed; the other is now the final rule on price transparency. The Centers for Medicare & Medicaid Services (CMS) recently issued two rules intended to increase the transparency of pricing in the healthcare system, continuing its efforts to provide patients with more data to make informed decisions…
By
Many believe this rule will never see the light of day. Among other provisions, the hospital price transparency rule pre-published by the Centers for Medicare & Medicaid Services (CMS) last Friday requires online, a publically accessible publication of “standard charges” that apply to 300 of each hospital’s “shoppable” services. The…
By
Confusion abounds, but compliance is required. The Centers for Medicare & Medicaid Services (CMS) has entered into the fray of transparent hospital pricing in a very big way.  The new OPPS (Outpatient Prospective Payment System) rule appeared in examination format (i.e., unofficial format) in the July 29 edition of the…
By
If implemented, physician supervision will have come almost full circle. The Centers for Medicare & Medicaid Services (CMS) has almost come full circle on the issue of therapeutic hospital outpatient physician supervision requirements. With the issuance of the OPPS/APC (Outpatient Prospective Payment System/Ambulatory Payment Classification) Federal Register on July 29,…