Thursday, August 1, 2024
- Skilled Nursing Facility FY 2025 Final Rule
- Inpatient Rehabilitation Facility FY 2025 Final Rule
- Inpatient Psychiatric Facility FY 2025 Final Rule
- Hospice FY 2025 Final Rule
Final Payment Rules
Skilled Nursing Facility FY 2025 Final Rule
Learn about the FY 2025 Skilled Nursing Facility final rule.
For more information, see the rule and related files and Patient Driven Payment Model.
Inpatient Rehabilitation Facility FY 2025 Final Rule
Learn about the FY 2025 Inpatient Rehabilitation Facility final rule.
For more information, see the rule and related files and Quality Reporting Program.
Inpatient Psychiatric Facility FY 2025 Final Rule
Learn about the FY 2025 Inpatient Psychiatric Facility final rule.
More Information, see the rule and related files.
Hospice FY 2025 Final Rule
Learn about the FY 2025 Hospice final rule.
For more information, see the rule and related files and Hospice Center.
News
CMS Roundup (July 26, 2024)
You may be interested in this topic from the CMS Roundup: information on the intersection of EMTALA and behavioral health.
Opioid Treatment Program: Learn How to Bill Medicare
Opioid Treatment Programs (OTPs) provide medications for people diagnosed with an opioid use disorder (OUD). Medicare pays for OTP services for OUD treatment when you’re:
- Certified by SAMHSA and accredited by an independent, SAMHSA-approved accrediting body
- Enrolled in the Medicare program as an OTP and have a provider agreement
Learn more about OTPs.
Claims, Pricers, & Codes
DMEPOS: Provider Level Adjustment Codes on Remittance Advice
Learn about system changes to report DMEPOS provider level adjustment codes on the remittance advice. See the instruction to your Medicare Administrative Contractor (PDF).
Publications
Beneficiaries Dually Eligible for Medicare & Medicaid — Revised
Learn what’s changed (PDF). CMS added information on Qualified Medicare Beneficiary billing prohibitions.
Multimedia
Post-Acute Care Quality Reporting Programs: Patient Mood Interview Video Tutorial
Watch a Post-Acute Care (PAC) Quality Reporting Program (QRP) video tutorial, and find out how to complete:
- D0150, Patient Mood Interview (PHQ-2 to 9©)
- D0160, Total Severity Score
The video includes 2 coding scenarios.
Questions?
- If you have questions about accessing resources or feedback about this video, contact the PAC Training mailbox
- Submit questions about the programs to:
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