News

Oplinc Best Practices Review, Volume 12, Issue 1

Posted on 4.13.2017

Health Care Fraud and Abuse Control Programs 1, 2, 3… Read More

Oplinc Fast Facts…

Posted on 1.4.2017
  • Obama Administration Halts Part B Drug Model
  • JW Modifier – No Mandatory
Read More

Oplinc Fast Facts Medicare Final Rules

Posted on 11.14.2016

CMS Releases Medicare 2017 Final Rules… Read More

Oplinc Fast Facts

Posted on 10.26.2016

CMS Releases Final Rule on MACRA, MIPS & APMs… Read More

Best Practices Review Vol 11, Issue 2

Posted on 8.4.2016

Patient Assistance Programs 2016… Read More

Oplinc Fast Facts

Posted on 5.3.2016

Medicare Policy Clarified for Prolonged Drug and Biological Infusions Started Incident to a Physician’s Service Using an External Pump… Read More

Oplinc Best Practices Review, Volume 11, Issue 1

Posted on 4.12.2016

On October 30, 2015, the Centers for Medicare & Medicaid Services (CMS) issued a final rule updating payment rates and quality provisions for services provided under the Medicare Physician Fee Schedule (PFS).

The 2016 PFS final rule is the first … Read More

Oplinc Fast Facts

Posted on 3.9.2016

New Proposed Change to ASP Pricing for Part B Drugs

On February 5th, the Centers for Medicare & Medicaid Services (CMS) posted and then removed a transmittal to Medicare contractors that outlined a new payment model to be tested for Read More

Oplinc|Best Practice Review – Volume 10, Issues 2

Posted on 10.27.2015

Congress Comes together to replace the SGR Formula

The Sustainable Growth Rate (SGR) formula was implemented to limit the growth in Medicare expenditures on physician services. Under the SGR, physician payments were determined through a formula that linked Medicare spending … Read More

Oplinc|Special Report on Orphan Drugs

Posted on 10.5.2015

Orphan drugs are pharmaceutical agents developed specifically to treat a rare medical condition. In the United States, an orphan drug is defined as a drug that treats a disease that affects less than 200,000 individuals, or less than 5 per … Read More