Medicare Compliance & Reimbursement
Bill Watch
Bills introduced in the House: HR 4231. A bill to amend part D of title XVIII of the Social Security Act to require the secretary of Health and Human Services to negotiate and disclose lowest possible prices for prescription drugs for Medicare beneficiaries. Introduced May 10 by Rep. Stephen Lynch (D-MA), referred to the Committee on Energy and Commerce and the Committee on Ways and Means. HR 4336. A bill to amend part C of title XVIII of the Social Security Act to prohibit the operation of the Medicare comparative cost adjustment program in the District of Columbia. Introduced May 11 by Rep. Eleanor Holmes Norton (D-DC), referred to the Committee on Energy and Commerce and the Committee on Ways and Means. HR 4357. A bill to amend titles XVIII of the Social Security Act and the Employee Retirement Income Security Act of 1974 to provide access to Medicare benefits for individuals ages 55 to 65, to amend the Internal Revenue Code of 1986 to allow a refundable and advanceable credit against income tax for payment of such premiums. Introduced May 12 by Rep. Pete Stark (D-CA), referred to the Committee on Ways and Means and the Committee on Energy and Commerce. Bills introduced in the Senate: S 2413. A bill to amend title XVIII of the Social Security Act to provide for the automatic enrollment of Medicaid beneficiaries for prescription drug benefits under part D of such title. Introduced May 12 by Sen. Jeff Bingaman (D-NM), referred to the Committee on Finance.
Medicare Compliance & Reimbursement
- Appeals:
CMS Requires Independent Carrier Hearing Officers
Changes help level the playing field.
A formerly insignificant legal argument may soon become the centerpiece [...] - ABN:
Achieve ABN Success In 4 Simple Steps
When Medicare is shy, break the ice with these forms.
Misinterpreting the extensive rules for advance [...] - Dialysis:
OIG Says Dialysis Drug Payments Exceed Costs
Government continues to take closer look at drug costs.
Last year, Medicare's four largest kidney dialysis [...] - Medical Records:
Beware Of Coding By Numbers When Using EMRs
EMRs can pose problems with documenting services, proving necessity.
Electronic medical records may seem like a [...] - Prescription Drugs:
CMS Says Rx Cards Save Over Retail
But many critics disagree as seniors begin to enroll.
Medicare beneficiaries using the new Medicare-endorsed prescription [...] - Home Care:
Home Care Braces For Crackdown On Doc COP
100% of physician care plan oversight claims denied in preliminary audit.
The HHS Office of Inspector [...] - Hospitals:
Is Your Compliance Program Effective?
There's a new way to find out.
Compliance officers have long struggled over how to demonstrate [...] - Medicaid:
Senate Votes To Extend Medicaid For Disabled Kids
Change would end income loophole for many families.
States could allow middle-income families with disabled children [...] - Health Plans:
Not All Group Plans Are Exempt From HIPAA
Only some provisions are mitigated for fully insured plans.
Group health plans may not need to [...] - Bill Watch
Bills introduced in the House: HR 4231. A bill to amend part D of title [...]
