Medicare Compliance & Reimbursement
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 be issued May 16 by the Centers for Medicare & Medicaid Services, the agency announced May 8. A prospective payment system for these facilities became effective as of Jan. 1, 2002. CMS said that, as of Sept. 30, 2003, it was re-instituting enforcement of the "75 percent rule." This regulation requires rehab hospitals to show that at least three-quarters of their inpatient population over the most recent 12-month cost reporting period required "intensive rehabilitation services for 10 serious medical conditions," such as stroke, amputations, and brain injuries. "Because of concerns regarding the effectiveness and consistency" of the procedures that Medicare contractors were using to enforce the 75 percent rule, CMS had suspended enforcement in July, 2002.
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 [...]
