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 […]

CMS offers to settle pending appeals for inpatient claims

Hospitals willing to withdraw pending appeals can receive partial payments It’s no secret that there are a huge number of hospital claims under appeal at CMS. To help reduce the number of claims in the appeals process, CMS is willing to consider partial payments to hospitals that withdraw their pending appeals (up to 68% of […]

MedPAC suggests payment neutrality and other healthcare news articles – August 29 – September 2

  Our selection of top healthcare news articles from around the web 4 #hospitals receive revenue cycle awards http://t.co/JsRra3ri7K — BESLER Consulting (@BeslerDotCom) August 29, 2014 "MedPAC suggests payment neutrality for post-acute care providers | #HealthcareFinance" http://t.co/mqInTBVvPg by @hfnewstweet — BESLER Consulting (@BeslerDotCom) September 2, 2014 How Texas Health Resources' Patient Delight Project enhanced the […]

100 things to know about Medicare reimbursement and other healthcare news articles – August 21-28

  Our selection of top healthcare news articles from around the web 100 things to know about #Medicare reimbursement http://t.co/xsDtJFxUM0 — BESLER Consulting (@BeslerDotCom) August 25, 2014 #AHAnewsnow @CMSgov can award new contracts for #RACs, court rules http://t.co/pn05TeW66B #RacTrac — AmericanHospitalAssn (@ahahospitals) August 22, 2014 Fitch: PPACA drives decline in inpatient #hospital care http://t.co/bCFNZvrc7u — […]