Tag Archives: IPPS

Self-Administered Medication – Earned Revenue or Another Write Off

Caveat emptor et provisor [Let buyer and provider beware] Written by Bill Malm, ND CMAS CRCR Many facilities struggle with the implementation and collection of earned revenues from Self-Administered Medications (SAD.)  SAD has had a litany of guidance made by … Continue reading

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“Finally Friday!” CMS Proposes the MOON & Other Changes for the NOTICE Act

FRIDAY May 13, 2016: “CMS Proposes the MOON & Other Changes to Implement the NOTICE Act“ A Proposed Rule Inside A Proposed Rule OR How CMS can defy Congress with a straight face Get the Handouts Sponsored by The Health … Continue reading

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CMS Proposes MOON for the NOTICE Act in FY2017 IPPS Proposed Rule

One of many changes floated in the FY2017 IPPS Proposed Rule CMS introduced a standard notice to be given to observation patients after 24 hours as such, the “Medicare Outpatient Observation Notice” (MOON) that would include all of the informational … Continue reading

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CMS Offers the MOON to fulfill NOTICE requirements

CMS has developed a standard notice, the “Medicare Outpatient Observation Notice” (MOON) that would include all of the informational elements necessary to fulfill the NOTICE Act’s written notice requirement. Continue reading

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Via: CMS’s FY 2017 Proposed IPPS Rule: Key Takeaways

Key changes in the CMS FY 2017 Inpatient Prospective Payment System (IPPS) and the Long-Term Care Hospital (LTCH) Prospective Payment System (PPS). Continue reading

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Via: CMS’s Proposed IPPS and LTCH FY 2017 Rule: Key Takeaways

On April 18, 2016, CMS released its proposed rule [PDF] addressing new payment rates and policies under both the Inpatient Prospective Payment System (IPPS) and the Long-Term Care Hospital (LTCH) Prospective Payment System (PPS), for fiscal year (FY) 2017. via … Continue reading

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CMS Moves The Inpatient Benchmark to 48 Hours

CMS redefined the benchmark used to determine medical necessity for an inpatient claim typically filed by acute care hospitals for Medicare reimbursement, moving the mark from 24 hours, the long-standing instruction in the Medicare Benefits Policy Manual, to 48 hours, … Continue reading

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