Medicare Compliance & Reimbursement
PROGRAM MEMO ROUNDUP
Brace yourself, rehab providers. The Centers for Medicare & Medicaid Services is gearing up to implement the much dreaded - and oft delayed - therapy cap. In a May 2 program memorandum (AB-03-057; http://cms.hhs.gov/manuals/pm_trans/AB03057.pdf), CMS declares that Medicare claims processors should begin applying the cap starting July 1. The cap applies to occupational therapy and physical therapy (including speech-language pathology). In other recent program memoranda, CMS:
Medicare Compliance & Reimbursement
- Outcomes:
HHAs USE HHQI TO SPREAD GOOD WORD ON HOME CARE
More than 1,200 home health agencies in eight states now have eleven patient outcomes posted [...] - Hospitals:
4 ORGAN ACQUISITION COST REPORTING PITFALLS
The complexities of Medicare reimbursement for organ transplant centers are all too clear in a [...] - HIPAA:
5 HIPAA COMPLIANCE PRESSURE POINTS
The much-anticipated compliance deadline for the Health Insurance Portability and Accountability Act privacy rule has [...] - Long-Term Care:
NURSING HOMES CAN'T STUMBLE ON DELEGATION COMPLICATIONS
Nursing home surveyors may soon be taking a closer look at the delegation of certain [...] - Managed Care:
THE DEVIL IS IN THE DETAILS WITH INSTITUTIONALIZED STATUS
Keeping up with the institutionalized status of Medicare beneficiaries enrolled in Medicare+ Choice plans has [...] - EMTALA:
HOSPITAL PREVAILS IN DECADE-OLD EMTALA CASE
A ten-year-old patient anti-dumping case that worked its way all the way up to the [...] - Settlements:
COMPUTER GLITCHES CAN COST YOU BIG
You don't have to profit from a billing snafu to have the feds come after [...] - Reimbursement:
HHAs WIN BREATHING ROOM ON PEPS
Home health agencies have received another reprieve from the recoupments of tens of thousands of [...] - OASIS:
SENATOR OPPOSES OASIS SUSPENSION FOR PRIVATE PAY
Home health agencies will continue to collect Outcome Assessment and Information Set data on their [...] - Therapy:
DOC-FURNISHED THERAPY NOT HHAS' RESPONSIBILITY
Starting this fall, physicians won't be knocking on home health agencies' doors asking for therapy [...] - Rehab:
REHAB HOSPITALS IN LINE FOR 3.3 PERCENT INCREASE
Inpatient rehabilitation hospitals would get a 3.3 percent reimbursement increase under a proposed rule to [...] - Whistleblowers:
WHISTLEBLOWER CFO TARGETS ALLEGED E&M SNAFUS
Here's one more reason to be sure your evaluation and management coding practices are up [...] - SNFs:
CMS PROPOSES SNF PAYMENT INCREASE
The Centers for Medicare & Medicaid Services will propose increasing payments to skilled nursing facilities [...] - HCA Watch:
DOJ APPROVES HCA SETTLEMENT
Nashville, TN-based HCA hospital giant came a step closer to putting an epochal fraud and [...] - PEOPLE
Centers for Medicare & Medicaid Services analyst Sean Tunis, MD, has been appointed the agency's [...] - PROGRAM MEMO ROUNDUP
Brace yourself, rehab providers. The Centers for Medicare & Medicaid Services is gearing up to [...]
