Medicare Compliance & Reimbursement
New York Plan Could Set National Trend
An influential Medicaid reform plan in the Empire State could provide the blueprint for inevitable program changes in all 50 states.
The Department of Health And Human Services Secretary Mike Leavitt has given the government's stamp of approval on a Medicaid reform proposal outlined by New York Governor George Pataki.
"I look forward to working with more governors and congressional leaders as we continue to find ways to strengthen health care," Leavitt said in a March 16 press release. New York's Federal-State Health Reform Partnership (F-SHRP) will supposedly reinvest $1.5 billion of federal fund savings achieved under the state's section 1115 waiver. New York has the largest Medicaid budget in the country. The proposed reform model includes several key policy changes, including: a shift toward community-based settings; reduction of excess capacity in the acute care system; and more investment in health IT, including e-prescribing, electronic medical records and regional health information organizations.
Medicare Compliance & Reimbursement
- Appeals:
Medicare Appeals Changes Coming
Strict new protocols highlight alterations.
If you're a provider who has gotten used to flexibility in [...] - Compliance:
Prove Consults With A Written Request
Safety first: Get some kind of documentation on consult request for patient record.
Last September's transmittal [...] - Compliance:
In-House Consult Forms Make Good Sense
Docs can protect practices with standard consult sheet.
Some consultants do recommend that physicians make their [...] - Physicians:
Incident-to Rule- To Be Or Not To Be?
CMS decides something's rotten in state of Transmittal 20.
Physicians who have been relying on [...] - Disease Management:
Disease Management Demo Projects In Effect
One provider set to sign up 30,000 beneficiaries.
If you are a provider frustrated by dealing [...] - Coverage:
Listen To This Good News About Cochlear Implants
Also, triple-threat drug combo will target nausea and vomiting.
Medicare expanded its coverage for cochlear implant [...] - Hospitals:
Survey- Hospitals Pay Better Than ASCs
Could Medicare save a billion by utilizing ASCs more?
Medicare pays much less for the same [...] - Medicare Advantage:
2006 MA Pay Hike Not As Steep As Past Years
... but MA plans will still get a bump
Medicare Advantage private health plans will get [...] - Medicaid:
New York Plan Could Set National Trend
State passes very fashionable Medicaid proposal.
An influential Medicaid reform plan in the Empire State could [...] - Enforcement Watch:
A Few Bad Apples Ruining It For All DME Providers
DME dealer got wheelchair money - but didn't give her customers wheelchairs.
Despite the continued [...] - Rehab:
Therapists Cheer Physician Self-Referral Scrutiny
Congressional proposals could mean more business for therapists.
Therapy providers who've been losing sleep over physician-owned [...] - Bill Watch
The following bills were introduced in the Senate: S. 708. A bill to amend title [...] - Physicians:
AMA Sounds Alarm Bells Concerning Senior Access
Organization says if Congress cuts payout, docs will cut Medicare patient loads.
Senior citizens will begin [...]
