Medicare

The U.S. Court of Appeals for the 9th Circuit stopped data analysis company Integra Med Analytics from proceeding with a False Claims Act lawsuit alleging Providence Health & Services used inflated codes to bill Medicare.
AHA urged the Medicare Payment Advisory Commission to reconsider certain proposed changes to Medicare payment for indirect medical education and separately payable outpatient drugs, which the commission could vote on later this week. 
Anticipating possible congressional action to extend the moratorium on the 2% sequester cut to all Medicare payments, the Centers for Medicare & Medicaid Services said it has instructed Medicare administrative contractors to hold all claims with dates of service on or after April 1, 2021, for a…
The Department of Health and Human Services through March 26 has reduced by more than 69% its backlog of Medicare appeals at the Administrative Law Judge level, according to a status report the agency provided Friday to a federal court.
In a letter to the Centers for Medicare & Medicaid Services, the AHA expresses concerns about the recent denials of our members’ requests for a “mid-build exception.” These denials result in inappropriately reduced payment rates for items and services furnished by certain off-campus provider-…
The AHA voiced support for the Resident Physician Shortage Reduction Act of 2021 (S. 834), legislation that would add 14,000 Medicare-funded residency positions to alleviate physician shortages that threaten patients’ access to care. 
Sens. Jeanne Shaheen, D-N.H., and Susan Collins, R-Maine, last week introduced the Medicare Sequester Relief Act (S. 748), bipartisan legislation that would prevent the 2% across-the-board cut to all Medicare payments, known as sequestration, from taking effect during the COVID-19 public health…
The House of Representatives voted 246-175 to approve H.R. 1868, a bill that, among other health care provisions, would eliminate the 2% across-the-board cut to all Medicare payments, known as sequestration, until the end of 2021.
America’s hospitals and health systems thank the U.S. House of Representatives for passing legislation that extends relief from pending Medicare cuts to doctors and hospitals that are slated to resume at the beginning of next month.
The incredible job that hospitals and caregivers have done over the past year saving lives, treating very sick patients and protecting their communities has been acknowledged and enabled by Congress through relief aid several times since the onset of the COVID-19 pandemic.