Medicare Compliance & Reimbursement
PROGRAM MEMO ROUNDUP
Skilled nursing facilities puzzled over Medicare policy for bill types 22x and 23x can take some guidance from a May 9 program memorandum from the Centers for Medicare & Medicaid Services (A-03-040; http://cms.hhs.gov/manuals/pm_trans/A03040.pdf). In the memo, CMS clarifies that bill type 23x should be used for beneficiaries who are placed in a Medicare non-certified part of the facility, while bill type 22x applies for residents who are in non-covered stays but are placed in the Medicare-certified section of the SNF. Bill type 22x is subject to consolidated billing; bill type 23x is not. In other recent program memoranda CMS:
Medicare Compliance & Reimbursement
- Budget:
HELP FOR STATES, RURAL AREAS IN SENATE BILL
The tax bill passed by the Senate May 15 includes $20 billion in fiscal relief [...] - Hospitals:
INPATIENT RULE LOWERS HIGH-TECH THRESHOLD
The Centers for Medicare and Medicaid Services says hospitals would get a 3.5-percent pay raise [...] - Medicare:
GAO: DEATH TO LOCAL COVERAGE PROCESS
The Centers for Medicare and Medicaid Services should strip Medicare contractors of their authority to [...] - Rehab:
75-PERCENT RULE ENFORCEMENT LOOMS FOR IRFs
Rehab hospitals are in line for a 3.3-percent increase in their Medicare payments - but [...] - Medicaid:
MEDICAID REVISIONS STILL UP IN AIR ON HILL, AMONG GOVERNORS
The National Governors Association task force on Medicaid is a long way from consensus on [...] - Pharmaceuticals:
PRIVATE LABELING LEADS TO CRIMINAL FINES
The feds mean business when it comes to drug pricing improprieties. Case in point: A [...] - Hospitals:
19 DRGs ON PER-DIEM CHOPPING BLOCK
Hospitals have long grumbled over the Centers for Medicare & Medicaid Services' post-acute transfer policy. [...] - Managed Care:
2004 M+C RATES LOW-BALL PLANS
Health plans aren't happy with the Centers for Medicare & Medicaid Services' 2004 Medicare+Choice payment [...] - Overpayments:
CONTRACTORS TOUT PAYMENT SAFEGUARD HAULS
Medicare contractors are boasting once again about the financial fallout from their medical review, fraud-fighting [...] - Kickbacks:
DEDUCTIBLE DEALS LEGAL BETWEEN HOSPITALS, MEDIGAP PLANS
Medigap insurers may be able to work deals with hospitals for cut rates on inpatient [...] - Help With HIPAA:
4 STEPS FOR HANDLING PRIVACY COMPLAINTS WITHOUT GETTING BURNED
Even if you have a top-notch privacy compliance program in place, you're bound to be [...] - HIPAA:
PART A PROVIDERS OPTIMISTIC ON HIPAA TRANSACTION STANDARDS
Medicare Part A providers are generally confident that they'll be ready for the Oct. 16 [...] - PROGRAM MEMO ROUNDUP
Skilled nursing facilities puzzled over Medicare policy for bill types 22x and 23x can take [...] - REGISTER WATCH
Skilled nursing facilities will see a 2.9 percent increase in their Medicare payments next year [...] - BILL WATCH
The following House bill was introduced: H.R. 2070. A bill to amend title XVIII of [...]
