Medicare Compliance & Reimbursement
BILL WATCH
The following bills were introduced in the Senate: S. 1277. A bill to amend title XVIII of the Social Security Act to require hospitals and critical access hospitals, as a condition of participation under the Medicare program, to meet certain requirements in order to advertise that the hospital has the capability of addressing emergency and acute coronary syndromes. Introduced June 21 by Sen. Mike DeWine (R-OH) and referred to the Committee on Finance. S. 1286. A bill to require states to report data on Medicaid beneficiaries who are employed. Introduced June 22 by Sen. Edward Kennedy (D-MA) and referred to the Committee on Finance. S. 1297. A bill to amend title XVIII of the Social Security Act to reduce the work hours and increase the supervision of resident physicians to ensure the safety of patients and resident-physicians themselves. Introduced June 23 by Sen. Jon S. Corzine (D-NJ) and referred to the Committee on Finance. S. 1302. A bill to amend the Social Security Act and the Internal Revenue Code of 1986 to stop the Congress from spending Social Security surpluses on other government programs by dedicating those surpluses to personal accounts that can only be used to pay Social Security benefits. Introduced June 23 by Sen. Jim DeMint (R-SC) and referred to the Committee on Finance. The following bills were introduced in the House: H.R. 3047. A bill to amend title XVIII of the Social Security Act to provide for expanded coverage of paramedic intercept services under the Medicare Program. Introduced June 23 by Rep. Rosa L. DeLauro (D-CT) and referred to the Committee on Energy and Commerce. H.R. 3050. A bill to amend title XXI of the Social Security Act to provide grants to promote innovative outreach and enrollment under the Medicaid and state children's health insurance programs, and for other purposes. Introduced June 23 by Rep. Nancy L. Johnson (R-CT) and referred to the Committee on Energy and Commerce. Editor's note: Medicare Legislation and Regulation will not be published next week. The next issue will be dated July, 14, 2005.
H.R. 3042. A bill to require states to report data on Medicaid beneficiaries who are employed. Introduced June 22 by Rep. Anthony D. Weiner (D-NY) and referred to the Committee on Energy and Commerce.
Medicare Compliance & Reimbursement
- MEDICARE DRUG BENEFIT:
CMS Demanding Extensive Formularies From PDPs
Some sponsors say government going back on its word.
Could the Part D drug benefit wind [...] - MEDICARE DRUG BENEFIT:
Still Plenty Of Room For Efficient PDPs To Profit
Strong step therapy program puts PDPs on payment path.
Not everyone thinks the Centers for Medicare [...] - PHYSICIANS:
AMA Won't Say 'A-OK' To Any Substandard P4P
Physicians set 'principles' that will guide P4P decisions.
Pay-For-Performance anxiety dominated the American Medical Association's House [...] - PHARMACEUTICALS:
Dramatic Payment Drops Set For Common Drugs
New rates could hit hardest in smaller offices.
Even though the Centers for Medicare and Medicaid [...] - SPECIALTY HOSPITALS:
Goodbye, Moratorium...Hello, Prohibitions
New set of restrictions parallel the just-lifted moratorium.
Just as specialty hospitals were breathing a sigh [...] - HOME HEALTH:
It's A Mistake To Hold Onto That ABN
Delayed ABNs ignore the NEMB altogether.
One of the biggest gray areas regarding the new expedited [...] - HOME HEALTH:
CMS Rolling Out Termination Notice Rule July 1
... but notices don't yet have that prime-time shine, experts protest.
Home health agencies should get [...] - HOSPITALS:
Start NPI Application Process Early
The new NPI will make life easier, but providers aren't spared the legwork.
Hospitals that feel [...] - HOSPITALS:
CMS Extends Electronic Cost-Reporting Period
Transition period still possible for providers.
Organ procurement organizations and rural health clinics must now submit [...] - ENFORCEMENT WATCH:
OIG Finds Fertile Fraud Hunting Grounds
HHS watchdog sniffs out 258 criminal actions in the first half of FY 2005.
Providers, watch [...] - HOSPITALS:
QIO Participation May Not Yield Improvements
Study finds no quality differences between participating and non-participating hospitals.
A new study suggests quality improvement [...] - BILL WATCH
The following bills were introduced in the Senate: S. 1277. A bill to amend title [...]
