Revenue Cycle

Important Medicare updates

Medicare Update for CAHs, March 7, 2012

HHS announces intent to delay ICD-10 compliance date

On February 16, CMS issued a press release stating that HHS will initiate a process to postpone the date by which certain healthcare entities have to comply with ICD-10.

Read the press release

OIG posts compliance review of Riverside Methodist Hospital (OH)

On February 13, the OIG posted a compliance review of Riverside Methodist Hospital in Columbus, OH, for calendar years 2008 through 2010. The OIG found that the hospital generally complied with Medicare billing requirements for selected inpatient and outpatient claims. Of 166 sampled claims, 24 selected inpatient and outpatient claims had errors, resulting in overpayments totaling $107,000 for calendar years 2008 through 2010.

Read the complete report

OIG posts compliance review of St. Vincent's Medical Center (CT)

On February 13, the OIG posted a compliance review of St. Vincent's Medical Center in Bridgeport, CT, for calendar years 2009 and 2010. The OIG found that the hospital complied with Medicare billing requirements for 157 of the 198 claims we reviewed. However, the hospital did not fully comply with Medicare billing requirements for 41 selected inpatient and outpatient claims that resulted in overpayments totaling $284,000. Overpayments occurred primarily because the Hospital did not have adequate controls to prevent incorrect billing of Medicare claims and did not fully understand Medicare billing requirements.

Read the complete report

CMS proposes to amend deadline for repayment of overpayments

On February 16, CMS published a proposed rule in the Federal Register that would require providers and suppliers receiving funds under the Medicare program to report and return overpayments 60 days after the date on which the overpayment was identified, or any corresponding cost report is due, if applicable.

View the Federal Register

Submit a comment

View the transmittal

CMS issues Electronic Health Record Incentive Program—Stage 2 proposed rule

On February 23, CMS issued the display copy of the proposed rule or Stage 2 requirements for the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs. The Medicare and Medicaid EHR Incentive Programs will consist of three different stages of meaningful use requirements, with each stage requiring increasing use of EHRs and electronic information exchange.

View the proposed rule 

View the fact sheet 

View the press release

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