Medicare Compliance & Reimbursement
PROGRAM MEMO ROUNDUP
Hospitals that "self attest" their provider-based entities could save themselves a bundle if the Centers for Medicare & Medicaid Services later denies their provider-based status. So says CMS in an April 18 program memorandum (A-03-030; http://cms.hhs.gov/manuals/pm_trans/A03030.pdf) that offers an overview of provider-based status rules. The agency says that if it denies provider-based status, it would collect overpayments going back to the submission of the attestation for self-attesting facilities, but would pursue overpayment all the way back to Oct. 1, 2002 for non-self-attesting organizations. In other recent program memoranda, CMS:
Medicare Compliance & Reimbursement
- Home Health:
'HOME HEALTH COMPARE' SET TO GO LIVE, FLAWS AND ALL
Widespread errors with administrative data on the soon-to-be-unveiled Home Health Compare Web site will make [...] - Medicare Pass-Through:
ANEMIA DRUG DISPUTE FILLS CMS MAILBAG
Both Republicans and Democrats are criticizing the way the Centers for Medicare and Medicaid Services [...] - Medicaid Drugs:
LEGISLATIVE OFFICE URGES FLORIDA TO DUMP PFIZER MEDICAID PROGRAM
Saying it hasn't seen solid evidence of significant savings produced by disease-management and other services [...] - Business Arrangements:
EXPANDING SERVICES THROUGH A JV? 5 RED FLAGS IN OIG'S SCOPES
If your expansion plans have led you to create a new business that subcontracts out [...] - Physicians:
FRAUD HUNT SPOOKS DOCS INTO DOWNCODING
Haunted by late-night worries about being targeted in a Medicare fraud investigation? If you're a [...] - HCA Watch:
GRASSLEY CONTINUES SCRUTINY OF HCA SETTLEMENT
Senate Finance Committee chair Chuck Grassley (R-IA) has written a fourth letter regarding the government's [...] - HealthSouth Watch:
REHAB GIANT FACES CONGRESSIONAL PROBE
Imploding rehab giant HealthSouth Corp.'s woes deepened April 22, with a Congressional panel joining the [...] - Coverage:
WINS, LOSSES AND TIES IN MEDICARE PET SCAN POLICIES
Health care providers will soon be able to bill Medicare for positron emission tomography scans [...] - Self-Referral:
PROVIDERS GET BREATHING ROOM ON 'SET-IN-ADVANCE' RULE
Teaching hospitals and medical foundations bracing for a potential paperwork nightmare July 7 received a [...] - Hospitals:
NEW RULES HIT HOME FOR HOSPITAL SURVEYS
With new hospital quality rules in effect for Medicare, surveyors will be taking a different [...] - Medicare:
PROVIDERS, SUPPLIERS FACE NEW ENROLLMENT STANDARDS
A wider range of Medicare providers could be subject to site visits to verify their [...] - Fraud & Abuse:
PLANS, AGENCIES GET PRICE CUT ON HIPDB
Health plans and government agencies soon will get a price cut when they run a [...] - Fraud & Abuse:
DRUGMAKERS' FRAUD SETTLEMENTS BIGGEST EVER FOR MEDICAID
Pharmaceutical manufacturers Bayer AG and GlaxoSmithKline will pay the federal government, all states except Arizona, [...] - PROGRAM MEMO ROUNDUP
Hospitals that "self attest" their provider-based entities could save themselves a bundle if the Centers [...] - REGISTER WATCH
In its last-Friday-of-the-month flurry of regulations, the Centers for Medicare & Medicaid Services issued technical [...]
