Senate Passes ICD-10 Delay Bill

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On March 31st, 2014, the US Senate voted to approve H.R. 4302, Protecting Access to Medicare Act of 2014, which included language delaying the implementation of ICD-10-CM/PCS by at least one year. The vote was 64 to 35 at 6:59 p.m. ET. The bill now moves to President Obama, who is expected to sign it into law.

Follow the link for more information:

https://newsletters.ahima.org/newsletters/ealert/2014/033114_Special.html

 

Breaking News: 3/28/14

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CMS has instructed the Medicare Administrative Contractors to hold claims containing services paid under the MPFS for the first 10 business days of April (i.e., through April 14, 2014). This hold would only affect MPFS claims with dates of service of April 1, 2014, and later.  Visit the link for more details:

http://www.cms.gov/Outreach-and-Education/Outreach/FFSProvPartProg/Provider-Partnership-Email-Archive-Items/2014-03-27-enews.html?DLPage=1&DLSort=0&DLSortDir=descending

CLAB Public Meeting

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The Federal Register announced a public meeting to receive comments and recommendations regarding clinical labs.  The meeting is scheduled for Monday, July 14, 2014 from 9:00 am to 3:00 pm.  Please follow the link for more information.

http://www.gpo.gov/fdsys/pkg/FR-2014-03-25/pdf/2014-06515.pdf

Senate Passes Bill with Sequestration Extension

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Click on the link for more information:

http://www.ahanews.com/ahanews/jsp/display.jsp?domain=AHANEWS&dcrpath=AHANEWS/AHANewsNowArticle/data/ann_021214_sequestration

 

Two Midnight Rule Delayed

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CMS has delayed the two-midnight rule through Sept. 30 after opposition came from hospitals, physicians and other healthcare groups.  Follow the link below for more details.

http://cms.gov/Research-Statistics-Data-and-Systems/Monitoring-Programs/Medicare-FFS-Compliance-Programs/Medical-Review/InpatientHospitalReviews.html

CMS Finalizes Physician Payment Rates for 2014

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On November 27, CMS finalized payment rates and policies for 2014 physician services [CMS-1600-FC].

Follow the links below for more information:

CMS Makes Outpatient Facility Policy and Payment Changes

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On November 27, CMS released a final CY 2014 hospital outpatient and ambulatory surgical center (ASC) payment rule [CMS-1601-FC].

Follow the links below for more information:

Clinical Trials

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Effective 1/1/2014 physicians, providers and suppliers submitting claims to Medicare contractors, carriers, Durable Medical Equipment Medicare Administrative Contractors and A/B MACs for items and services provided in clinical trials to Medicare beneficiaries must identify the 8 digit clinical trial number on the claim form. For additional information, please contact Reimbursement Principles, Inc.

Ambulatory Surgery Centers

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Effective 1/1/2014 ACSs must report Quality Data Codes (QDCs) on Medicare Part B claims or face a payment reduction of 2%. For more information contact Reimbursement Principles, Inc.

CMS Issues FY 2014 Inpatient Payment Rule

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On August 2, 2013, the Centers for Medicare & Medicaid services (CMS) issued a final rule updating fiscal year (FY) 2014 Medicare payment policies and rates for inpatient stays at general acute care and long-term care hospitals (LTCHs).

The final FY 2014 Hospital Inpatient Prospective Payment System (IPPS) rule increases overall hospital payments (capital and operating) by $1.2 billion. The rule also moves forward with health care delivery system reforms made possible by the Affordable Care Act. These include a new program aimed at improving safety in hospitals and refining the Hospital Readmissions Reduction program. For additional information contact RPI.

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