Corporate Compliance

Regulations: CMS publishes Medicaid RAC proposal, MPFS rule, and more

Medicare Update for Physician Services, December 2, 2010

CMS publishes MPFS rule

On November 29, CMS published in the Federal Register the physician fee schedule final rule for CY 2011. CMS had previously released the rule as a display copy for public inspection.

View the MPFS final rule.

CMS publishes 2011 premiums, coinsurance, deductibles

On November 9, CMS published three notices in the Federal Register to set various premium, deductible, and coinsurance rates for 2011.

View the notice of Medicare Part B monthly actuarial rates, premium rate, and annual deductible for CY 2011.

View the notice of inpatient hospital deductible and hospital and extended care services coinsurance amounts for CY 2011.

View the notice of Part A premiums for CY 2011 for the uninsured aged and for certain disabled individuals who have exhausted other entitlement.

View a related transmittal to implement the new rates.

View a related MLN Matters article.

CMS issues Medicaid RAC proposed rule

On November 5, CMS posted a proposed rule regarding the RAC expansion into Medicaid. The rule provides guidance to states as they implement the new contingency-fee contractors. CMS is proposing that states fully implement their Medicaid RAC programs by April 1, 2011. CMS subsequently published the proposed rule in the November 10 Federal Register.

View the Medicaid RAC proposed rule.

View a related press release.

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