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Category: Regulations

Government / Industry / Regulations / Reimbursement

PAMS Response to Washington Post Editorial on Competitive Bidding

The Washington Post ran an editorial in the paper’s Sunday edition on June 16th encouraging CMS Administrator Marilyn Tavenner to implement the Round 2 program. The Article can be viewed …

Government / Regulations

Reminder: Face-to-Face Requirements take Effect July 1st

Beginning July 1st, physicians must document a face-to-face encounter exam with a beneficiary in the six months prior to the written orders of certain items of DME. According to the …

Government / Regulations

MedPAC thinks Re-Admission Penalties Too Harsh for Hospitals

The financial penalties that Medicare imposes on hospitals with high rates of patient readmissions are too harsh for hospitals serving the poor and should be changed, according to a congressional …

Government / Regulations / Reimbursement

OIG: CMS Should Establish Transfer Payment Policy for Eary Discharges to Hospice Care

The OIG recently issued a report, found at www.kslaw.com, concerning the potential financial impact to Medicare Part A if CMS established a hospital transfer payment policy for early discharges to …

Government / Payor / Regulations

CMS Touts Dwindling Number of DME Companies

The Centers for Medicare & Medicaid Services has removed 14,663 healthcare providers and suppliers from the Medicare program in the last two years, the agency announced Thursday. The figure more …

Government / Regulations

RACs push back against audit improvement bills

An advocacy group for independent Medicare auditors has sharply criticized two bills that would put new controls on Recovery Audit Contractors. The Medicare Audit Improvement Act of 2013 was introduced …

Regulations

Small Companies Look to Early Insurance Renewal

Small companies seeking to ward off key health-law provisions—at least for a while—are weighing offers by some large insurers to hit the reset button on their yearlong health plan service …

Regulations

Legislation to Improve CMS RAC Program Introduced in U.S. Senate

An identical version of the Medicare Audit Improvement Act (MAIA), reported on in the March 25, 2013 issue of Health Headlines when it was introduced in the House, has now …

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