Corporate Compliance

Other Issuances: CMS posts new beneficiary forms, addresses improper payment trends, and more

Medicare Insider, November 23, 2010

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CMS posts new beneficiary notice forms

CMS has posted new versions of the “Important Message from Medicare” and “Detailed Notice of Discharge” forms. The latest version of the “Important Message from Medicare” requires hospitals to note the time of delivery. Hospitals and Medicare Advantage organizations (MAOs) may use these versions immediately, but use is not required until April 1, 2011. After April 1, 2011, the old versions of these forms will be invalid.

View the updated "Detailed Notice of Discharge."

View the updated "Important Message from Medicare."

Read more about the changes.

CMS launches health reform innovation center

On November 16, CMS announced the establishment of the Center for Medicare and Medicaid Innovation, under the Patient Protection and Affordable Care Act.

View the CMS announcement.

CMS addresses improper payment rate

On November 16, CMS issued a release to announce a reduction in improper payments in 2010, and a continuing downward trend for future years.

Read more about the improper payment rate.

OIG audits inpatient claims

On November 8, the OIG posted a review of selected payments for inpatient services processed by Noridian for calendar years 2006 through 2008. The OIG determined that, during those two years, Noridian made overpayments totaling $715,000 to hospitals for inpatient services. Noridian made these incorrect payments because neither the Fiscal Intermediary Standard System nor the Common Working File had sufficient edits in place during our audit period to prevent or detect the incorrect payments.

View the OIG report.

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