Understanding Provider-Based Status PDF Download

Author: Cherilyn G. Murer
Publisher: Wolters Kluwer
ISBN: 9780808009535
Category : Business & Economics
Languages : en
Pages : 240

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Book Description

Author: Gina M. Reese
Publisher: Hcpro, a Division of Simplify Compliance
ISBN: 9781683081906
Category : Hospitals
Languages : en
Pages : 0

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Book Description
This book serves as a comprehensive guide to provider-based clinics, from qualifying under CMS, to unique billing and coding rules, and the business decisions behind owning or acquiring these clinics. It will help readers sort through the complex regulations relevant to this unique provider type, and provide insight into recent changes, such as the introduction of Modifier -PO. CMS is looking to implement the Section 603 provisions of the Bipartisan Budget Act of 2015 regarding off-campus, provider-based departments (PBD) by January 1, 2017, according to the 2017 OPPS proposed rule. The agency is proposing to pay the nonfacility or office Medicare Physician Fee Schedule (MPFS) amount to the performing/supervising physician and preclude hospitals from billing on a UB-04 form or receiving OPPS payment for services performed at these locations for 2017, but plans to explore other options for 2018 and beyond. Physicians would be paid at the higher nonfacility rate of the MPFS, but only hospitals that have employed or contracted physicians that reassign their billing to the hospital would get paid under the MPFS for these services. Hospitals would be able to bill claims on CMS-1500 forms for physicians who have already reassigned their billing to the hospital, as in the case of employed physicians. Otherwise, hospitals would have the option of enrolling the location as the type of provider or supplier it wishes to bill to meet the requirements of that payment system (e.g., ambulatory surgery center or group practice).

Author:
Publisher:
ISBN:
Category : Administrative law
Languages : en
Pages : 1054

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Author:
Publisher:
ISBN:
Category : Administrative law
Languages : en
Pages : 992

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The Code of Federal Regulations is the codification of the general and permanent rules published in the Federal Register by the executive departments and agencies of the Federal Government.

Author:
Publisher:
ISBN:
Category : Administrative law
Languages : en
Pages : 1048

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Author: United States. Department of Veterans Affairs
Publisher:
ISBN:
Category : Government publications
Languages : en
Pages : 878

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Book Description
Special edition of the Federal register, containing a codification of documents of general applicability and future effect as of July 1, ... with ancillaries.

Author: Wolters Kluwer Law & Business
Publisher: Wolters Kluwer
ISBN: 145486768X
Category : Medical
Languages : en
Pages : 1989

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Book Description
The 2015 Master Medicare Guide is packed with timely and useful information to help you stay on top of one of the most complex programs administered by the federal government. The 2015 Edition includes: Over 500 explanation summaries for all aspects of the Medicare program coverage, eligibility, reimbursement, fraud and abuse, and administration Highlights of the Protecting Access to Medicare Act of 2014 (P.L. 113-93) and the Improving Medicare Post-Acute Care Transformation Act of 2014 (P.L. 113-185)""; the most recent physician fee schedule reimbursement fix; A focus on the continuing implementation of the Affordable Care Act as it relates to Medicare, including accountable care organizations and a tighter link between the quality of health care and Medicare reimbursement All discussions include cross-references to relevant laws, regulations, CMS manual sections, administrative and judicial decisions, and more!

Author: U S Office of the Federal Register
Publisher: Office of the Federal Register
ISBN: 9780160928185
Category : Law
Languages : en
Pages : 684

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Book Description

Author: Wolters Kluwer Law & Business Health Editorial
Publisher: Wolters Kluwer
ISBN: 0808040049
Category : Business & Economics
Languages : en
Pages : 1642

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Book Description
The 2015 Master Medicare Guide is a one-volume desk reference packed with timely and useful information for providers, attorneys, accountants, and consultants who need to stay on top of one of the most complex programs maintained by the federal government.

Author: Office of The Federal Register
Publisher: IntraWEB, LLC and Claitor's Law Publishing
ISBN: 1640241876
Category : Law
Languages : en
Pages : 982

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