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The Centers for Medicare & Medicaid Services and the American Medical Association finalized its coding updates for CY 2021.
On Dec. 1, 2020, the Centers for Medicare & Medicaid Services CMS) issued the final rule for the Medicare Physician Fee Schedule (PFS) for CY 2021.
At the risk of repeating a phrase that has been exhausted this year, the dawn of 2020 brought with it unprecedented times. Whereas a pandemic on its own would have dominated everything else, this year also brought on an economic depression; a racial awakening; record-breaking wildfires, hurricanes, and floods; political turmoil on an extraordinary scale; and a host of additional unique phenomena. …
Earlier this month, ACCC held an online Oncology Reimbursement Meeting hosted by Teri Bedard, RT(R)(T), CPC, Director of Client Services at Revenue Coding Strategies, Inc. Bedard reviewed the Outpatient Prospective Payment System (OPPS) and Physician Fee Schedule (PFS) rules recently finalized by the Centers for Medicare and Medicaid Services (CMS) and discussed the impact they will have on oncology …
Integrating pharmacists into oncology care delivery models has shown to improve outcomes1 for patients and boost the financial stability of cancer programs and practices. But billing for pharmacy services can be onerous and complicated. In the latest installment of an ACCC webinar series marking American Pharmacists Month, experts discussed how to bill for pharmacists' services in chemotherapy management …
On Aug. 4, the Centers for Medicare & Medicaid Services (CMS) released its 2021 Hospital Outpatient Prospective Payment System (OPPS) and Medicare Physician Fee Schedule (PFS) proposed rules.
By Christian G. Downs, JD, MHA On August 4, the Centers for Medicare & Medicaid Services (CMS) released its 2021 Medicare Physician Fee Schedule (PFS) and Hospital Outpatient Prospective Payment System (OPPS) proposed rules. The agency also released an accompanying executive order proposing increased flexibility for telehealth and rural healthcare in light of the COVID-19 pandemic. CMS is waiving …
By Teri Bedard, BA, RT(R)(T), CPC On April 30, 2020, the Centers for Medicare and Medicaid Services (CMS) issued a second Interim Final Rule in response to the COVID-19 pandemic. This ruling adds to and changes many of the recent expansions and waivers of the provisions previously outlined by CMS since the Public Health Emergency (PHE) was initiated. The CMS Interim Final Rule 2 is located in its …
8 accc-cancer.org | May–June 2020 | OI that the same minimum level of supervision is required for all hospitals and CAHs. The agency did stress, however, that changing to general supervision will not prevent any of the hospitals from providing services under direct supervision when the physician administering that service determines that it is appropriate to do so. Many therapeutic …
On April 30, 2020, the Centers for Medicare and Medicaid Services (CMS) issued a second Interim Final Rule—COVID-19 Emergency Declaration Blanket Waivers for Health Care Providers—in response to the coronavirus pandemic. This Rule adds to and changes many of the recent telehealth coverage expansions with waivers of the provisions previously outlined by CMS in the wake of the declared Public Health …
The coding updates for calendar year (CY) 2020 have been finalized by the Centers for Medicare & Medicaid Services (CMS) and the American Medical association (AMA).
The Hospital Outpatient Prospective Payment System (OPPS) is one of the Medicare payment systems that applies to facility-based settings, which include, hospitals, ambulatory surgical centers (ASCs), critical access hospitals (CAHs) and excepted off-campus provider-based departments.
In preparation for the ACCC 46th Annual Meeting & Cancer Center Business Summit (AMCCBS) in Washington, D.C. on March 4-6, we are talking with several featured speakers about the topics they plan to address at the summit. Debra Patt, MD, MPH, MBA—a breast cancer specialist in Austin, Texas, whose research focuses on imaging informatics for breast cancer, clinical decision support systems, predictive …
Ask any oncologist—or healthcare provider, for that matter—what their least favorite part of their job is and the overwhelming response would be the process of obtaining prior authorization for care.
Many cancer program leaders say that improving patient access and the patient-centeredness of care delivery are key strategic imperatives.
As the price of new cancer treatments continues to rise, physicians in both the inpatient and outpatient settings need to factor cost as well as efficacy into treatment plans. Julie Kennerly-Shah, PharmD, MS, MHA, facilitates the Hematology Oncology Pharmacy and Therapeutics (P&T) Committee at The Ohio State University Comprehensive Cancer Center, determining which agents will be available to providers …
The Comprehensive Error Rate Testing (CERT) for improper payment analysis was implemented by the Centers for Medicare & Medicaid Services to identify and measure improper payments in the Medicare Fee-for-Service program.
In the Department of Pharmacy at the University of North Carolina North Carolina Cancer Hospital, discarding partial drug vials was a significant source of waste. With their Innovator Award–winning drug vial optimization program, the program maximized the lifespan of drugs within single-dose vials and realized an annual cost savings of more than $40 million.
Ready or not, the requirement to consult Centers for Medicare & Medicaid Services (CMS)-approved Appropriate Use Criteria (AUC) when ordering advanced imaging studies is on its way and is slated to go into effect on Jan. 1, 2020.
Effective Oct. 1, 2018, the Centers for Medicare & Medicaid Services (CMS) and the Centers for Disease Control and Prevention will add 279 new codes, revise 143 existing codes, and deactivate 51 codes in the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) classification.
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