Medicare Weekly Update

Each issue of this free weekly e-newsletter includes the latest CMS proposed and final rules, CMS manual revisions, and transmittals. Readers also find OIG audit reports, advisory opinions, and more.

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Issue 5, January 31, 2012

• Note: Timely filing and adjustment of hospital claims

• Regulations: CMS modifies the hospital OPPS 2012 payment rates

• Transmittals and MLN Matters articles: CMS covers STI screenings, creates new claims edits, updates PIM, and more

• Other issuances: None this week

• CMS Public Events: Transcript available for January 24 Physician Nurses & Allied Health ODF

Issue 4, January 24, 2012

• Regulations: Proposed rule would extend DSH payments to cover the cost of each service furnished to an individual who had no health insurance

• Transmittals and MLN Matters articles: CMS allows physician assistants to perform SNF level of care certifications, updated the CCI edits, and more

• Other issuances: None this week

• CMS Public Events: The transcript of the January 12 Hospital ODF is available, Physician ODF scheduled for January 24

• HCPro Watchdog Service

• Note: Corrections to January Quarterly OPPS Update; January OCE Review

Issue 3, January 17, 2012

• Note: Claims processing and payment changes under the CY 2012 OPPS final rule

• Regulations: CMS issues final rules about adopting electronic transfers and reporting prescription drug costs

• Transmittals and MLN Matters articles: CMS reminds providers about HPSA bonus payments, instructs contractors to implement ICD-10 plans, and more

• Other issuances: OIG publishes review of Medicare acute care inpatient same-day readmissions at University of Pittsburgh Medical Center Presbyterian Shadyside Hospital

• CMS Public Events: None this week

• HCPro Watchdog Service

Issue 2, January 10, 2012

• Regulations: CMS published changes to the OPPS final rule and solicits comments for EMTALA changes

• Transmittals and MLN Matters articles: CMS instructs teaching hospitals how to report FICA refund for medical residents

• Other issuances: CMS updates NCDs

• CMS Public Events: Hospital Quality Open Door Forum January 12

• Note: Benefit policy changes under the CY 2012 OPPS final rule

• HCPro Watchdog Service

Issue 1, January 3, 2012

• Regulations: OIG solicits safe harbor feedback

• Transmittals and MLN Matters articles: None this week

• Other issuances: OIG posts outpatient overpayments review

• CMS Public Events: None this week

• HCPro Watchdog Service

• Note: Top five issues to watch in 2012