Catherine G Lucas (Katy)

King & Spalding LLP


Results 1 to 5 of 43

Proposed changes to the hospital Outpatient Quality Reporting (OQR) and Ambulatory Surgical Center Quality Reporting (ASCQR) programs

USA - July 15 2013 Hospitals and ASCs that fail to meet Hospital OQR Program and ASCQR Program reporting requirements will receive a 2.0 percentage point reduction to…

Stephanie F Johnson, Lora L Greene, Susan Banks, Jennifer Simmen Lewin

CMS issues guidance on Medicare coverage of items and services furnished to beneficiaries in custody under a penal authority

USA - November 11 2013 In October 2013, CMS issued a Fact Sheet outlining its policy regarding beneficiaries who are incarcerated or in custody. See CMS Fact Sheet…

CMS amends ruling 1498-R regarding remedy for recalculation of Medicare DSH payment adjustments

USA - April 27 2015 On April 22, 2015, CMS issued Ruling 1498-R2 (the Revised Ruling), a modification of the prior ruling governing Medicare Disproportionate Share…

Proposed single payment level for hospital outpatient clinic and ed visits

USA - July 15 2013 For CY 2014, CMS proposes to do away with the existing 5 levels of visit codes for hospital outpatient clinic, Type A ED, and Type B ED, and replace…

Stephanie F Johnson, Lora L Greene, Susan Banks, Jennifer Simmen Lewin

Documenting medical necessity for major joint replacement (hip and knee)

USA - September 24 2012 Recent Medicare auditing projects have demonstrated very high error rates among claims paid for major joint replacement surgery.