Medicare Compliance & Reimbursement
Specialty Hospitals Hearings See AMA, MedPAC Clash
Organizations disagree on specialty moratorium extension. Congress must review more evidence before passing legislation to effectively shut specialty hospitals out of Medicare and Medicaid, the commission added.
Congress should end the moratorium on specialty hospitals, which stifles healthy competition, according to the American Medical Association.
That's what AMA trustee William Plested testified May 24 to the Senate Committee on Homeland Security and Governmental Affairs. "Patients should continue to benefit from increased choice and competition that result from specialty hospitals," he insisted.
But Medicare Payment Advisory Commission Executive Director Mark Miller encouraged Congress to extend the current moratorium until Jan. 1, 2007. The hospital data available now only indicates specialty hospitals' emergence, which doesn't necessarily reflect what impact the hospitals will have in the future, MedPAC says.
Congress Needs More Time
Medicare Compliance & Reimbursement
- HIPAA:
Compliance Changes Do Not Equal Relaxed Standards
HHS still expects providers to pay for non-compliant behavior.
Providers that base their security rule compliance [...] - PHARMACEUTICALS:
E-Benefit Coordinaton To Coincide With New Rx Plan
NDCHealth to construct pharmacy-like electronic system for benes.
The Centers for Medicare and Medicaid Services wants [...] - PHYSICIANS:
PPAC Calls For Physicians To Share In Care Rewards
Organization proposes transferring some Medicare savings to docs.
When physicians do a good job taking care [...] - LONG-TERM CARE:
House Subcommittee Checking Into Asset Transfers
Medicaid-sponsered nursing home care could get harder to obtain.
Congressional leaders once again are taking aim [...] - MEDICAID:
Reports-Benes Blighted By Increasing Costs
Out-of-pocket expenses getting out of control, says CBPP.
It looks as if Medicaid beneficiaries already struggling [...] - HOSPITALS:
Overcrowded EDs Could Become All Too Common
Recorded ED numbers may only be starting, ACEP warns.
The president of a leading emergency medicine [...] - HOSPITALS:
Specialty Hospitals Hearings See AMA, MedPAC Clash
Organizations disagree on specialty moratorium extension.
Congress should end the moratorium on specialty hospitals, which stifles [...] - HOSPITALS:
April OPPS Offers An Array Of Coding, Policy Changes
Use C9723 when reporting blood perfusion imaging to Medicare.
Hospitals can anticipate payment for a wider [...] - PHYSICIANS:
Bills Would Replace Cut With 2.7-Percent Boost
... but a permanent solution to physician payment woes may have to wait.
Physicians could avert [...] - ENFORCEMENT WATCH:
OIG Eyes Suspicious Therapy Claims
Providers must meet all 10 medical necessity requirements.
Make sure your home health therapy claims meet [...] - LABS:
Know Diagnostic From Screening For Testing Claims
If a screening is deemed medically unnecessary, Medicare will deny the claim.
If labs don't know [...] - BILL WATCH
The following bills were introduced in the House: H.R. 2518. A bill to amend title [...]
