The 2021 OPPS final rule, released December 2, doesn’t pack many surprises, with CMS generally finalizing most policies as proposed or choosing to continue with current policies.
Trouble viewing? See it online! Thursday, December 3, 2020
 

News
2021 OPPS final rule: CMS moving forward with inpatient-only list elimination, prior authorization expansion
Source: Revenue Cycle Advisor
The 2021 OPPS final rule, released December 2, doesn’t pack many surprises, with CMS generally finalizing most policies as proposed or choosing to continue with current policies. This should aid hospitals required to implement many of its policies in just a few short weeks due to the pandemic-disrupted rulemaking cycle.  
2021 MPFS final rule: Conversion factor gets 10% squeeze, E/M revisions remain on track
Source: Part B News
Physicians are facing a 10.2% drop in the Medicare conversion factor starting January 1, as an offset to broad new increases in reimbursement rates for E/M office visits and other E/M-like services, according to the 2021 Medicare Physician Fee Schedule final rule, released December 1.
HHS proposes regular review of regulations
Source: ACDIS
Ever wonder who (or how) CMS regulations get reviewed? The Department of Health and Human Services (HHS) recently announced a proposed rule to require regular review of regulations, ensuring they’re up to date and delivering promised benefits.
 

Revenue Cycle Advisor Subscriber Content

Note from the instructor: CY 2021 updates to Medicare beneficiary cost sharing
Source: Revenue Cycle Advisor
This week's note from the instructor analyzes the impact of the 2021 updates to Medicare premiums, deductibles, coinsurance, and cost sharing amounts.  
 

Daily Q&A
Q&A: PHI for marketing
Source: Revenue Cycle Advisor
Q: What type of protected health information (PHI) can be used for marketing? Are authorizations always necessary when using PHI for marketing purposes? If not, what are some situations when patient authorization would not be required?

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Upcoming CMS Events
Friday, 12/4 - Radiation Oncology (RO) Model Billing Webinar
Tuesday, 12/8 - Hospital Price Transparency Webcast
Wednesday, 12/9 - Interoperability and Patient Access Final Rule Call
 

Product Spotlight

Product Spotlight name: End-of-Life Care for Case Management

Case managing end-of-life care has never been more complex. The opioid epidemic, the COVID-19 pandemic, and health disparities across populations require a fresh look at how care and treatment at the end of life is considered, assessed, and rendered. This book, from Ellen Fink-Samnick, MSW, ACSW, LCSW, CCM, CRP, is an essential resource for case managers navigating these complex situations.
 

    

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Evaluation and Management Solution Center

Providers need to understand CMS’ E/M changes ahead of the January 1, 2021 start date. These training solutions will help you prepare.
 
 

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