Point-of-entry case managers might have eased the sting of almost 260 procedures being removed from the Medicare Inpatient Only list at the start of the year for some hospitals, but it doesn't help many understand CMS's reasoning for reversing their decision in the 2022 Proposed OPPS. ACPA President Dr. Juliet B. Ugarte Hopkins elaborates in this article from the Report on Medicare Compliance from the Health Care Compliance Association.
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