Medicare Compliance & Reimbursement
BILL WATCH
The following House bills were introduced: H.R. 1788. A bill to amend title XVIII of the Social Security Act to extend the minimum Medicare deadlines for filing claims to take into account delay in processing adjustments from secondary payer status to primary payer status. Introduced April 11 by Rep. Jerry Costello (D-IL), referred to the Committee on Ways and Means and the Committee on Energy and Commerce. H.R. 1665. A bill to amend Title XVIII of the Social Security Act to provide for the coverage of marriage and family therapist services under Part B of the Medicare program, and for other purposes. Introduced April 7 by Rep. Ted Strickland (D-OH), referred to the Committee on Energy and Commerce and the Committee on Ways and Means. H.R. 1675. A bill to amend Title XVIII of the Social Security Act to protect and preserve the access of Medicare beneficiaries to health care provided by hospitals in rural areas, and for other purposes. Introduced April 8 by Rep. Jerry Moran (R-KS), referred to the Committee on Energy and Commerce and the Committee on Ways and Means. The following Senate bills were introduced: S. 823. A bill to amend Title XVIII of the Social Security Act to provide for the expeditious coverage of new medical technology under the Medicare, and for other purposes. Introduced April by Sen. Rick Santorum (R-PA), referred to the Committee on Finance.
H.R. 1784. A bill to amend title XVIII of the Social Security Act to update the renal dialysis composite rate. Introduced April 11 by Rep. Dave Camp (R-MI), referred to the Committee on Energy and Commerce and the Committee on Ways and Means.
S. 816. A bill to amend Title XVIII of the Social Security Act to protect and preserve the access of Medicare beneficiaries to health care provided by hospitals in rural areas, and for other purposes. Introduced April 8 by Sen. Kent Conrad (D-ND), referred to the Committee on Finance.
Medicare Compliance & Reimbursement
- Medicare Drug Benefit:
CONGRESS DESPERATELY SEEKING WAYS TO RETOOL DRUG BILLS
With the White House's 2003 Medicare prescription-drug proposal now in the mix, members of Congress [...] - Medicaid:
NGA MEDICAID PANEL MULLING MORE THAN WHITE HOUSE PLAN
The ten-member governors' task force convened by the National Governors Association hopes to come up [...] - Medicare Reform:
HEALTH PLANS FIGHTING NEGATIVE PERCEPTIONS IN REFORM BATTLE
Health plans hoping to see a larger population of Medicare beneficiaries move into private plans [...] - Dual Eligibles:
COULD STATE CONCERNS BE KEY TO FATE OF MEDICARE Rx?
High on states' wish list for Congress is legislation to shift Medicaid costs for beneficiaries [...] - Litigation:
GALLUP SUES SCULLY OVER ALLEGED BULLYING
The Gallup Organization polling firm has filed suit against Centers for Medicare & Medicaid Services [...] - Hospitals:
HOSPITAL-PHYSICIAN BUSINESS DEALS UNDER SCRUTINY
Heads up hospitals and physicians: The feds are looking ever more closely at medical group-hospital [...] - Reimbursement:
HOSPITALS BEMOAN OUTLIER CHANGES
Hospitals should brace themselves for potential reimbursement shortfalls under the Centers for Medicare & Medicaid [...] - Physicians:
PHYSICIANS CAN EARN CMEs THROUGH QIOs
Physicians have one more incentive to get involved with the Centers for Medicare & Medicaid [...] - Medicare:
OIG SLAMS CODING SEMINAR COMPANY
Have you been duped by coding and billing education companies that tout non-existent formal affiliations [...] - Fraud & Abuse:
YOUR PATIENTS ARE WATCHING YOU
Your Medicare patients are more likely than ever to have been trained on ferreting out [...] - Business Arrangements:
PER-PATIENT FEE STRUCTURES RAISE COMPLIANCE RED FLAGS
If you're about to ink a business deal with another health care provider that involves [...] - Hospitals:
OUTLIER BLUNDERS GO BOTH WAYS
Hospitals face ever-mounting attention on Medicare outlier payments - and are bracing for a new [...] - Overpayments:
EPOGEN, Rx CHARGES STAND OUT IN OUTPATIENT PAYMENT REVIEW
Providers of outpatient services should take note that their claims are under scrutiny by the [...] - Long-Term Care:
SNFs FACE ELIGIBILITY SCRUTINY
Skilled nursing facilities across the country could soon be asked to hand back Medicare dollars [...] - Coverage:
MRA COVERAGE EXPANDS
Health care providers will soon have more opportunities to collect Medicare reimbursement for magnetic resonance [...] - HIPAA:
EXPECT THE EXPECTED IN HIPAA ENFORCEMENT
Curious about what it will be like if you get slapped with allegations that you [...] - OASIS:
HHAs MIGHT HAVE TO PLAY 'DOCTOR, MAY I?' FOR CODING
Everyone knows it's the physician and not the home health agency that officially diagnoses a [...] - Reimbursement:
CMS SHOOTS DOWN PRRB REVERSAL OF PTs' SALARY ADJUSTMENTS
Despite numerous Provider Reimbursement Review Board and federal court decisions decreeing that directly employed physical [...] - Hospitals:
NEW RULES HIT HOME FOR HOSPITAL SURVEYS
With new hospital quality rules in effect for Medicare, surveyors will be taking a different [...] - Coverage:
WINS, LOSSES AND TIES IN MEDICARE PET SCAN POLICIES
Health care providers will soon be able to bill Medicare for positron emission tomography scans [...] - PROGRAM MEMO ROUNDUP
Durable medical equipment suppliers have a host of new "K" codes to get familiar with, [...] - REGISTER WATCH
The Centers for Medicare & Medicaid Services' tardiness in implementing a national fee schedule for [...] - BILL WATCH
The following House bills were introduced:
H.R. 1784. A bill to amend title XVIII of [...] - WHO'S WHO IN MEDICARE
Centers for Medicare & Medicaid Services Deputy Administrator Ruben King-Shaw has left the agency. King-Shaw, [...]
