Course | Basic | Medicare Payment and Reimbursement
In this course we will address scheduling processes, including<div><ul><li>Patient identification</li><li>Requested service</li><li>Medical necessity screening</li><li>Medicare Advance Beneficiary Notice of Noncoverage processing</li><li>Pa...
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Course | Overview | Medicare Payment and Reimbursement
This course provides a brief history and overview of Medicare and Medicaid. It describes government organizations that regulate and administer this program. This course also discusses Medicare reimbursement. In addition, it highlights recen...
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Course | Intermediate | Medicare Payment and Reimbursement
This course provides an overview of the prospective payment systems used in the Medicare program and as well as Medicare fee schedules. This course provides a general discussion and overview of Medicare reimbursement under the Inpatient Pro...
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Course | Intermediate | Medicare Payment and Reimbursement
This course provides a general discussion and overview of reimbursement provided by Medicare under the outpatient prospective payment system. It also discusses the use of ambulatory payment classifications in the outpatient prospective paym...
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On Demand Webinar | Intermediate | Medicare Payment and Reimbursement
As the senior population continues to outpace the relative growth of the general population, and Medicare Advantage is accounting for about one-third (and growing every year) of all new Medicare eligible enrollees, providers are increasingl...
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Fact Sheet | Medicare Payment and Reimbursement

CY13 OPPS Final Rule Fact Sheet

Fact Sheet | Medicare Payment and Reimbursement

CY13 OPPS Final Rule Fact Sheet

This fact sheet provides information on the updates to Medicare payment rates for hospital outpatient services paid under the outpatient prospective payment system and the ambulatory surgical center payment system for calendar year 2013.

The Centers for Medicare &amp; Medicaid Services (CMS) released a final rule with comment period that updates payment rates for hospital outpatient services paid under the Medicare outpatient prospective payment system (OPPS) and establishes relative payment weights and amounts for services furnished in ambulatory surgical centers (ASCs) for the calendar year 2013 (CY13) ASC payment system. These final changes will be applicable to services furnished to Medicare beneficiaries beginning January 1, 2013. CMS also proposes to update the requirements for both the Hospital Outpatient Quality Reporting (OQR) Program and the ASC Quality Reporting (ASCQR) program. CMS also proposes revisions to the electronic reporting pilot for the Electronic Health Record (EHR) Incentive Program and the various regulations governing Quality Improvement Organizations (QIOs). Comments on the final rule are due on December 31, 2012. 

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