Medicare Compliance & Reimbursement
KNOW WHO TO BILL WHEN TRANSPORTING HOSPITALIZED PATIENTS
The HHS Office of Inspector General has its eye on ambulance providers who submit Medicaid claims for the transport of hospitalized patients between facilities. In a joint review with the Illinois health department focusing on how the issue plays out in the Prairie State, auditors found that 13 ambulance providers improperly billed Medicaid for transports of hospitalized patients to a second hospital for outpatient services not available in the facility of origin. Most of the inappropriate claims involved transports for magnetic resonance imaging testing, the OIG notes in "Partnership Review of Medicaid Claims by Ambulance Providers for Transportation Services During an Inpatient Stay - Illinois Department of Public Aid, Springfield, Illinois" (A-05-02-00074). To see the report, go to http://oig.hhs.gov/oas/reports/region5/50200074.pdf. Lesson Learned: Medicaid rules may require an ambulance company to bill the hospital - not Medicaid - for transportation of hospitalized patients to a second facility for MRIs.
Medicare Compliance & Reimbursement
- Medicare:
SENATE FINANCE APPROVES
After an all-day June 12 mark-up, the Senate Finance Committee approved a bill that would [...] - Hospitals:
HOSPITALS BRACE FOR NEW OUTLIER POLICIES
Only a small number of hospitals will have to go through the onerous process of [...] - Long-Term Care:
LONG-TERM CARE PROPOSAL COULD PROVIDE SHORT-TERM HELP
But a new CMS SNF payment policy cut both ways.
Skilled nursing facilities would get a [...] - Enforcement :
AN EVEN TOUGHER WHISTLEBLOWER LAW?
A move is afoot to up the stakes yet again in the ongoing campaign against [...] - Ambulance:
KNOW WHO TO BILL WHEN TRANSPORTING HOSPITALIZED PATIENTS
The HHS Office of Inspector General has its eye on ambulance providers who submit Medicaid [...] - Medicare+Choice:
WATERED-DOWN Rx PROPOSAL STILL STRONG ENOUGH TO HELP M+COs
Medicare+Choice plans that have been holding on in hopes of being saved by a prescription [...] - Fraud & Abuse:
LIE TO AN AUDITOR, LINGER IN JAIL
When it comes to dealing with Medicare and Medicaid auditors, a lack of straight talk [...] - People:
GAO LETS LOOSE PARTING BLOW AGAINST EX-OIG CHIEF
The General Accounting Office gave former HHS Office of Inspector General chief Janet Rehnquist a [...] - Quality of Care:
DOLLARS FOR QUALITY
Hospitals could soon collect bonuses from Medicare for delivering high-quality care. The Centers for Medicare [...] - Labs:
SUMMER SURVEYS MAY OFFER SLIMMER CITATIONS
What Will CLIA Inspecions Look Like This Season?
Who says there ain't no cure for the [...] - Pharmaceuticals:
BALDACCI INTRODUCES REVISED MAINE Rx
Maine Governor John Baldacci has proposed a revised version of the state's Maine Rx initiative, [...] - Pharmaceuticals:
WYDEN: NIH IGNORED PATIENT, TAXPAYER COSTS FOR TAXOL
The National Institutes of Health had the authority to get a better deal for taxpayers [...] - Fraud & Abuse:
LIE TO AN AUDITOR, LINGER IN JAIL
When it comes to dealing with Medicare and Medicaid auditors, a lack of straight talk [...] - DME:
PAY A BENEFICIARY, PAY THE PRICE
Mult-million-dollar fraud case keeps DME suppliers in the enforcement cross hairs. Paying patients for their [...] - Bill Watch
The following bills were introduced in the House: H.R. 2423. A bill to amend title [...] - PROGRAM MEMO ROUNDUP
Starting Oct. 1, if you don't include an ICD-9-CM diagnosis code on your Part B [...] - Register Watch
The Centers for Medicare & Medicaid Services asked for comments on extension of two information [...]
