Medicare Compliance & Reimbursement
LTC Industry Challenges MedPAC On Recommendations
Long-term care industry groups are taking aim at the Medicare Payment Advisory Commission's formal recommendation that Congress not give an annual inflation update to long-term care providers.
Reasonable Medicare inflation adjustments - along with long-term care funding stability and an acknowledgment of the relationship between Medicare and Medicaid - are the "critical policy prescriptions" necessary for the industry to maintain recent quality improvements, says American Health Care Association president and CEO Hal Daub.
Quality Control Head: Funds Must Be Maintained
"Quality and economic stability go hand in hand," notes Stephen Guillard, chair of the Alliance for Quality Nursing Home Care and CEO of Harborside Healthcare.
"Recent reports and data clearly indicate that the long-term care sector will have trouble sustaining the blow of another major hit in funding," Guillard relays.
Medicare Compliance & Reimbursement
- HOSPITALS:
Physician-Owned Hospital Payments Might Fall After DRG Changes
Moratorium likely to last until 2007.
Do physician-owned hospitals that focus on one narrow specialty hurt [...] - HIPAA:
HIPAA Error? You'll Hear From Carriers
Unsuccessful crossover claims will prompt auto notice.
Starting July 5, Medicare contractors will issue special automated [...] - APPEALS:
New Complex Procedures Appeals Rule May Make Physicians Dizzy
Decide in advance what kind of representation to offer.
Appealing claims next year could become simpler [...] - LONG-TERM CARE:
LTC Industry Challenges MedPAC On Recommendations
Stingy inflation policy threatens quality care.
Long-term care industry groups are taking aim at the Medicare [...] - DRUG COVERAGE:
MMA Steps Up Screening Test Coverage
But Medicare wants a V code, not a G code, when reporting a screening.
Physicians now [...] - PHYSICIANS:
Count On Local Carriers For Least Costly Policy Fixes
PPAC: CMS to remove drugs from update formula retroactively.
Least costly alternative policies create an "unlevel [...] - COVERAGE:
CMS Expands Defibrillator Coverage
Transmittal states Medicare HMO patients can get fee-for-service devices.
Patients should be able to receive an [...] - COVERAGE:
Currently, Not All Physicians Enamored With P4P Proposal
P4P must be voluntary, docs contend.
The pay-for-performance movement seems well on its way in health [...] - ENFORCEMENT:
Transport Owner Sidelined 7 Years
Getaway effort by provider no match for law's long arm.
Providers caught in the crosshairs of [...] - HOSPITALS:
Note These OPPS Changes To Avoid Future Trouble
Make sure you're billing correctly for mammographies, observation.
If your facility is receiving denials for services [...] - LABS:
CMS Alters C-Peptide Test Requirement
Lower limit is key.
For services performed on or after Dec. 17, 2004, a positive fasting [...] - BILL WATCH
The following bills were introduced in the House:
HR. 1166. A bill to amend title XVIII [...] - PHYSICIANS:
'Medically Unbelievable' Edits Put On Hold
No explanation for revocation.
The Centers for Medicare and Medicaid Services has rescinded Transmittal 105, which [...]
