Medicare Compliance & Reimbursement
IN OTHER NEWS
· The Recovery Audit Contractors (RACs) that the Centers for Medicare & Medicaid Services (CMS) is testing in New York, California and Florida recovered $303.5 million in improper payments in their first year -- including $17.9 million from physicians, according to a status report from CMS. The RACs found $10.5 million in underpayments, but these all came from hospitals, not physicians. Three quarters of overpayments (77 percent) came from hospitals. · Medicare may grant a physicians an extended repayment schedule (ERS) for overpayments if she qualifies as suffering from "hardship," meaning the overpayments account for 10 percent or more of the physician's total Medicare payments. Also, if a physician qualifies as suffering from "extreme hardship," according to a complex formula, then she can have a longer-term ERS, lasting up to 60 months, according to a proposed rule in the Nov. 27 Federal Register (Vol. 71, No. 227, pp. 68519-68524).
Medicare Compliance & Reimbursement
- HOSPITALS ~ CMS Slaps A Fresh Coat Of Paint On 'Outdated And Unduly Burdensome' Hospital Regs
Medicare changes guidelines for history and physical examination, among others. The Centers for Medicare & [...] - NPIs ~ Don't Leave Your NPI Application Until The Last Minute
Get all your ducks in a row when you apply for an NPI. If you've [...] - MUEs ~ Anatomic Edits Will Be The First To Take Effect In January
The 'unlikely' will definitely happen -- will you be ready? Brace yourself: Beginning in January 2007, [...] - MEDICARE ~ Why Medicare Advantage Is Costing Billions More Than Traditional FFS
Mandated extra MA payments may be dragging down the entire program. The federal government shelled [...] - NPIs ~ Contact Your Software Vendor Now To Make Sure You'll Be Up To Speed
Don't let out-of-date software keep you from using NPIs. A patch could keep your billing [...] - RADIOLOGISTS ~ How A Good Team Effort Between An SLP And A Radiologist Is Not A Bad Thing
Get straight answers to your MBS billing questions. You no longer have to trip over [...] - INDUSTRY NOTES ~ Medicare, Medicaid Pay Out Nearly $10 Billion Each Year For Injuries
Plus: AMA has developed 151 quality measures for physicians. Injuries cost U.S. hospitals approximately $20 [...] - INDUSTRY NOTES ~ AMA Calls On Congress To Avert 5-Percent Cut Before It's Too Late
The American Medical Association (AMA) kept up its end of the bargain -- and now it's [...] - IN OTHER NEWS
· The Recovery Audit Contractors (RACs) that the Centers for Medicare & Medicaid Services (CMS) [...]
