TITLE

No More 'Downcoding'

AUTHOR(S)
Riley, Kelly J.
PUB. DATE
February 2011
SOURCE
HomeCare Magazine;Feb2011, Vol. 34 Issue 2, p40
SOURCE TYPE
Trade Publication
DOC. TYPE
Article
ABSTRACT
The article offers information on the issues surrounding the payment reduction on covered items or services implemented by the Centers for Medicare & Medicaid Services (CMS) in the U.S. It states that the changes prohibit Durable Medical Equipment Medicare Administrative Contractor (DME MAC) to make partial paymemt for claims based on least costly alternative (LCA). Moreover, claims will be denied if it fails to reflect the specifics of the Healthcare Common Procedure Coding System (HCPC) code.
ACCESSION #
59309633

 

Related Articles

  • PACK SATISFACTION INTO EVERY PATIENT'S EXPERIENCE.  // Eli's OASIS Alert;Jul2010, Vol. 11 Issue 7, p62 

    The article offers information on the dry run for the payment system conducted by the Consumer Assessment of Healthcare Providers and Systems Home Care Survey (HHCAHPS) program in advancing the deployment of enterprise system of the Centers for Medicare & Medicaid Services in the U.S. It...

  • pay for performance comes to Medicare in 2009. Charland, Kim // hfm (Healthcare Financial Management);Sep2007, Vol. 61 Issue 9, p60 

    The article focuses on the proposed Value-Based Purchasing (VBP) strategy by the Centers for Medicare and Medicaid Services (CMS) in the U.S. The proposed VBP's goal is to transform the Medicare payment system in order to hand out incentives to providers for meeting up with measures of...

  • Congress is again getting cold feet about CMS action on DRGs. McCarty, Mark // Medical Device Daily;8/8/2007, Vol. 11 Issue 150, p1 

    The article reports on the revamp of the inpatient prospective payment system (IPPS), released by the Centers for Medicare and Medicaid Services (CMS) on August 1, 2007. CMS stated that the restructured diagnostic-related groups (DRG) will account more fully for the severity of each patient's...

  • Revisions to Medicare Interpretive Guidelines on Informed Consent Cause Headaches for Hospitals. Barry, Dennis M.; LeGros, Nancy // Venulex Legal Summaries;2005 Q1, p1 

    This article focuses on the revisions to Medicare Interpretive Guidelines of the U.S. Centers for Medicare and Medicaid Services, which is found in the Internet-only version of the State Operations Manual. Based on the revised guidelines, practitioners performing significant aspects of the...

  • Let's Be Reasonable. McBride, Scott // Venulex Legal Summaries;2002 Q4, p1 

    The article reports on the publication of an interim rule by the U.S. Centers for Medicare & Medicaid Services (CMS) on December 13, 2002, regarding the inherent reasonableness adjustments process for all Medicare Part B services. Exempted from this rule are services paid under the Medicare...

  • (HOME HEALTH) Payment Changes for Home Health Services Proposed.  // Aging News Alert;7/31/2009, p7 

    The article reports that the U.S. Centers for Medicare & Medicaid Services (CMS) is proposing a 2.2% home health market basket update to the home health prospective payment system (HH PPS) rates for calendar year. CMS proposes to cap outlier payments at 10% per agency and target total aggregate...

  • Outpatient payment rule revised for 2007. Traynor, Kate // American Journal of Health-System Pharmacy;1/1/2007, Vol. 64 Issue 1, p14 

    The article reports on the revision of the outpatient prospective payment system by the Centers for Medicare and Medicaid Services (CMS) in the U.S. Under the new ASP system, the said organization will reimburse hospital outpatient departments for drugs and biological products at a rate of the...

  • CMS relaxes physician supervision requirement.  // AHA News;11/9/2009, Vol. 45 Issue 23, p1 

    The article reports that the U.S. Centers for Medicare and Medicaid Services (CMS) will allow non-physician practitioners (NPP) to supervise outpatient therapeutic services beginning January 2010. This new policy is in the CMS's 2010 Outpatient Prospective Payment System final rule issued last...

  • Reforms to revamp Medicare payments.  // OR Manager;Sep2006, Vol. 22 Issue 9, p5 

    The article reports that the U.S. Centers for Medicare and Medicaid Services have announced changes that will improve the quality of their services and the accuracy of payments. The reforms are: a final rule for inpatient payments, a proposed rule for outpatient payments and a plan for oversight...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics