| This week’s note from the instructor is written by written by Judith L. Kares, JD, regulatory specialist for HCPro.
In this week’s note, I will provide a broad overview of those other relevant federal statutes and regulatory schemes and focus on the Overpayments rule and its underlying statute at a later date. I will begin, however, with the definition of “overpayments” included in the Overpayments rule. Under the Overpayments rule, an “overpayment” means any funds that a “person” has received or retained under Medicare to which the “person”, after applicable reconciliation, is not entitled. Under the rule, a “person” means a provider or supplier furnishing services under original Medicare (Parts A and B).
Click here for the in-depth analysis.
This article is available to Basic and Platinum members of Medicare Compliance Watch. Please sign in or subscribe to read the complete article.
 This week’s updates include the OPPS 2017 proposed rule; clarifications to stem cell transplantation for multiple myeloma, myelofibrosis, sickle cell disease, and myelodysplastic syndromes change request; and more!
This news article is free for all Medicare Insider subscribers. Click here to read all of this week’s updates.
This four-page form will help practitioners ensure compliance with proper completion and documentation of an Initial Preventative Physical Examination.
This form is available to Platinum members of Medicare Compliance Watch. Please sign in or subscribe to view the form.
There were no newly approved Recovery Auditor issues last week.
To read past newly approved Recovery Auditor issues, click here and select Recovery auditors in the column on the left-hand side of the page.
- ESRD QIP: Reviewing Your Facility's PY 2017 Performance Data Call; Tuesday, August 2
- PQRS Feedback Reports and the PQRS Informal Review Process for Program Year 2015 Results Call; Wednesday, August 10
Events are viewable for all Medicare Insider subscribers. Click here for more details and to register.
Product Spotlight The Condition Codes 44 and W2 Training Handbook, by Kimberly Anderwood Hoy Baker, JD, CPC, helps staff understand when and how to use condition codes W2 and 44, as well as the effects they have on reimbursement and the revenue cycle. This handbook leads readers through the complex decision-making processes regarding the options for rebilling self-denied claims. Providing clear, concise interpretation of complicated regulatory guidance, the handbook presents the information in practical, easy-to-understand terms for a wide range of hospital professionals. For more information and to purchase, visit the HCPro Healthcare Marketplace.
Stay Connected to HCPro Don't Miss the News You Want. Spam filters exist for a reason, but not for the news you need. Make sure you aren’t missing your weekly industry coverage. Add our address -- medicare-insider@e.news.hcpro.com -- to your address book or e-mail whitelist to keep the news you need in your inbox. Is All of Your Team In The Know? Our weekly e-newsletters can keep your team abreast of up-to-date industry information; including expert analysis where you need it most. Subscribe to any -- or all -- of our e-newsletters. | 
