CMS releases guidance for specialty hospital moratorium
Credentialing Resource Center Connection, March 24, 2004
Want to receive articles like this one in your inbox? Subscribe to Credentialing Resource Center Connection!
The Centers for Medicare & Medicaid Services (CMS) on March 19 announced details of its plan to implement a moratorium that temporarily prohibits a physician from referring patients to a specialty hospital in which he or she has an ownership or investment interest. Those specialty hospitals may also not bill Medicare or any other entity for services provided as a result of a prohibited referral, according to a CMS press release.
The moratorium was enacted by Congress as part the Medicare Prescription Drug Improvement and Modernization Act of 2003 and will expire
CMS released a program transmittal that included definitions and criteria governing patient referrals. CMS defined the types of services provided by speciality hospitals covered by the moratorium; a list of types of hospitals not subject to the moratorium, how to determine if a hospital is grandfathered under the provision, and information on seeking an advisory opinion. Go to http://www.cms.hhs.gov and look under "headlines" to read the press release.
Want to receive articles like this one in your inbox? Subscribe to Credentialing Resource Center Connection!
Related Products
-
Credentialing Resource Center
CRC is now available online! Receive updates up to four days earlier than the print version and save on shipping costs.
-
Credentialing Resource Center Connection
National credentialing and privileging expert Sally J. Pelletier, CPCS, CPMSM, delivers useful and timely information in her...
-
Credentialing and Peer Review Legal Insider
The Credentialing and Peer Review Legal Insider provides the latest 'how-to' techniques, and practical 'working tools' to...
Most Popular
- Articles
-
- Q/A: Volume requirement for reporting hydration services
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- Catch up on what's new with injections and infusions
- Identify potential Medicaid RAC target areas
- HIPAA Q&A: Level of encryption needed for email
- Topic: CMS, OESS post new security compliance review information, checklist
- Capturing all necessary codes for IUD insertion and removal can be challenging
- What does case-mix index mean to you?
- OB services: Coding inside and outside of the package
- QA:Coding multiple initial infusions
- E-mailed
-
- Q/A: Volume requirement for reporting hydration services
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- HIPAA Q&A: Level of encryption needed for email
- Q&A: Follow CMS' coding guidelines when using modifier -25
- What does case-mix index mean to you?
- Catch up on what's new with injections and infusions
- CMS has reformulated payments for some bilateral procedures
- New conflicts of interest create new challenges
- Q/A. One injection code or two?
- ED-to-inpatient transfers are flawed with safety gaps
- Searched