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Payment Matters
Payment Matters >
May 16, 2013
- CMS Proposes New Standard for Hospital Inpatient Admissions
- NOIs Due Soon to Apply for 2014 ACO Program
- RAC Relief (Sort Of)
- CMS Prevails in DSH Challenge Involving Waiver-Expansion Days
Payment Matters >
May 2, 2013
- CMS Releases Proposed FFY 2014 IPPS Rule
- Self-Audit Results Found Sufficient to Sustain False Claims Act Complaint
- Recent Court Decisions Affecting DSH Percentage Calculations May Impact Participation in the 340B Drug Discount Program
- Phase Two Edits - Temporarily on Hold
Payment Matters >
April 18, 2013
- Court Grants Unexpected Victory to Providers on Medicare DSH Adjustment
- Court Rules That Supervision and Enrollment Issues Don't Give Rise to False Claims Act Liability
- AHA Survey Continues to Bird Dog RAC Program
Payment Matters >
April 4, 2013
- D.C. District Court Again Rules That Bad Debt at a Collection Agency is Allowable
- Court of Appeals Rules for Government in DSH Exhausted Benefit Day Appeal
- The New DSH - Are You Supplying The Correct Data That Will Drive Your Payments?
- PRRB Upholds Liquidation Requirement for Pension Expenses in Wage Index Calculation
Payment Matters >
March 21, 2013
- CMS Revises Part B Billing Policy for Unnecessary Inpatient Admissions
- Ordering / Referring Phase 2 Begins May 1st - Claims Will Be Denied
- Payment Adjustments for Low-Volume Hospitals and Medicare-Dependent Hospital Program Extended
- Court Places Limits on Secretary's "No Reopening" Arguments
Payment Matters >
March 7, 2013
- CMS Announces More Bundled Payment Opportunities: Are We Moving Back to Capitation?
- CMS Proposes Rules to Promote Efficiency, Transparency and Burden Reduction
Payment Matters >
February 21, 2013
- CMS Clarifies IRF Claim Processing
- Expect Increased Medicare Denials for Incarcerated Beneficiaries and Unlawful Aliens
Payment Matters >
February 7, 2013
- Supreme Court: Providers' Appeal Period Not Extended by Doctrine of Equitable Tolling
- Recent PRRB and CMS Administrator Decisions: A Summary for Providers
- No Judicial Review of Contractor's Finding of a High Payment Error Rate, a Condition for Extrapolation
- Wage Index Appeals Due by Feb. 27
Payment Matters >
January 24, 2013
- Changes to Medicare Secondary Payer Conditional Payment Rules
- AHA Survey Identifies Continuing Problems with Medicare RAC Program
- Court Rules That Medicare DSH Statute Means What It Says
Payment Matters >
January 10, 2013
- American Taxpayer Relief Act of 2012: Physician Cuts Averted, Hospitals to Carry Portion of Price Tag
- Extension of Time for Overpayment Recoveries in Fiscal Cliff Law Not as Broad as it Sounds
- CMS Acknowledges Transitional Care Management as Separate Service from E/M
Payment Matters >
December 13, 2012
- Providers Again Win in Medicare Disproportionate Share Adjustment Challenge
- Recent PRRB and CMS Administrator Decisions: A Summary for Providers
Payment Matters >
November 29, 2012
- CMS Releases its CY 2013 Physician Fee Schedule Final Rule
- New Medicare and Medicaid Rules Boost Primary Care Reimbursement and Implement Value-Based Payment Methodology
- Court Again Rules Medicare’s “Must Bill” Policy for Medicare Dual Eligible Bad Debts Is Reasonable
