Posts tagged: 2015

caresource fee schedule 2015

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By , July 15, 2015 10:05 pm
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  • caresource fee schedule 2015

    http://healthbenefitexchange.ky.gov/Documents/CareSource%20KY%20Gold%20SBC%2010.22.14.pdf
    Caresource KY Gold – Kentucky Health Benefit Exchange
    Summary of Benefits and Coverage: What this Plan Covers & What it Costs.
    Coverage … services? No. You don't have to meet deductibles for specific
    services, but see the chart starting on … ADVSBC-KY001(2015)-B-Gold. KY-
    EXCM-36-sp.

    http://chfs.ky.gov/nr/rdonlyres/bd6a0dd9-0983-4cf9-9bee-06999690e1d6/0/finalsidebysideforregion31_revision391514.pdf
    Download – Kentucky: Cabinet for Health and Family Services
    Here is information about covered benefits and services and costs for each MCO.
    Please read this carefully and … Humana – CareSource™ is the HOME GROWN
    choice for quality health care. The well-being of you and … 2015 Benefits Chart.

    http://medicaid.ohio.gov/Portals/0/Resources/Managed%20Care%20Reports/MethodsSpecs/2015/L2-2-EncounterDataSch.pdf
    ODM Encounter Data Submission Schedule – Ohio Department of …
    The Ohio Department of Medicaid's Encounter Data. Submission Schedule:
    January 2015. • Mondays – Caresource; Molina. • Tuesdays – United; Buckeye.

    http://media.khi.org/news/documents/2014/09/05/analysis-of-2015-premium-changes.pdf
    Analysis of 2015 Premium Changes in the Affordable Care Act's …
    Sep 5, 2014 … scale to enroll in the second-lowest-cost silver plan and the federal government
    covers the difference. … In preparation for open enrollment for coverage in 2015
    – which begins November 15 – insurers have …… CareSource.

    http://pcaobus.org/about/ops/documents/support%20fee/issuers_paid.pdf
    Accounting Support Fee – Issuers Paid – Public Company …
    outstanding past-due share of the issuer accounting support fees of the Public …
    Standards Board ("FASB"), as of March 20, 2015. 1/ ….. American CareSource.

    https://www.cccpp.org/CPP/files/32/32c4682e-0336-4bf1-ba26-897a0e9345b9.pdf
    Learn more – Cleveland Clinic Community Physician Partnership
    Jan 21, 2015 … the CareSource Advantage HMO SNP plan as of January 1, 2015. …. should be
    delivered, rather than being constrained by fee codes …. Oct. 6, 2014,
    hydrocodone combination products were rescheduled from Schedule III to.

    http://www.cms.gov/Medicare/Medicare-Advantage/MedicareAdvantageApps/Downloads/CY2015_MA_HSD_Network_Criteria_Guidance.pdf
    CY2015 MA HSD Provider and Facility Specialties and Network …
    Summary of Significant Changes to the CY2015 MA Provider and MA Facility
    Criteria . …. MA Provider Table – Select Provider Specialty Types . ….. primary
    care source for the beneficiary/member, not supplement a physician primary care
     …

    http://www.ncdsinc.com/wp-content/uploads/2015/02/NCDS-Nov-Dec-2014-Update.pdf
    Nov – Dec 2014 NCDS Update – NCDS Medical Billing
    DAYTON — CareSource, a Dayton-based nonprofit, health plan will team with
    Xerox … measures and objectives in 2015, according to a release from CHIME. …
    data on quality measures for covered Physician Fee Schedule (PFS) services …

    http://www.nga.org/files/live/sites/NGA/files/pdf/2015/1501TheExpandingRoleOfPharmacists.pdf
    The Expanding Role of Pharmacists in a Transformed – National …
    Jan 13, 2015 … process in 2015. Alternative … forms, and dosage schedules by the CPP; and the
    CPP being allowed to … prove care and reduce the costs of treating chronic ….. In
    2012, CareSource, a Medicaid managed care plan, began a …

    http://www.buckeyehealthplan.com/files/2014/11/MyCare-Ohio-SNF-Training-updated-10-21-14.pdf
    SNF Provider Training – Buckeye Health Plan
    Nov 1, 2014 … CareSource CareSource … Consumer Hotline to opt-out of Medicare, or
    purchased a 2015 Medicare …. fee schedules including bed hold days.

    http://www.autismcentralohio.org/sites/default/files/Fall%20ASCO%20newsletter2%202014.pdf
    ASCO Fall 2014 Newsletter – Autism Society, Central Ohio
    Oct 25, 2014 … manicures provided to you at no cost! Come listen and learn …. from the Nisonger
    Center. Click here for The Nisonger 2014-2015 schedule.

    https://chapters.theiia.org/dayton/Documents/Dayton%20Chapter%20Newsletter_The%20Wright%20Report_November2014.pdf
    Newsletter – Chapters Site – The Institute of Internal Auditors
    … Director, McGladrey. CPE: 1 hour relating to Audit. Cost: FREE CPE and FREE
    Pizza lunch! RSVP: … CareSource. John. …. hear from you. – John Jenkins,
    Dayton IIA President, 2014-2015 Chapter Year … Chart Your Course. Confused
    about …

    http://www.kidzonemontessori.com/wp-content/uploads/2015/01/Returning-preschool-registration-packet-2015-2016.pdf
    2015 Returning Preschool Registration Packet (PDF) – Discovery …
    Returning Preschool Registration packet for 2015-2016 … Registration/holding
    Fee: Parent/Guardian agrees to pay non refundable registration/holding fee of …

    http://www.kentohio.org/tcb/tcbulletin.pdf
    TCB Spring 2015 – PAGES – City of Kent
    Q Spring 2015 Brush Collection. Q Child ….. usually correspond to the different
    tax schedules. … 70% of our costs in our employees we have to make sure we
    have enough liquid …… Medicaid, Buckeye, Care Source, and United Tdap, Hep
    A.

    http://www.butlercountyohio.org/drcourt/PDFs/IVD_form.pdf
    odhs 7076 eff. 1/1/2015 butler county csea 315 high street, 7th floor …
    Jan 1, 2015 … It also allocates the costs of providing for the health care of the child between ….
    CSEA, including appearing at all hearings and appointments scheduled. … ADC/
    TANF/OWF or Medicaid/Care Source, I understand that failing to …

    http://www.ohiohospitals.org/OHA/media/Images/Finance%20and%20Policy/By-the-Numbers-February-2015.pdf
    here – Ohio Hospital Association
    Feb 28, 2015 … State Budget Proposals Include Increase in Hospital Franchise Fee … A similarly
    timed process will follow each month in 2015 until all … Anthem, Medical Mutual,
    CareSource, Molina, Buckeye, Paramount, and United …. OHA's annual meeting
    is scheduled for June 8 – 10 at the Hilton Easton in Columbus.

    http://www.csa.us/wp-content/uploads/CSACandidateHandbook.pdf
    2015 CSA Candidate Handbook – Society of Certified Senior Advisors
    2015 Certified Senior Advisors (CSA)® Certification Program. All rights reserved.
    …… CSA Office of Certification at 1-800-653-1785 for the fee schedule. All such …

    http://www.region10.org/r10website/assets/File/Kaufman%20County%20English%20Resource%202014-2015.pdf
    Kaufman County – Region 10 Education Service Center
    Child Care Source, The . …… Fee: Sliding scale, Medicaid & private insurance.
    CHILDREN'S MEDICAL CLINICS OF EAST TEXAS. (972) 932-1319. Location: …

    http://board.coveredca.com/meetings/2014/9-18/PDFs/MASTER%20Reports%20and%20Research%20-%20Table%20of%20Contents_September%2018,%202014.pdf
    Reports and Research Table of Contents – Board – Covered California
    Sep 18, 2014 … 2015 than they did if they enrolled in the second-lowest cost plan in 2014. There
    are … As shown in Table 2, the lowest-cost bronze option across the
    marketplaces is increasing by an average of 3.3%, ranging ….. CareSource.

    http://www.communitycatalyst.org/initiatives-and-issues/initiatives/voices-for-better-health/dual-agenda-newsletter/the-dual-agenda-february-4-2015/body/01282015-MCOIT-Agenda-and-Reports.pdf
    February 2015 – Community Catalyst
    January 28, 2015. 1:00 pm – 2:30 pm … 4. DRAFT. MyCare Ohio February 2015
    … Caresource. Molina …. The estimated cost of services is the sum of all of these
    expenditures. Source: BIAR file and files from … consistent reporting schedule.

    code aded to inpatient only list for calendar year 2015 opps

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    By , July 15, 2015 3:51 am
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  • code aded to inpatient only list for calendar year 2015 opps

    http://www.abbottvascular.com/docs/reimbursement/OPPS_Guide_2015.pdf
    OPPS – Abbott Vascular
    Jan 1, 2015 … Update for Calendar Year (CY) 2015.1 The information in this document is
    effective … New CPT Codes Added to OPPS Inpatient Only List.

    http://www.aha.org/advocacy-issues/letter/2014/140827-cl-cms1613p.pdf
    August 27, 2014 Marilyn B. Tavenner Administrator Centers for …
    Aug 27, 2014 … (CMS) proposed rule for the calendar year (CY) 2015 hospital outpatient and
    ambulatory … to the inpatient-only list; changes to the proton beam radiation
    therapy …. Revising the add-on code packaging policy established in CY 2014 by
    packaging all add- … As noted in our comments on the CY 2014 OPPS.

    http://information.medassets.com/rs/medassets/images/CCFN-2015-January.pdf
    January 2015 Hospital Outpatient Prospective Payment … – MedAssets
    Jan 1, 2015 … From new HCPCS codes to replacement CPT® codes … discontinued
    procedures, you'll have a complete inventory of OPPS … for 2015. Beyond just
    listing all the changes, Guilbeau provides you with …. For calendar year (CY)
    2015, CMS will terminate two ….. added the element of “time” to its definition and.

    http://www.cordis.com/sites/default/files/pdfs/HE-R/23197%20-%20FINAL_2014%20Cardiac%20and%20Vascular%20Guide.pdf
    2014 Cordis® Cardiac & Vascular Procedures Reimbursement Guide
    Aug 2, 2013 … information purposes only and represents no statement, promise or guarantee ….
    Beginning with fiscal year 2015, hospitals that do not participate will lose one-
    quarter of the …. codes used in the inpatient setting to report percutaneous ….. A
    total of twenty-three SIs are listed in the calendar year 2014 OPPS …

    http://www.bostonscientific.com/content/dam/bostonscientific/Reimbursement/IC/Final_OPPS_CRV-278904-AA_NOV2014.pdf/
    CY2015 Medicare Final Rules for OPPS, ASC … – Boston Scientific
    (See Table 1 for a list of interventional cardiology combination codes). It should
    also be noted that this payment is $2,766 greater than the national average for
    inpatient MS-DRG 247 Percutaneous … The resulting year-over-year hospital
    payment increase is ~ $5,788 or 23% … ICD PG only payment rates decrease by
    11.3%.

    http://www.cgsmedicare.com/hhh/pubs/mb_hhh/2015/j15_hhh_02-15.pdf
    Medicare Bulletin – February 2015 – CGS Medicare
    Feb 2, 2015 … Descriptions and other data only are copyrighted 2009 American Medical …
    Payment System (OPPS) … MM9034: Summary of Policies in the Calendar. Year
    (CY) 2015 Medicare Physician Fee ….. Table 5: CY 2015 LUPA Add-On factors
    ….. provided under Section 1834(k)(5) of the Act, a therapy code list …

    http://www.accc-cancer.org/oncology_issues/articles/JF15/JF15-COMPLIANCE-Published-before-Print-12-11-14.pdf
    Oncology Reimbursement Update 2015 – Association of Community …
    Guidelines: “military history” has been added as one of the items … in calendar
    year (CY) 2015, but it will consider separate … File for 2015 lists the code as
    S0832.) … are now only three codes for treatment delivery at …. OPPS will be
    approximately $56.1 billion in CY. 2015, an …. inpatient hospital services under
    the name,…

    http://www.dhs.state.mn.us/main/groups/publications/documents/pub/dhs16_189135.pdf
    Changes to DHS BRASS Manual for Calendar Year 2015
    Jan 1, 2015 … The changes in this bulletin list the current BRASS codes and their … has been
    changed or added for six (6) BRASS codes for 2015. …. 473x Acute Care
    Hospital Inpatient ….. Specialized supplies and equipment (CAC, CADI, BI only)
    … Opportunities for personal growth and development which enable …

    http://www.chausa.org/docs/default-source/advocacy/071414-summary-of-proposed-fy2015-opps-rule.pdf?sfvrsn=2
    proposed rule – Catholic Health Association of the United States
    Jul 14, 2014 … 1 Henceforth in this document, a year is a calendar year unless … Proposed
    Procedures That Would Be Paid Only as Inpatient Procedures… … C. Proposed
    update to the Lists of ASC Covered Surgical Procedures and …. OPPS, including
    codes that would be affected by the proposed 2015 OPPS expanded.

    http://www.cahabagba.com/documents/2015/01/february-2015-medicare-newsline.pdf
    February 2015 – Cahaba GBA
    Feb 2, 2015 … Fiscal Year (FY) 2015 Inpatient Prospective Payment … Rate Update for
    Calendar Year (CY) 2015. … Prospective Payment System (OPPS)… …. add us to
    your contact lists, adjust your spam settings, or follow the ….. Note that Medicare
    pays claims with code G0473 only when submitted by the following.

    http://www.nimitt.com/_images/_PRTdocs/PRT_CY_2015_OPPS_Proposed-Rule_Comments.pdf
    PRT OPPS Comments
    Apr 5, 2014 … for one year in order to work on a complexity adjustment; we request CMS to
    delay the …. assigned to a device-dependent APC for CY 2015. … Add-on Codes
    have been packaged services since January 2014 and we acknowledge that …..
    OPPS and has remained off the Inpatient-only List since then.

    https://www.acponline.org/advocacy/where_we_stand/assets/summary_of_cy2015__proposed_rule_physician_fee_schedule.pdf
    Summary of the Proposed Medicare Physician Fee Schedule Rule …
    In prior years CMS has expressed concerns about the accuracy of the information
    they use … idea was to use the Outpatient Prospective Payment System (OPPS)
    and ….. hour (list separately in addition to code for office or other outpatient
    evaluation ….. on 2015 reporting data) and each subsequent calendar year
    payment.

    http://www.hca.wa.gov/medicaid/billing/documents/guides/outpatient_hospital.pdf
    Download – Health Care Authority
    Apr 1, 2015 … This publication takes effect April 1, 2015, and supersedes earlier … Inpatient
    Hospital Services … What is the outpatient prospective payment system (OPPS)
    payment … about outpatient hospital services provided within one calendar day
    of ….. code S2900 and reimburses only for the underlying procedure.

    https://www.facs.org/ahp/cy-2013-opps-asc-comment-letter.pdf
    CY 2013 ACS OPPS/ASC Comment Letter – American College of …
    Aug 31, 2012 … calendar year (CY) 2013 proposed rule: Hospital Outpatient Prospective and.
    Ambulatory … that involve not only angioplasty, but also stent placement.
    Moreover … We urge CMS to add the codes below to the inpatient list because
    they should only be ….. 2014 OQR Measure; ASC-7: 2015 ASCQR Measure).

    http://www.plasticsurgery.org/Documents/Health-Policy/Coding-Payment/hopps-proposed-rule-2015.pdf
    CY 2015 HOPPS Proposed Rule – American Society of Plastic …
    Jul 1, 2014 … prospective payment system (OPPS) and the Medicare ambulatory surgical
    center … for hospital inpatient admissions only for long-stay cases and outlier
    cases; and changes …. Calendar year …. Described by Add-On Codes …. Policies
    Governing Changes to the Lists of Codes and Payment Rates for ASC.

    https://www.noridianmedicare.com/je/partb/bulletins/medicare_b_news_september_2014.pdf
    Medicare B News – Noridian Home
    Sep 2, 2014 … CMS Proposes OPPS And ASC Quality Changes For 2015 . … Category III CPT
    Codes Supplemental Instructions Retirement – ….. are added throughout the
    quarter, (electronic mailing list) at …. Under this proposal, valid only for the 2014
    reporting year, providers ….. elements, for all inpatient admissions.

    http://rcbp.coventryhealthcare.com/web/groups/public/@cvty_mailhandlers_mhbp/documents/webcontent/a052694.pdf
    Health Benefits Resource Guide 2015 – MHBP
    This brochure is provided for descriptive purposes only. Please refer …
    precertification of inpatient admissions and may … A formulary is a list of
    prescription drugs … typically apply on a per-calendar-year basis and can …
    Expand your coverage when you add one … Affordable monthly rates — based
    on your home ZIP code:.

    http://www.medpac.gov/documents/comment-letters/medpac-comment-on-cms-s-proposed-rule-for-hospital-outpatient-prospective-payment-and-ambulatory-surgical-center-payment-systems-and-quality-reporting-programs.pdf?sfvrsn=0
    MedPAC comment on CMS's proposed rule on hospital outpatient …
    Aug 26, 2014 … As you know, the outpatient prospective payment system (OPPS) … also
    estimates the calendar year 2015 update to the conversion factors … CMS has
    proposed that the only costs on a claim with a HCPCS code that maps to a C-
    APC that … In this rule, CMS has proposed to add two categories to the list of …

    http://www.empireblue.com/provider/noapplication/f5/s1/t2/pw_e230182.pdf?refer=ehpprovider
    February 2015 – Empire Blue Cross Blue Shield
    Feb 1, 2015 … Expanded List of Outpatient Procedures for … Long Term Acute Care and
    Inpatient Rehab … Pathway regimens for other malignancies may be added in
    2015. ….. You would need to bill the appropriate delivery only code (either 59409,
    …. services please bill the dates of services using calendar year format.

    http://www.qualityreportingcenter.com/wp-content/uploads/2015/01/OQR_012115-SpecificationsManual_3s.pdf
    OQR Webinar 012115 – Quality Reporting Center
    Jan 9, 2015 … The list of hospitals selected for calendar year. (CY) 2016 … February 1, 2015, is
    the next deadline for Clinical … Updated Postal Code. 9. 1/21/2015 … Added OP-
    32 Facility 7-Day Risk-Standardized … only be nine months; the table has not
    been adjusted …. “Finalized in the CY 2015 OPPS/ASC final rule,.

    code added to the inpatient only list for 2015 according to the cy 2015 opps rule

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    By , July 14, 2015 8:14 pm
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  • code added to the inpatient only list for 2015 according to the cy 2015 opps rule

    http://www.californiahia.org/sites/californiahia.org/files/docs/CDQarticles/2014-02-review-medicare-outpatient-pps-final-rule-for-2014.pdf
    Review of the Medicare Outpatient Prospective Payment System …
    Center (ASC) payment system Final Rule on November 27, 2013, and it became
    effective January1, 2014. There are several important changes to the OPPS and
    ASC payment … Four new procedures were added to the “Inpatient Only” list for
    2014: … Two OQR program measures that were removed for CY 2015 payment …

    http://www.plasticsurgery.org/Documents/Health-Policy/Coding-Payment/hopps-proposed-rule-2015.pdf
    CY 2015 HOPPS Proposed Rule – American Society of Plastic …
    Jul 1, 2014 … payment system for CY 2015 to implement applicable statutory … for hospital
    inpatient admissions only for long-stay cases and outlier …. However, beginning
    with the CY 2012 OPPS/ASC proposed rule, all of …. Described by Add-On
    Codes …. Policies Governing Changes to the Lists of Codes and Payment …

    http://www.cgsmedicare.com/hhh/pubs/mb_hhh/2015/j15_hhh_02-15.pdf
    Medicare Bulletin – February 2015 – CGS Medicare
    Feb 2, 2015 … Descriptions and other data only are copyrighted 2009 American Medical …
    Medicare Secondary Payer Explanation Codes … to the CMS electronic mailing
    lists. … This MLN Matters® Article is intended for Inpatient Rehabilitation Facilities
    …. As described in the CY 2015 final rule, to determine the CY 2015 …

    http://www.aha.org/advocacy-issues/letter/2014/140827-cl-cms1613p.pdf
    August 27, 2014 Marilyn B. Tavenner Administrator Centers for …
    Aug 27, 2014 … (CMS) proposed rule for the calendar year (CY) 2015 hospital … to the inpatient-
    only list; changes to the proton beam radiation …. Revising the add-on code
    packaging policy established in CY 2014 by … that CMS accurately computed the
    weights according to the established OPPS methodology and.

    http://www.accc-cancer.org/advocacy/pdf/2015-OPPS-proposed-summary.pdf
    1 Summary of Selected Provisions of the Hospital Outpatient …
    information are available only on the CMS web site. … CMS proposes to continue
    for CY 2015 to calculate the OPPS relative payment weights … Exception;
    Physician Certification of Inpatient Hospital Services; Medicare ….. In the CY
    2014 OPPS final rule, CMS packaged add-on codes in the OPPS, with the
    exception of.

    http://www.chausa.org/docs/default-source/advocacy/071414-summary-of-proposed-fy2015-opps-rule.pdf?sfvrsn=2
    proposed rule – Catholic Health Association of the United States
    Jul 14, 2014 … Proposed Procedures That Would Be Paid Only as Inpatient Procedures………..
    …. list of codes to be bypassed to convert multiple procedure claims to … OPPS,
    including codes that would be affected by the proposed 2015 OPPS expanded ….
    CMS will continue to add new brachytherapy source codes and …

    https://www.janssenaccessone.com/assets/medicare-hospital-outpatient-prospective-payment-system.pdf
    Medicare Hospital Outpatient Prospective Payment System (OPPS …
    Nov 10, 2014 … This document is presented for informational purposes only and is … Summary of
    Key Provisions from the 2015 OPPS Final Rule … services, including the
    associated drug administration add-on codes,”7 so changes to … applying the CY
    2017 and CY 2018 payment adjustments (see Appendix 3 for a list of.

    https://www.acponline.org/advocacy/where_we_stand/assets/summary_of_cy2015__proposed_rule_physician_fee_schedule.pdf
    Summary of the Proposed Medicare Physician Fee Schedule Rule …
    Physician Fee Schedule Rule for CY 2015. Table of … idea was to use the
    Outpatient Prospective Payment System (OPPS) and … (According to the claims
    data this code is performed 40.26% of … hospital inpatient and outpatient
    prospective payment systems. …. the clinician, to include not only the telephone
    but also secure.

    http://information.medassets.com/rs/medassets/images/CCFN-2015-January.pdf
    January 2015 Hospital Outpatient Prospective Payment … – MedAssets
    Jan 1, 2015 … From new HCPCS codes to replacement CPT® codes … for 2015. Beyond just
    listing all the changes, Guilbeau provides you with …. CODES. For calendar year
    (CY) 2015, CMS will terminate two …. since the publication of the 2015 OPPS
    Final Rule. … inpatient or if the patient should be discharged from.

    http://www.cahabagba.com/documents/2015/01/february-2015-medicare-newsline.pdf
    February 2015 – Cahaba GBA
    Feb 2, 2015 … Fiscal Year (FY) 2015 Inpatient Prospective Payment … CY 2015 Annual Update
    for Clinical Lab Fee Schedule … Physician Fee Schedule Final Rule and
    Telehealth …. add us to your contact lists, adjust your spam settings, or follow the
    ….. Note that Medicare pays claims with code G0473 only when …

    https://www.revenuecycleinc.com/pdf/RCI_Website_CY2015_ProposedRuleSummaryHOPPSRadOnc_7.7.2014.pdf
    CY2015 Proposed Rule for Radiation Oncology – HOPPS
    Jul 7, 2014 … Conversion Factor – proposed for CY 2015 $74.176 … proposed rule for
    hospitals paid under IPPS and OPPS as a source for the … o Treatment of add-on
    codes – proposed to be assigned Status …. Medicare is also proposing to use the
    proposed Inpatient Prospective Payment System (IPPS) wage index.

    http://www.acr.org/~/media/ACR/Documents/PDF/News/2014%20HOPPS%20Proposed%20Rule%20Summary.pdf
    2014 HOPPS Proposed Rule Summary
    Jul 8, 2013 … comment period of the inpatient rule as well to express concerns and present …
    Usage of this proposed data would not only cut hospital outpatient … (4)
    Procedures described by add-on codes; … (6) Diagnostic tests on the bypass list;
    and … is contemplating a proposal for CY 2015 that would conditionally …

    http://www.wpsmedicare.com/j5macparta/news/current-communique/_files/2014-fall-cq.pdf
    Fall 2014 Part A Communique – WPS
    Dec 1, 2014 … 2015 Annual Update to the Therapy Code List (MM 8985) . … for Cost Based
    Payment CRNAs Services Furnished by OPPS … Use of CARC and RARC Rule –
    Update from CAQH CORE (MM … Pub 100-03, Chapter 1, Language-only
    Update (Revised MM …. Therapy Cap Values for CY 2015 (MM 8970) .

    http://mptrms.mckesson.com/rs/MckessonPT/images/FY15PFSfinalRulingENT.pdf
    Centers for Medicare & Medicaid Services (CMS … – McKesson
    Dec 3, 2014 … Expansion Exception; Physician Certification of Inpatient Hospital … use only,”
    and it is not intended to provide legal advice or counseling on …. CY 2015, they
    finalized the proposed rule to implement the third … In the proposed rule, CMS
    proposed to add the following services to the list of services that can.

    https://www.cookmedical.com/wp-content/uploads/2014/12/RG_RFCRG_RE_201501.pdf?905860
    Biodesign Fistula Plug – Rectovaginal Fistula 2015 – Cook Medical
    Table A – Assorted Reference Service CPT Codes CY 2015 … (ambulatory
    surgery center vs. hospital outpatient vs. hospital inpatient); and … (OPPS).
    Medicare updates its list of “approved” procedures annually. Each of … According
    to CMS: … Program; Changes to the OPPS and Calendar Year 2006 Rates; Final
    Rule.

    http://www.cap.org/apps/docs/advocacy/comments/cap-2015-fee-schedule-comments.pdf
    CAP detailed – College of American Pathologists
    Aug 29, 2014 … for CY 2015; Proposed Rule (July 11, 2014) … maintain accurate payment”, that it
    would be appropriate to use only one “G” code to … cytoplasmic, or nuclear
    marker, technical component only; each additional marker (List … The CAP and
    CMS agree that “the comparison of OPPS (or ASC) payment amounts …

    http://www.mass.gov/eohhs/docs/eohhs/healthcare-reform/updates/2014/141117.pdf
    November 17, 2014 – Mass.Gov
    Nov 17, 2014 … surgical center (ASC) payment system for CY 2015. According to CMS, the rule
    implements changes to move from a hospital OPPS and fee …

    http://hfmanj.org/images/downloads/Presentation/hfma_nj_compliance_hot_topics_presentation_mar_10__2015.pdf
    Hot Topics in Compliance Recent … – HFMA NJ Chapter
    Mar 10, 2015 … during CY 2012 through 2017 if CMS reduces hospital outpatient … According to
    BNA's Health Care Fraud Report, the following are the top … repayment rule …
    Top 10 Health Care Fraud Issues in 2015 ….. Medicare paid for inpatient hospital
    services only if a physician ….. Other OPPS changes to watch for.

    http://www.acla.com/wp-content/uploads/2013/12/082913-Letter-to-Marilyn-Tavenner-regarding-PFS-Comments-.pdf
    See Original PDF here. – American Clinical Laboratory Association
    Using OPPS and ASC Rates in Developing PE RVUs for Codes with Higher Total
    …. Medicare should pay only a reasonable amount for any service, but it strains …
    about 30 percent in the CY 2013 PFS final rule, yet the Agency now seems to
    have ….. 2015 PFS, CMS would review certain codes on the CLFS to determine …

    https://www.facs.org/ahp/cy-2013-opps-asc-comment-letter.pdf
    CY 2013 ACS OPPS/ASC Comment Letter – American College of …
    Aug 31, 2012 … calendar year (CY) 2013 proposed rule: Hospital Outpatient Prospective … that
    involve not only angioplasty, but also stent placement. … We urge CMS to add the
    codes below to the inpatient list because they should …. According to the CMS
    Medicare …. 2014 OQR Measure; ASC-7: 2015 ASCQR Measure).

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