Medicare Insights Weekly - JH Part A, Episode Number 35




Medicare Insights Weekly - JH Part A show

Summary: In this week's Medicare Insights Weekly podcast, please enjoy our articles on a payment issue affecting Rural Health Clinics for Annual Wellness Visits and Initial Preventive Physical Examinations services and a reminder to follow the interim process for hospitals to bill Medicare for Part B services following a denial of an inpatient admission as not reasonable and necessary. In addition, we are pleased to bring you another exciting interview with our Contractor Medical Director on Medical Necessity. The Centers for Medicare and Medicaid Services issued new and revised Medicare Learning Network Matters articles on National Physician Payment Transparency Program, Ambulance Payment Reduction for Non-Emergency Basic Life Support Transports to and from Renal Dialysis Facilities, July Update to the Calendar Year 2013 Medicare Physician Fee Schedule Database and July 2013 Integrated Outpatient Code Editor Specifications Version 14.2. In our Comprehensive Error Rate Testing segment, we discuss medically unnecessary service or treatment of implantation or replacement of cardiac resynchronization defibrillator and its impact on Diagnostic Related Group payments. We are pleased to announce that you can earn continuing education units with each of our educational events. Please review our list of upcoming events and start earning continuing education units. A transcript of this program is included with the MP3 file. To view the transcript, please enable lyrics on your player. Have a comment on our podcasts? Take our Podcast Survey! https://www.surveymonkey.com/s/MIWpodcastfeedback. Websites referenced in today’s podcast: http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/SE1303.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8269.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8291.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8317.pdf http://www.cms.gov/medicare-coverage-database/details/ncd-details.aspx?NCDId=110 https://www.novitas-solutions.com/websch/MedPolSearchResults.do?option=medpolsearch http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/pim83c06.pdf