From the HHS Press Release: Final rule adopts measures for new IRF Quality Reporting Program CMS issued a final rule Friday that updates Medicare payment policies and rates for more than 1,200 freestanding and hospital-based inpatient rehabilitation facilities (IRFs) in Fiscal Year (FY) 2012. The final rule increases IRF payment rates under the IRF Prospective […]
From the HHS Press Release: Case-Mix Indexes Recalibrated CMS announced a final rule reducing Medicare skilled nursing facility (SNF) Prospective Payment System (PPS) payments in FY 2012 by $3.87 billion, or 11.1 percent lower than payments for FY 2011. The FY 2012 rates correct for an unintended spike in payment levels and better align Medicare […]
From the HHS Press Release: Case-Mix Indexes Recalibrated Hospices serving people with Medicare will see a 2.5 percent increase in their Medicare payments for fiscal year (FY) 2012, according to a final regulation released by CMS. Hospices are also called upon to begin reporting on the quality of care received by Medicare patients, as a […]
Medicare Fee-for-Service Recovery Audit Program as of June 17, 2011 CMS has prepared an overview of the combined results of the RAC program to date. This document also highlights the top issue for each contractor. Click here to download the document.
From the HHS Press Release: CMS took steps to encourage the creation of Consumer Operated and Oriented Plans (CO-OPs), new private non-profit, consumer-governed health insurance plans that will help increase competition and give consumers and small businesses additional affordable health insurance choices. CMS is proposing standards for CO-OPs, and for qualifying for $3.8 billion in […]
From the HHS Press Release: CMS took steps to encourage the creation of Consumer Operated and Oriented Plans (CO-OPs), new private non-profit, consumer-governed health insurance plans that will help increase competition and give consumers and small businesses additional affordable health insurance choices. CMS is proposing standards for CO-OPs, and for qualifying for $3.8 billion in […]
From the HHS Press Release: Proposed Rules Offer States Flexibility, Choices, Competition And Clout For Consumers And Small Businesses On July 11, the U.S. Department of Health and Human Services (HHS) proposed a framework to assist states in building Affordable Insurance Exchanges, state-based competitive marketplaces where individuals and small businesses will be able to […]
From the HHS Press Release: Proposed Rules Offer States Flexibility, Choices, Competition And Clout For Consumers And Small Businesses On July 11, the U.S. Department of Health and Human Services (HHS) proposed a framework to assist states in building Affordable Insurance Exchanges, state-based competitive marketplaces where individuals and small businesses will be able to […]
This document is from: MLN Matters Article #:SE1037 Guidance on Hospital Inpatient Admission Decisions It is important that any staff involved with the clinical decision to admit the patientstay abreast of all CMS national inpatient hospital policy and National and Local Coverage Determinations. Additionally, make sure medical documentation submitted demonstrates evidence of the clinical need […]