Medicare Compliance & Reimbursement
Three New Reasons You Can Trust Your Carrier
A scathing August report by the Government Accountability Office (GAO-04-669) said that after performing hundreds of test calls to 34 call centers, only 4 percent of the responses received were correct and complete (for more information, see MLR Vol. 30, No. 33, p. 6).
Here are the changes that you can expect:
To read more go to:
Medicare Compliance & Reimbursement
- Physicians:
Save The 'Shared Visits' Rule For The Hospital Ward
Don't try to combine NPP/physician visits in the office setting.
Some things are better not shared, [...] - Physicians:
Incident-To Billing: Supervising Doc Doesn't Have To Be Plan Of Care's Author
The Centers for Medicare & Medicaid Services clarifies in Change Request 3460, dated Sept. 17, [...] - Surgery:
Neurosurgeons Gain Key Senate Victory
But language won't have any reimbursement impact, say oncologists.
Neurosurgeons who feel as though radiologists [...] - Senators Push For Oral Cancer Coverage Sooner Than 2006
The Senate report also urged CMS to address the "unintended consequences" of current reimbursement policies [...] - Medicare Advantage:
Rules On Formularies, PPOs Raise Concerns
Many questions remain before Medicare reform can be completed.
As the Centers for Medicare & [...] - Cardiac Care:
CHF Clinics Soon May Lose A Treatment Method
Carriers remove coverage for Natrecor in office setting.
Physician offices running congestive heart failure clinics [...] - Hospitals:
HHAs Lose Out On PRRB Ruling
Provider to file appeal in federal court over physical therapist compensation
Home health agencies continue to [...] - Coverage:
The Scoop On How CMS Makes Coverage Decisions
New guidance documents take some guesswork out of the NCD process.
Are you frustrated by national coverage [...] - Hospitals:
Is CMS' OPPS Rate Undercutting Hospitals' Pay?
GAO: 'Payment for drugs, devices, services does not uniformly reflect hospitals' costs.'
Many hospitals have noticed [...] - Carriers:
Three New Reasons You Can Trust Your Carrier
Get ready for an about face from your Medicare contractor's customer service center. You can [...] - Drug Payments:
2005 Drug Rates Will Be A Surprise - Even To CMS
Nobody will know in advance the numbers on which Medicare will base drug payments in [...]
