Medicare Compliance & Reimbursement
Bill Watch
The following bills were introduced in the House: HR 5393. A bill to amend title XVIII of the Social Security Act to provide incentives linking quality to payment for skilled nursing facilities and to establish a Long-Term Care Financing Commission. Introduced Nov. 19 by Rep. Philip English (R-PA), referred to the Committee on Ways and Means and the Committee on Energy and Commerce. HR 5399. A bill to provide for reimbursement of enrollees in the Medicare PPO demonstration project for expenses inappropriately incurred in being provided coverage through out-of-network providers. Introduced Nov. 19 by Rep. Benjamin Cardin (D-MD), referred to the Committee on Ways and Means and the Committee on Energy and Commerce. HR 5403. A bill to amend title XVIII of the Social Security Act to improve the quality of care in skilled nursing facilities under the Medicare program through development of quality measures and changes in reimbursement. Introduced Nov. 19 by Rep. Marcy Kaptur (D-OH), referred to the Committee on Ways and Means and the Committee on Energy and Commerce. HR 5415. A bill to amend title XVIII of the Social Security Act to provide payments to Medicare ambulance suppliers of the full cost of furnishing such services, to provide payments to rural ambulance providers and suppliers to account for the cost of serving areas with low population density. Introduced Nov. 19 by Rep. Thomas Reynolds (R-NY), referred to the Committee on Energy and Commerce and the Committee on Ways and Means. S 2983. A bill to establish hospice demonstration projects and a hospice grant program for beneficiaries under the Medicare program under title XVIII of the Social Security Act. Introduced Nov. 16 by Sen. Ron Wyden (D-OR), referred to the Committee on Finance. S 2988. A bill to amend title XVIII of the Social Security Act to provide Medicare beneficiaries with access to information concerning the quality of care provided by skilled nursing facilities and to provide incentives to skilled nursing facilities to improve the quality of care provided by those facilities by linking the amount of payment under the Medicare program to quality reporting and performance requirements. Introduced Nov. 17 by Sen. Ron Wyden (D-OR), referred to the Committee on Finance.
The following bills were introduced in the Senate:
Medicare Compliance & Reimbursement
- Physicians:
Docs Kissed Nearly $1 Billion Goodbye In 2004
But the AMA doesn't want to tinker with E/M coding again
Physicians are losing thousands of [...] - Physicians:
Docs Could Be Selling Themselves Short
14.4 percent of claims could have supported higher-paying codes.
For 14.4 percent of claims processed by [...] - Legislation:
Reductions Could Hit Medicare & Medicaid, Staffers Warn
Times are tight for the federal government, and that will affect providers of all stripes.
If [...] - Rehab:
Sharpened Medical Necessity Focus Could Cripple IRFs
Newly enforced requirement comes as a surprise to many.
Medicare's fiscal intermediaries have received their marching [...] - Coverage:
Medicare Pumps Up Insulin Coverage
Older patients can now benefit from stem cell transplants.
The Centers for Medicare & Medicaid Services [...] - Drug Coverage:
Plans And PBMs Cheer, Big Pharma Jeers Guidelines
CMS chooses a compromise for the new Part D formulary.
On Jan. 3, the United States [...] - Enforcement Watch:
Feds Crack Down On Vaccine Billing Errors
Investigation turns costly for two CT pediatric practices.
Practices that regularly submit claims to Medicaid under [...] - Medicaid:
Governors Wary Of Too Much Change On Medicaid
But the federal government is searching for ways to cut budgets.
President Bush's choice of former [...] - Bill Watch
The following bills were introduced in the House: HR 5393. A bill to amend title [...]
