Medicare Compliance & Reimbursement
Smarter Pay On The Way For ESRD Services
Good news for physicians who treat end-stage renal disease. New adjustments to the physician fee schedule could make your job a little easier. Lesson Learned: Pay adjustments could come to the aid of struggling ESRD providers.
The Centers for Medicare & Medicaid Services says it will now pay physicians to use telecommunications technology to provide monthly management services for rural beneficiaries on dialysis.
Payment rates for ESRD providers will be increased by the amount of the eliminated ESRD drug cross subsidy. Facility payments will also be adjusted to reflect the higher costs of treating some patients, such as those with extremely low body mass indices, or for factors such as age and body surface area.
Overall, both independent and hospital-based facilities will receive an 8.7 percent increase in their composite pay rate in addition to a 1.6 percent pay update for services.
Medicare Compliance & Reimbursement
- Hospitals:
Final Outpatient Rule Increases Outlier Thresholds
Why it'll be harder than ever for hospitals to get extra reimbursement for costly cases.
Under [...] - Physicians:
Feds Taking Closer Look At Docs' Billing Companies
Here are the danger signs to look for in your contracts.
If you're paying your billing [...] - DME:
Suppliers Declare Victory On Face-To-Face Exams Dispute
$57 monthly dispensing fee for inhalation drugs finalized.
The final physician fee schedule is out, and [...] - Physicians:
Pay For Part B Drugs Cut, But Physicians Can Bill For More Services
3 simple rules for getting inpatient visits right
Medicare's final physician payment rule for 2005 makes [...] - Hospitals:
Bank On These Changes For Outpatient Services
Ring in the New Year with a little bang for your bottom line.
Some significant pay [...] - Physicians:
CMS Signs Off On 4-Percent Spending Hike For Docs
Find out what's wrapped up in the extra $2.2 billion package coming in January.
The 1.5-percent [...] - Rehab:
CMS Clarifies CORF Coverage Rules
Here are the services that CMS will never cover in a CORF.
If you're receiving denials [...] - Enforcement Watch:
Documentation Crusade Targets Teaching Hospitals
How decade-old alleged errors reaped a $1.9 million settlement for one PA practice.
Small lapses in [...] - Long-term Care:
New NPP Rule A Boon For SNFs, Too
Rule could increase revenue for SNFs and improve access to care.
Come November, Medicare will cover [...] - Coverage:
Smarter Pay On The Way For ESRD Services
Good news for physicians who treat end-stage renal disease. New adjustments to the physician fee [...] - Long-term Care:
Are SNFs Ready For Surprise Spot-Checks?
"Operation Spot Check" in Florida leads to big citations.
Your compliance efforts could pay off when [...]
