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AHA Comments on Medicare Hospital Outpatient Prospective Payment System and CY 2011 Payment Rates

December 22, 2010

The AHA recommends that in CY 2011, CMS establish two new APCs into which CPT codes 74176, 74177 and 74178 would be placed, depending on whether or not contrast is used in the performance of the service. We further recommend that the payment amount for each of the APCs be set at the same amount as CMS will pay for composite APCs 8005 and 8006. Alternatively, CMS could change the claims payment system logic for assigning CPT codes to composite APCs to ensure that if one of these new combination CPT codes is billed by a hospital outpatient department, the payment would be assigned to either composite APC 8005 or 8006, depending on whether contrast was used. Learn More

CMS seeks comments on EMTALA proposed rule

December 22, 2010

Notice of CMS' intention to solicit comment on the need to publish a proposed rule to address two policies related to the Emergency Medical Treatment and Labor Act \(EMTALA\) Learn More

AHA Comments to CMS Re: Recovery Audit Contractors

December 20, 2010

AHA letter to CMS regarding CMS' proposed rule implementing provisions in the Patient Protection and Affordable Care Act related to the Medicaid Recovery Audit Contractor program. Learn More

AHA Comments to CMS Re: Hospital Outpatient Prospective Payment System and CY 2011 Payment Rates

December 17, 2010

AHA comments on the Centers for Medicare & Medicaid Services' (CMS) interim final rule on payment for certified-registered nurse anesthetist (CRNA) services furnished in rural hospitals and critical access hospitals (CAHs). Learn More

Physician Fee Schedule Final Rule For Calendar Year 2011

December 17, 2010

On November 2, the Centers for Medicare & Medicaid Services \(CMS\) released its final rule with comment period for calendar year \(CY\) 2011 with changes to the Medicare physician fee schedule \(PFS\) and other revisions under Medicare Part B. Learn More

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