Significant interest focused on CMS’s 68 Percent Solution and other healthcare news articles – September 17-30

  Our selection of top healthcare news articles from around the web   “Significant Interest Focused on CMS’s 68 Percent Solution” http://t.co/3JCLBQe7zg by @RACMonitor #medicare — BESLER Consulting (@BeslerDotCom) September 23, 2014 “The Role of #Medicare Advantage” http://t.co/xEpqacYnar #hospitals pic.twitter.com/qdC9xSQZKo — BESLER Consulting (@BeslerDotCom) September 18, 2014 CMS provides details on offer to clear #Medicare […]

OIG targeting sleep studies

As CMS spending on polysomnography (sleep studies) steadily increases, the OIG has targeted hospitals in an effort to uncover possible overpayments and fraudulent coding/billing for these services. Based on the increase in payments, up to $565 million in 2011, the OIG conducted an audit of 2011 claims, the results of which were released in October […]

Resubmit your Medicare DSH data by November 30, 2014

It is now more important than ever that hospitals submit the most accurate and updated Medicaid days on the Medicare Cost Report. In reviewing the CMS issued final rule for FY2015 in regard to Medicare DSH and the recently adopted reductions, BESLER believes that it is now more important than ever that hospitals submit the […]

Transmittal 540 revises Transmittal 534: Will allow MACS and ZPICS the discretion to deny related physician claims for inpatient surgery only

Transmittal 540, released on September 4, 2014, and effective as of September 8, 2014, revises CMS Transmittal 534 Transmittal 534 allowed MACS and ZPICS* the ability to deny or recoup physician Part B payments, for claims that by CMS definition are considered to be “related” to a hospital inpatient Part A claim that was denied […]

CMS provides details on offer to clear Medicare claims backlog and other healthcare news articles – September 3 – 12

  Our selection of top healthcare news articles from around the web CMS provides details on offer to clear #Medicare claims backlog: 10 things to know http://t.co/4oibfFjong — BESLER Consulting (@BeslerDotCom) September 12, 2014 MT @tricia_neuman #Medicare 2014 spending $9B less than prior CBO projection, $1,200 less/person than 4 years ago pic.twitter.com/Qonvayfjqq — Kaiser Family […]