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Payment Matters

Payment Matters >
May 17, 2012

  • CMS Proposes Changes to GME/IME Payment Rules and Provides Guidelines for § 5506 Application Process
  • Reactivation of Billing Privileges - More Onerous for HHAs

Payment Matters >
May 3, 2012

  • CMS Releases Proposed FFY 2013 IPPS Rule
  • Protect Wage Index Budget Neutrality Issue by Protesting Amount on FYE 12/31/11 Cost Report
  • CMS's Non-Hospital Training Rules Again Upheld
  • Contracting Opportunities Begin for Dual Eligible Integrated Care

Payment Matters >
April 19, 2012

  • Court Upholds "Must-Bill" Policy for Dual-Eligible Bad Debts, Remands on Prior Lack of Enforcement
  • CMS Reminds Providers of How Reasonable Cost Principles Apply to Provider Taxes

Payment Matters >
April 3, 2012

  • CMS Issues Revised 2006-2009 SSI Percentages

Payment Matters >
March 21, 2012

  • Pre-Payment Review: CMS Contractors Fail to Follow the Rules
  • CMS Announces New Hospital Value-Based Purchasing FAQs

Payment Matters >
March 8, 2012

  • Job Creation Act Includes Key Medicare Payment Provisions

Court Rules Dual Eligible Days Properly Included in Medicaid Fraction of Medicare DSH Calculation >
February 16, 2012
By: Mark A. Stanley

Payment Matters >
February 16, 2012

  • Court Rules Dual Eligible Days Properly Included in Medicaid Fraction of Medicare DSH Calculation
  • CMS Issues Proposed 60 Day Repayment Rule

Payment Matters >
January 25, 2012

  • CMS Instructs Teaching Hospitals on Reporting FICA Tax Refunds for Medical Residents
  • CMS Proposed Rule May Offer Relief to Medicaid DSH Providers
  • Second Year of the Medicare Primary Care Provider HPSA Bonus Payment Policy

Payment Matters >
January 11, 2012

  • Independence at Home Demonstration: Testing In-Home Primary Care Services
  • FY 2012 Wage Index Appeals Due Soon
  • Bundled Payment Application Deadline Extended until April
  • Sunshine Proposed Rule Sheds Light on Reporting Requirements

Payment Matters >
December 20, 2011

  • Prepayment Review: CMS Signals Changes that May Be in Store for the Recovery Audit Contractor (RAC) Program
  • Welcome Clarification for Home Health Face-to-Face Documentation Requirements
  • Quality Measures Under Consideration for Agency Programs
  • Final Rule on ESRD PPS and Quality Incentive Program Issued

Payment Matters >
November 29, 2011

  • CMS Final Rule Eliminates Requirement for Signed Laboratory Requisition: The Good, the Bad and the Unknown
  • Are You up for the Health Care Innovation Challenge? $1 Billion in Grant Money Announced
  • Medicare Catch-22: Licensure Conundrum under DMEPOS Competitive Bidding
  • OIG’s 2012 Work Plan – What Can Long-Term Care and Community-Based Providers Expect in the Coming Year?

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