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CMS is excluding several measures in the 2023 Hospital Acquired Condition (HAC) section of its Hospital Specific Report (HSR). The Centers for Medicare & Medicaid Services (CMS) is not including
There are giant loopholes in the 2023 CPT® and CMS Hospital Visit Coding Guidelines. The hospital community let out a giant sigh of relief when, on Nov. 2, the Centers
Recently, the Centers for Medicare & Medicaid Services (CMS) announced that it was cracking down on poorly performing skilled nursing facilities (SNFs) by making changes to the “Special Focus Facility,”
CMS has published a booklet on this procedure. Recently I was asked to assist with an audit that was to focus on clinical documentation for major joint replacement surgery, specific
Swing beds are a practical solution for rural hospitals with fewer than 100 beds. By John Zelem, MD, FACS Unless you have been exposed to daily life at rural hospitals,
Palliative care is often considered to be hospice and comfort care. Palliative care is sometimes used interchangeably with “comfort care” and then again sometimes with “hospice care.” But these terms
The question often asked is this a payable service or is this a preventative service for Medicare beneficiaries. The Centers for Medicare & Medicaid Services (CMS) determined that the evidence
Two procedure proposals will not be discussed during the two-day C&M meeting that kicks off today, continuing tomorrow at CMS headquarters in Baltimore. Something will be missing today when the
New payment rules include a proposed rule to establish a new provider type Rural Emergency Hospitals (REHs). We have now reached the second half of the year, with many final
The proposed rule includes expansions to the Physician Payment Schedule as well as a focus on access to high-quality care. The Calendar Year 2023 Physician Fee Schedule (PFS) proposed rule,
The Centers for Medicare & Medicaid Services (CMS) has begun covering a portion of the device cost for Barostim Neo, a neuromodulation device for treating chronic heart failure. In late
The final rule is expected to be posted on the first Friday in August. The Centers for Medicare & Medicaid Services (CMS) has released the fiscal year (FY) 2023 Inpatient
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