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
Payment Matters >
November 14, 2012
- AHA and Hospitals Sue HHS Over Claims Denials Involving Patient Status
- Calendar Year 2013 Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Final Rule Released by CMS
- CMS Releases Home Health Prospective Payment System Final Rule for CY 2013
Payment Matters >
November 1, 2012
- Court Rejects Secretary’s Denial of Exhausted Benefit Days in the DSH Medicaid Proxy
- Proposed Settlement Would Prevent Medicare Denials for Chronically Ill and Disabled Due to Lack of Improvement
- OIG's 2013 Work Plan - What's Critical for Long-Term Care, Hospice, Home Health Agency and Home and Community-Based Providers?
Payment Matters >
October 18, 2012
- A Second Court of Appeals Rules Against Hospitals in Medicare “Provider Tax” Case
- New Registration Process for 340B Entities - Another Sign of Changes in the Program
- OIG’s 2013 Work Plan – What Should Hospital and Physician Providers Expect in the Coming Year?
Payment Matters >
October 4, 2012
- Sovereign Immunity Extended to Medicare Contractors
- Two Hospital Quality Initiatives Begin October 1, 2012
- CMS Raises Threshold Amounts for Medicare Appeals
Payment Matters >
September 20, 2012
- RACs Unleashed: 9th Circuit's Palomar Decision Gives Even More Discretion to Medicare Contractors
- Court of Appeals Upholds Medicare Offset in Provider Tax Case
- Medicaid Matters: States Weigh Medicaid Expansion Options
Payment Matters >
September 6, 2012
- In Seeking to Minimize Readmissions, Hospitals Must Remember Patient Choice Requirements
- RACs Bark, ZPICs Bite
- CMS Announces Comprehensive Primary Care Initiative
Payment Matters >
August 22, 2012
- Medicare's Three-Day Window is Fully in Effect: Are You in Compliance?
Payment Matters >
August 8, 2012
- CMS Releases Final FFY 2013 IPPS Rule
- CMS Proposes Additional Payments for Care Coordination by Primary Care Physicians
- Outpatient Therapy: Caps for Hospitals, Mandated Medical Review and Proposed Functional Limitation Reporting
- CMS Proposes ESRD PPS for 2013, and Bad Debt Reductions for All
Payment Matters >
July 26, 2012
- CMS Seeks Suggestions for Rules Governing Inpatient vs. Outpatient Admission Decisions
- Home Health CY 2012 PPS Proposed Rule Offers Some Relief and Some New Penalties
- Proposed DME Face-to-Face Encounter Rule Means See More, Spend More, Save More for Medicare
- CMS Requests Input on Proposed Rule for Resolving Medicare Secondary Payer (MSP) Obligations Relating to Future Medical Care
Payment Matters >
July 12, 2012
- Supreme Court's Affordable Care Act Ruling Could Cause Problems for Many DSH Hospitals
- CY 2013 Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Proposed Rules Released by CMS
- CMS Releases its CY 2013 Physician Fee Schedule Proposed Rule
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