tci Medicare Compliance & Reimbursement - 2004 Issue 39

Ambulatory: New Changes On Tap For OPPS In '05

Observation guidelines and drugs receive federal scrutiny.Be prepared: The Medicare Modernization Act is now in full effect - or close, anyway - and the Centers for Medicare & Medicaid Services' proposed rule for the outpatient prospective payment system aims to implement the few changes that are left. Follow These 7 Rules for Separate Observation Pay For 2005, CMS attempts to smooth out a few rough edges in the complicated guidelines for reporting observation, but the changes may not make the road less bumpy. For starters, the agency wants to scrap the requirements that staff perform certain diagnostic tests...

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