Wednesday, November 30, 2016

News

MOON Requirement Delayed in IPPS Final Rule: What Next?
Source: HIM Briefings
Hospitals got a last-minute reprieve from the Medicare Outpatient Observation Notice (MOON) notification requirement, which was set to go into effect August 6. Citing the need for additional time to revise the standardized notification form that hospitals will need to use to notify patients about the financial implications of being assigned to observation services, CMS moved back the start date for the requirement in the 2017 IPPS final rule to "no later than 90 days" after the final version of the form is approved.
Medicare Updates: The Week's Regulatory Changes
Source: Medicare Compliance Watch
This week’s Medicare updates include a claims status category and claims status codes update, new waived tests, the reprocessing of some IPPS claims, and more!
NJ Hospital M&As Create Bifurcated Market
Source: HealthLeaders Media
Recent deals will boost credit ratings for large statewide systems, but will squeeze smaller, independent hospitals.
 

Daily Q&A

Q&A: Is Modifier -L1 Still Necessary?
Source: Medicare Compliance Watch
Q: We have worked hard to get a process for applying modifier -L1 (separately payable laboratory test) when there is lab work ordered by a different physician for a different reason (i.e., diagnosis), but the process is labor intensive. Is it mandatory to report the -L1 modifier?

Need expert advice?
Email your questions for consideration in the Revenue Cycle Daily Advisor. Note: We do not guarantee that all questions will be answered.

 

Upcoming CMS Events

Wednesday, 11/30 - Medicare Diabetes Prevention Program Model Expansion Call
Wednesday, 11/30 - Low-Income Health Access Open Door Forum
Thursday, 12/1 - IRF and LTCH Quality Measure Report Call
Monday, 12/12 - 2016 Hospital Appeals Settlement Update Call
 

Product Spotlight

Implement Changes From the 2017 OPPS Final Rule

During this live webinar Thursday, December 1, expert speakers Jugna Shah, MPH, and Valerie A. Rinkle, MPA, will analyze the final rule and deliver a comprehensive update on the major changes coming for 2017 under OPPS.

 

    

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