Medicare
On January 28 the Health Resources and Services Administration published a final rule expanding who must report information to the National Practitioner Data Bank \(NPDB\). The rule does not change the reporting requirements for hospitals. However, it requires additional entities, such as private…
The Centers for Medicare & Medicaid Services \(CMS\) on Jan. 13 published a proposed definition of ")meaningful use") of electronic health records \(EHRs\). This rule would be used to determine which hospitals are eligible for health information technology \(HIT\) incentive payments under…
On September 14, the Centers for Medicare & Medicaid Services \(CMS\) released the end-stage renal disease \(ESRD\) prospective payment system \(PPS\) proposed rule
CMS proposed changes to the hospital cost report in the July 2 Federal Register. The proposed modifications affect reporting of contract labor and benefit costs, uncompensated care data, and medical supply and device costs, among other items.
This regulatory advisory examines CMS' outpatient prospective payment system \(OPPS\) and ambulatory surgical center \(ASC\) proposed rule for calendar year \(CY\) 2010. We encourage CEOs to share this advisory with their senior management team and use our spreadsheets to model the impact of the…
Section 111 of the Medicare, Medicaid and SCHIP Extension Act of 2007 created new reporting requirements that will apply to many hospitals under the Medicare Secondary Payer \(MSP\) law. Hospitals that self-insure \(as defined by MSP\) their liability or self-fund a workers' compensation plan or a…
The AHA anticipates a significant increase in audit activity by contractors for the Centers for Medicare & Medicaid Services in 2009 and beyond as a result of the transition of the hospital review function from Quality Improvement Organizations to contracted fiscal intermediaries and Medicare…
The Medicare Improvements for Patients and Providers Act of 2008 contained new electronic prescribing \(eRx\) incentives that offer a 2 percent additional payment for outpatient physician eRx in 2009. The Medicare physician fee schedule final rule for 2009, published in the November 19 Federal…
On October 30, the Centers for Medicare & Medicaid Services \(CMS\) released the outpatient prospective payment system \(PPS\) and ambulatory surgical center \(ASC\) final rule for calendar year 2009.
The Medicare Recovery Audit Contractor \(RAC\) program is authorized by Congress to identify improper Medicare payments - both overpayments and underpayments. The Centers for Medicare & Medicaid Services \(CMS\) recently reported that RACs collected 92.7 million in overpayments during the three…