Industry Notes

Why This Topic Matters

The piece highlights several policy and administrative changes that can affect payment, claim acceptance, and documentation readiness across multiple provider types. It helps readers quickly identify which Medicare, CPT, and post-acute billing topics warrant closer review in the full article.

Article Sections

1. With Election Over, All Eyes Turn to Medicare Cuts

   Discusses post-election Medicare budget concerns and broader federal payment issues affecting provider reimbursement. The section also references congressional and policy developments that may influence healthcare payment debates.

2. Take Note of Errors in CPT® 2013, AMA Instructs

   Summarizes reported corrections and errata related to the CPT 2013 manual. The section focuses on areas of the manual where readers are advised to review published updates from the AMA.

3. Prepare Now For Supply Concerns From Diabetic Patients

   Covers oversight activity affecting diabetes test strip billing and supplier practices. The section centers on a federal report and its implications for access and reimbursement in competitive bidding settings.

4. HIPPS Validation Underway For Post Acute Providers

   Explains validation edits affecting HIPPS coding for post-acute providers and associated claim processing changes. The section also notes CMS guidance and implementation timing for affected provider types.

5. MAC Targets Claims With 5-7 Visits

   Reviews contractor scrutiny of home health claims in lower-visit episodes and the documentation issues associated with denials. The section highlights claims review activity and related administrative follow-up.