Articles and Blogs


CMS Postpones Rules for Billing Off-Campus Provider-Based Departments Until July 2019


Posted on March 29, 2019 in Health Law News

Published by: Hall Render

In a previous article, we reported on new billing edits that CMS is implementing, which will Return to Provider any hospital UB-04 claims that identify a service location that is not an exact match to a Medicare-enrolled location identified in Provider Enrollment, Chain and Ownership System (“PECOS”). Those edits were scheduled to be activated... READ MORE

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Provider-Based Mid-Build Exception Starts to Pay Off for Hospitals


Posted on January 15, 2018 in Health Law News

Published by: Hall Render

CMS recently released a series of Frequently Asked Questions (“FAQs”) on its website providing some much needed guidance to hospitals. Among other things, CMS will allow hospitals that submitted attestations and mid-build certifications last February to get full payment under the Outpatient Prospective Payment System (“OPPS”) for dates of service on or after January... READ MORE

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