Important Medicare Updates
Medicare Update for CAHs, November 2, 2011
Want to receive articles like this one in your inbox? Subscribe to Medicare Update for CAHs!
OIG reviews Medicare outpatient billing for selected drugs at Central Peninsula General Hospital
On October 6, the OIG issued a report of Medicare outpatient drug billing at Central Peninsula General Hospital. Central Peninsula billed Medicare for the incorrect number of units of service of doxorubicin hydrochloride liposome and paclitaxel administered. As a result, the hospital received overpayments totaling $99,000.
OIG reviews Medicare outpatient billing for selected drugs at Madison Memorial Hospital
On October 6, the OIG issued a report of Medicare outpatient drug billing at Madison Memorial Hospital. Madison Memorial billed Medicare for the incorrect number of units of service of infliximab administered. As a result, the hospital received overpayments totaling $32,000.
CMS issues proposals for Medicare Advantage
On October 11, CMS published a proposed rule in the Federal Register to make changes to the Medicare Advantage and prescription drug programs (Part C and Part D). CMS says the proposals will implement new statutory requirements; strengthen beneficiary protections; exclude plan participants that perform poorly; improve program efficiencies; and clarify program requirements.
CMS issues ACO fact sheets
On October 20, CMS published eight fact sheets about accountable care organizations and the Medicare Shared Savings Program.
DOJ/FTC issue final statement of antitrust policy enforcement regarding accountable care organizations
On October 20, the Department of Justice (DOJ) and the Federal Trade Commission (FTC) issued the final version of a joint policy statement detailing how the agencies will enforce U.S. antitrust laws with respect to new accountable care organizations (ACO).
CMS tests three new surveyor worksheets
CMS is testing three new surveyor worksheets for assessing compliance with three hospital Conditions of Participation: discharge planning, infection control, and quality assessment and performance improvement. CMS is focusing on compliance with these areas as a means to reduce healthcare-acquired conditions and hospital readmissions.
CMS issues proposal for ASC conditions of coverage
On October 24, CMS issued a proposed rule that would revise the ambulatory surgical centers (ASC) conditions for coverage to allow patient rights information to be provided to the patient, the patient’s representative, or the patient’s surrogate prior to the start of the surgical procedure. CMS also made minor changes to the conditions for coverage for patient rights requirements.
CMS issues proposal to revise hospital participation requirements
On October 24, CMS issued a proposed rule that would revise the requirements that hospitals and critical access hospitals must meet to participate in the Medicare and Medicaid programs. According to CMS, the proposed changes would reduce the procedural burdens on providers.
Want to receive articles like this one in your inbox? Subscribe to Medicare Update for CAHs!
Related Products
-
Billing Alert for Long-Term Care
It's essential to know how to correctly submit your Medicare claims in order to get the reimbursement your facility...
-
Core Skills for Hospital Case Managers:
A guide to fundamental case management responsibilities, Core Skills for Hospital Case Managers serves as a training...
-
The Medicare Part B Billing Manual for Long-Term Care
This 150-page book breaks down Part B billing into separate revenue streams and includes examples of how to fill out the...
-
The RUG-IV Conversion: Financial Implications for Your Facility
When RUG-IV takes effect on October 1-whether in part or in full-is your facility prepared for the financial and operational...
-
The Complete Guide to Long-Term Care Medicare Billing
The Complete Guide to Long-Term Care Medicare Billing provides easy-to-understand guidance to help long-term care facilities...
Most Popular
- Articles
-
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- Topic: CMS, OESS post new security compliance review information, checklist
- HIPAA Q&A: Answering service messages
- Q/A: Volume requirement for reporting hydration services
- News and briefs: Oklahoma Osteopathic Association against residency bill change
- What does case-mix index mean to you?
- QA:Coding multiple initial infusions
- OB services: Coding inside and outside of the package
- Are your workforce members texting PHI?
- CMS issues IPPS proposed rule for FY 2013
- E-mailed
-
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- Are your workforce members texting PHI?
- Don't let these sentinel events trigger falsely
- Arkansas woman convicted for HIPAA violation
- Reasons for inadequate fluid intake in the elderly
- Q&A tackles coding questions about injections and infusions
- Joint Commission Center announces handoff communication solutions
- Inside best practice: Reduce patient falls with a stoplight
- Identify modifiable risk factors to prevent patient falls
- Hospitalist-surgeon comanagement has no effect on outcomes
- Searched