This monthly update highlights key regulatory developments, enforcement trends, and compliance issues affecting health care providers across the continuum – from solo practices to hospitals and large physician groups. Each section includes practical action items to help you assess risk and prepare for upcoming obligations. April developments reflect increased scrutiny of emerging care delivery models,
The final CY (calendar year) 2016 Medicare physician payment rule is out and published in the November 16, 2015 Federal Register. In that rule, CMS (Centers for Medicare & Medicaid Services) made two changes clarifying Medicare’s Part B “incident to” billing rule found at 42 CFR 410.26. The amended regulatory language becomes effective on January 1, 2016.Continue Reading Medicare “Incident To” Billing – CY 2016 Clarifications