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Hospital Settles CMP Case Over Free APPs; 'Bona Fide' Use Shouldn't Inspire Fear, Lawyer Says | Health Care Compliance Association (HCCA)

In a case that may hit a raw compliance nerve, Ascension Macomb Oakland Hospital in Michigan has agreed to pay $100,000 in a settlement with the HHS Office of Inspector General (OIG).

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The New Year Brings New Opportunity For Coding Complex Administration Infusions And Injections - Healthcare

Effective December 21, 2023, the Centers for Medicare & Medicaid Services (CMS) has directed A/B MACs to not make downward adjustments to claims for CPT Codes.

Medicaid servicesNational government servicesCenters for medicareEffective decemberDirection letterMedicare claims processingThe new year brings opportunity for coding complex administration infusions and injectionsLife sciencesFood and drugs law

The New Year Brings New Opportunity for Coding Complex Administration Infusions and Injections | Bass, Berry & Sims PLC

Effective December 21, 2023, the Centers for Medicare & Medicaid Services (CMS) has directed A/B MACs to not make downward adjustments to claims for CPT Codes for complex therapy.

National government servicesCenters for medicare medicaid servicesBerry simsMedicaid servicesDirection letterMedicare claims processing

CMS Responds to Public Comments Received on Beta Amyloid PET Scan Proposed Coverage

CMS Responds to Public Comments Received on Beta Amyloid PET Scan Proposed Coverage
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Medicaid servicesAmerican college of radiologyNational coverage decisionCenters for medicareNational coverage determination reconsiderationBeta amyloid positron emission tomographyAmerican collegeAbeta amyloidMedicare administrative contractorsNeurodegenerative diseaseMedicare physician fee scheduleHospital outpatient prospective payment systemMedicare advantageChange requestMedicare claims processing

CMS Expands Access to Beta Amyloid PET for Medicare Beneficiaries

Medicare leaves coverage determination for amyloid PET in dementia care to MACs

National oncologicCenters for medicareMedicaid servicesAmerican college of radiologyMedicare administrative contractorsAmerican collegeImaging dementiaAmyloid scanningNext stepsChange requestMedicare claims processing