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Category: Regulations

Provider / Regulations

VGM calls on providers to testify at small business hearing

The Small Business Administration (SBA) plans to conduct a field hearing in which providers can voice their concerns about the negative impact of competitive bidding and Medicare audits on small …

Government / Payor / Regulations / Reimbursement

Senate Takes up Bill to Improve Medicare Audits and Address RAC Concerns

A new Senate bill addresses provider concerns over the Medicare audit process, including the role of Recovery Audit Contractors. The House is also considering a version of the “Medicare Audit …

Government / Regulations / Reimbursement

CMS Issues more In-Depth Survey Guidelines to Reduce Readmissions

The Centers for Medicare & Medicaid Services has revised the provider certification manual for hospitals, giving more in-depth guidelines around discharge planning. The goal is for hospitals to reduce readmissions …

Government / Payor / Regulations / Reimbursement

Did CMS Break Rules to Rig Bid Numbers?

Anybody who is paying any attention to the Medicare competitive bidding program understands that the program is fatally flawed. We all know that just about every qualified expert in the …

Government / Regulations

OIG Releases Updated Provider Self Disclosure Protocol

The Office of Inspector General (“OIG”) of the Department of Health and Human Services (“HHS”) has issued a revised version of its Provider Self-Disclosure Protocol (“Updated SDP”), dated April 17, …

Government / Regulations / Reimbursement

Industry Casts Further Doubt on Bid Process

H.R. 1717 remains the HME industry’s No. 1 priority, but with time running out, stakeholders are again pressing for a delay in the July 1 start date of Round 2 …

Government / Payor / Regulations / Reimbursement

Tennessee Congressional Delegation Question Legality of Competitive Bidding

Members of the Tennessee United States Congressional delegation today called on the administration “to provide details on its policy of awarding Medicare contracts to businesses not licensed in Tennessee, a …

Government / Payor / Regulations

Blue Cross of Vermont Opens Health Exchange Education HQ

One out of every six Vermonters, about 100,000 people in a state of 630,000, must switch the way they enroll and buy for health insurance this fall with the opening …

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