Medicare Compliance & Reimbursement
Bill Watch
The following bills were introduced in the House: H.R. 3654. A bill to amend title XVIII of the Social Security Act to provide certain Medicare beneficiaries living abroad a special Medicare part B enrollment period, during which the late enrollment penalty is waived and a special Medigap open enrollment period during which no underwriting is permitted. Introduced Sept. 6 by Rep. Robert Andrews (D-NJ) and referred to the Committee on Energy and Commerce. H.R. 3661. A bill to amend title II of the Social Security Act to replace the 60-month period of employment requirement for application of the government pension offset exemption with the rule that last applied before section 418 of the Social Security Protection Act of 2004 was enacted. Introduced Sept. 6 by Rep. Ron Paul (R-TX) and referred to the Committee on Ways and Means. H.R. 3663. A bill to amend part A of title IV of the Social Security Act to provide a state option to extend current waivers and create additional waiver authority under the temporary assistance for needy families program. Introduced Sept. 6 by Rep. David Wu (D-OR) and referred to the Committee on Ways and Means. H.R. 3671. A bill to amend title XIX of the Social Security Act to authorize the Secretary of Health and Human Services to provide 100 percent of the federal medical assistance percentage for displaced Medicaid recipients receiving medical assistance outside their states of residence due to a declared public health emergency. Introduced Sept. 7 by Rep. Gene Green (D-TX) and referred to the Committee on Energy and Commerce.
Medicare Compliance & Reimbursement
- Special report:
Disaster Relief--Katrina, Aftermath Spur CMS To Loosen Guidelines
Unprecedented beneficiary blight lightens some procedure rules.
Many physicians and other medical professionals are donating their [...] - Rehab:
'Roadmap' Could Lead To Greater Rehab Riches
Quintet of system strategies highlight federal improvement plan.
The Centers for Medicare and Medicaid Services plans [...] - Physicians:
'Prior Determination' System Premieres
Carriers have 45 days to decide on pricey items, but may respond more quickly.
When patients [...] - Medicare Demonstration:
Providers, Get Ready For Pay System Overhaul
CMS wants your help to develop and test major health care system improvements.
The feds have [...] - Hospitals:
CMS Wants Hospitals Up To Snuff On Quality Standards
Agency says incentive payments will be harder to qualify for.
How well a hospital provides prevention [...] - Medigap:
No Money For 'None' Or 'Other' Medigap Claims
C11 denials frequently befuddle physicians.
Medicare Remittance Notices are often confusing and fail to provide enough [...] - Hospitals:
Don't Forget About Pending OPPS Changes
Pass-through payments possible for certain codes.
The bulk of the changes to hospital outpatient prospective payment [...] - Pharmaceuticals:
Initial Post-Infusion IV Push Needs Subsequent Code
AMA adds category for hormonal agents to drug administration codes.
Physicians that are struggling to come [...] - Medicaid:
Commission Recommendations Rile NGA
Proposals affect drug reimbursement, eligibility and tax treatment of MCOs.
The controversial Commission on Medicaid Reform [...] - Enforcement Watch:
States May Be Overcharging For Medical Staff
Enhanced-rate payments not possible on certain overhead costs.
Providers in states that charge the government more [...] - Medicare Part D:
Seniors Slowly Coming Around On PDP
Attitudes shift as PDP enrollment approaches.
Do more seniors believe that the upcoming Medicare prescription drug [...] - Bill Watch
The following bills were introduced in the House: H.R. 3654. A bill to amend title [...]
