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The Removal of Total Hip Arthroplasty from the Inpatient Only List The Medicare Inpatient-Only (IPO) list includes procedures that are typically provided only in the inpatient setting and paid under the Hospital Inpatient Prospective Payment System (IPPS)1. Each year,...
FY 2019 Inpatient Only Procedure List Regulatory Update Develop and implement a process that involves your cardiac catheterization teams NOW to ensure the placement of the correct admission status order for the inpatient only procedures described by CPT 92941 or HCPCS...
Versalus Health’s Comments on CMS’ Elimination of Burdensome Inpatient Order RequirementsIn the FY 2019 IPPS Final Rule (CMS-1694-F), which is scheduled to be printed in the Federal Register on 8/17/18, CMS finalized its proposal to remove the requirement that a...
CMS 2023 OPPS & ASC Final Rule Overview On November 1, 2022, CMS released the CY 2023 Medicare Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center Payment System (ASC) Final Rule with Comment Period (CMS–1772–FC), with the official...
CMS 2023 IPPS & LTCH Final Rule Overview On August 1, 2022, CMS released the FY 2023 Hospital Inpatient Prospective Payment System (IPPS) and Long Term Care Hospitals (LTCH PPS) Final Rule (CMS–1771–F), which was finalized and became effective on November 1, 2022....
Versalus Health Comments on the April 2022, Office of Inspector General Report on “Some Medicare Advantage Organization Denials of Prior Authorization Requests Raise Concerns About Beneficiary Access to Medically Necessary Care” Summary: The Center for Medicare and...
