Medicare Compliance & Reimbursement
Oklahoma Slashing Medicaid Pay
Providers in Oklahoma are about to see a significant pay cut for their Medicaid claims, and there isn’t much time to prepare. Starting July 1, you’ll see a startling 25 percent decrease in the state’s Medicaid payments, the Oklahoma Health Care Authority (OHCA) announced on March 29.
After slashing the reimbursement by 25 percent, Oklahoma’s Medicaid rates will stand at about 65 percent of the national Medicare rate — and it’s possible that more cuts will come, impacting over 46,000 providers, the OHCA said in a March 29 statement.
“I do not take these cuts lightly,” said OHCA CEO Nico Gomez in the statement. “As the state’s largest health insurer, the Oklahoma Health Care Authority underpins the entire fabric of the state’s health care system that serves all Oklahomans. I worry about the infrastructure of our health care system in light of these cuts. From a business standpoint, I’m afraid many providers will close their doors to our patients. In some cases, especially in rural parts of our state, health care professionals will have to move their business to larger communities in order to survive financially,” Gomez added.
Resource: To read more about Oklahoma’s Medicaid cuts, visit www.okhca.org/about.aspx?id=18904.
Medicare Compliance & Reimbursement
- Reimbursement:
How New Diabetes Prevention Program Blazes Trails for Medicare
Physician organizations are backing Medicare coverage expansion for NDPP. Generally lauded as great news in [...] - Model Program Results:
Understand The NDPP's Overall Potential
Growing diabetes epidemic is costing Medicare staggering amounts. The innovative 2012 diabetes program undertaken by [...] - PHI:
Plan How You'll Handle Ransomware Attacks
Beware: You might have to pay to access your own patient files. Your PHI is [...] - Documentation:
Polish Your Recordkeeping Skills to Face Any Kind of Review
Tip: Abbreviations could be your downfall. Unless your medical records are as airtight as your [...] - Fraud Control Measures:
Is Reduced Reimbursement for Hospice Residents in Nursing Homes On the Horizon?
MedPAC zeroing in on discrepancies. The significant difference in key statistics for hospice patients residing [...] - Reader Question:
Do You Have the 96 Hour Emergency Responsibility?
Question: According to the Joint Commission standards, are organizations supposed to have a 96 hour supplies [...] - Reader Question:
When Multiple Providers Treat a Patient,Who Reports the Discharge?
Question: Our patient has a complex health history, and is therefore under treatment from four different [...] - Industry Notes:
Medicare Advantage Pay to Rise by 0.85 Percent
Looking for a boost in your Medicare Advantage payments? CMS is prepared to oblige, but [...] - Industry Note:
Oklahoma Slashing Medicaid Pay
Providers in Oklahoma are about to see a significant pay cut for their Medicaid claims, [...] - Industry Note:
Physician Under Fire for Outsourcing Surgical Monitoring Services
A Georgia physician is in hot water with the feds after agreeing to perform intraoperative [...]
