Medicare Compliance & Reimbursement
BILL WATCH
HR. 1410. A bill to provide for coverage of hormone replacement therapy for treatment of menopausal symptoms, and for coverage of an alternative therapy for hormone replacement therapy for such symptoms under the Medicare and Medicaid programs, group health plans, and individual health insurance coverage, and other federal health insurance programs. Introduced March 17 by Rep. Barbara Lee (D-CA), referred to the Committee on Energy and Commerce and to the Committees on Ways and Means, Education and the Workforce, Government Reform, and Veterans Affairs.
HR. 1416. A bill to repeal the reduction in Medicare payment for therapeutic shoes and inserts for individuals with diabetes effected by section 627 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003. Introduced March 17 by Rep. Carolyn McCarthy (D-NY), referred to the Committee on Energy and Commerce and the Committee on Ways and Means.
The following bills were introduced in the Senate:
S. 604. A bill to amend title XVIII of the Social Security Act to authorize expansion of Medicare coverage of medical nutrition therapy services. Introduced March 11 by Sen. Larry Craig (R-WY), referred to the Committee on Finance.
S. 626. A bill to amend title XVIII of the Social Security Act to improve access to diabetes self-management training by designating certified diabetes educators who are recognized by a nationally recognized certifying body and who meet the same quality standards set forth for other providers of diabetes self-management training as certified providers for purposes of outpatient diabetes self-management training services under Part B of the Medicare program. Introduced March 15 by Sen. Ben Nelson (D-NE), referred to the Committee on Finance.
S. 635. A bill to amend title XVIII of the Social Security Act to improve the benefits under the Medicare program for beneficiaries with kidney disease. Introduced March 16 by Sen. Rick Santorum (R-PA), referred to the Committee on Finance.
S. 647. A bill to amend title XVIII of the Social Security Act to authorize physical therapists to evaluate and treat Medicare beneficiaries without a requirement for a physician referral. Introduced March 17 by Sen. Blanche Lincoln (D-AR), referred to the Committee on Finance.
S. 657. A bill to amend title XVIII of the Social Security Act to make a technical correction in the definition of outpatient speech-language pathology services. Introduced March 17 by Sen. John Ensign (R-NV), referred to the Committee on Finance.
Medicare Compliance & Reimbursement
- MEDICARE ADVANTAGE:
Who Gets To Keep Medicare Savings: Health Plans Or The Government
Money still headed to MAs, says Prez.
President Bush's fiscal year 2005 budget proposal would provide [...] - PHYSICIANS:
What Reimbursement Will Look Like In The Future
Johnson still pushing for SGR repeal.
At a March 15 hearing, Rep. Nancy Johnson (R-CT) continued [...] - DRUG BENEFIT:
PDP Sponsors Face Pricing Challenges
Projected enrollment tied to national average.
According to information presented by Medicare Payment Advisory Commission staff [...] - LONG-TERM CARE:
SNFs, HHAs May Need System Upgrades
CMS says long-term care industry not ready for new reporting software.
Alert to all nursing [...] - DRUG BENEFIT:
Rx Plans May Target Dual Eligibles
Plans, PBMs looking at automatic enrollees first.
Uncertainty surrounds many facets of Medicare's prescription drug benefit, [...] - PHYSICIANS:
Patients Regained Lost Ground In Medicare Physician Access Struggle
But patients may be getting used to long waits for treatment.
Medicare patients lost the ability [...] - PHYSICIANS:
To Avoid Audits, Show MDM Thought Process
Physicians can improve documentation by following these tips.
A physician's operative notes may have a history [...] - HOME HEALTH:
Outpatient Therapy Loses Home Health Payment Battles
Before treatment begins, ask the patient if he is under HHA care already.
Therapists who treat [...] - COMPLIANCE:
These Expert Compliance Tips Lead To Peace of Mind
Compliance plans can make all the difference - here's how to get started.
In its 2005 [...] - ENFORCEMENT WATCH:
Avoid These Disastrous Supplier Pitfalls
This fraudster's plight shines big and bright ... deep in the heart of Texas.
Durable medical [...] - LABS:
Labs Should Ramp Up Diabetes Screening Tests
Billing at least once per year for all patients now allowed.
The Medicare Modernization Act (MMA) [...] - BILL WATCH
The following bills were introduced in the House:
HR. 1410. A bill to provide for coverage [...]
