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Wednesday, October 5, 2016

Top Stories

Note from the Instructor: The Next Transition for Rural Health Clinics: Modifier -CG
This week’s note from the instructor is about the use of modifier -CG on claims by rural health clinics.
This Week in Medicare Updates–10/05/2016
This week’s Medicare updates include a transmittal recurring update notification describing changes to and billing instructions for various payment policies implemented in the October 2016 OPPS update; news about CMS once again allowing some providers to settle inpatient status claims in appeals; an OIG report regarding the improper payment of millions of dollars for unlawfully present beneficiaries; and more!
Platinum Content: Forecasting Financials Based on CMS' Latest Proposals
Platinum subscribers can access this column by Jugna Shah, MPH, president and founder of Nimitt Consulting, author of a bimonthly column for Briefings on APCs. In it, Shah comments on the latest OPPS proposed policies and regulations, analyzing their impact on providers.
Newly Approved Recovery Auditor Issues–10/05/2016
There are no newly approved Recovery Auditor issues this week.
 

Upcoming CMS Events

CMS is hosting events, forums, and calls in the upcoming months. Click the link for registration information. 

Events include:

  • Emergency Preparedness Requirements Call; Wednesday 10/5
  • SNF/Long Term Care (LTC) Open Door Forum; Thursday 10/6
  • IMPACT Act: Data Elements and Measure Development Call; Thursday 10/13

 

 

Product Spotlight

The 2-Midnight Rule: BFCC-QIO Audits and Medical Necessity in 2017

Join expert speakers Ralph Wuebker, MD, MBA, and Steven A. Greenspan, JD, LLM, as they discuss the current state of auditors and provide guidance on preparing for audits as healthcare facilities plan for 2017. Wuebker and Greenspan will also cover the latest patient status and medical necessity regulatory updates.

 

Advisory Board

Kimberly Anderwood Hoy Baker, JD
Director of Medicare and Compliance

Judith L. Kares, JD
Regulatory Specialist

Debbie Mackaman, RHIA, CPCO, CCDS
Regulatory Specialist

Valerie A. Rinkle, MPA
Regulatory Specialist

Regulatory Specialist Bios

 

    

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Medicare Compliance Watch Spotlight

Medicare Encyclopedia Update

New terms have been added to the Medicare Compliance Watch encyclopedia.