Posts Tagged Medicare

Mobile App Lets Consumers Find What Original Medicare Covers

The Centers for Medicare & Medicaid Services recently released a mobile app that shows whether fee-for-service Medicare covers a specific medical item or service. The agency said consumers and others can use the “What’s Covered” app to get coverage information from the doctor’s

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AHA: Medicare, Medicaid underpaid hospitals by $76.8 billion in 2017

Medicare and Medicaid underpaid U.S. hospitals by $76.8 billion in 2017, according to the latest data from the American Hospital Association’s Annual Survey of Hospitals. Underpayment occurs when the payment received is less than the costs of providing care, that is, the amount paid by

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Congress Passes Farm Bill; House Ways and Means Committee Bill Introduced

Congress returned from observing the passing of President George H.W. Bush to work on the federal budget and last minute items. They passed a farm bill conference report that authorizes assistance for rural hospitals to refinance a debt obligation as an eligible loan or loan

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Webinar: MRI Safety: Complying with American College of Radiology (ACR), Centers for Medicare & Medicaid Services (CMS), The Joint Commission (TJC) & More

This webinar will cover the revised CMS hospital CoPs on magnetic resonance imaging (MRI) along with the Joint Commission MRI requirements. Our speaker will review the American College of Radiology (ACR) guidance documentation on (Medical Radiology) MR safe practices and the many potentialRead more

OIG Report Says Vulnerabilities Exist in Hospital Wage Index System

The US Department of Health and Human Services’ Office of Inspector General recently issued a report identifying vulnerabilities in the hospital wage index system for Medicare payments. “As a result of these vulnerabilities, wage indexes may not always accurately reflect local labor prices and, therefore,

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CMS Finalizes Calendar Year 2019 Payments and 2020 Policy Changes for Home Health Agencies and Home Infusion Therapy Suppliers

CMS issued a final calendar year 2019 update to the home health prospective payment system (HH PPS). The rule will update both the payment rates and case-mix weights for home health agencies (HHAs) for CY 2019. For home health services beginning on or after

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Government Payors Summit – RESCHEDULED for October 30

 

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CMS Proposes International Pricing Index Model for Medicare Part B Drugs

CMS has issued an Advance Notice of proposed rulemaking regarding the development of a potential model that seeks payment prices comparable for Part B drugs relative to other economically-similar countries. CMS says that a proposed rule would be issued, based on comments, in the spring

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Webinar: CMS Hospital CoP and TJC Telemedicine Standards: Telemedicine Credentialing and Privileging

Are you familiar with the federal regulations along with the Centers for Medicare and Medicaid Services (CMS) interpretive guidelines of telemedicine? CMS has conditions of participation (CoPs) interpretive guidelines for all hospitals regarding their telemedicine standards. The regulations and interpretive guidelines also impactRead more

Webinar: Protocols, Standing Orders, Order Sets, and Preprinted Orders: Cracking the Code to the CMS Hospital CoP and TJC Requirements

This program will cover the interpretive guidelines and regulations required by the Center for Medicare and Medicaid Services (CMS) related to standing orders, protocols, order sets, and preprinted orders. Regarding standing orders, Tag 457 will be discussed, including the four separate sections inRead more

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