The list below contains the final rule (display version or published Federal Register version) and all subsequent published correction notices (if applicable), all tables, additional data and analysis files and the impact file. For files related to the Long Term Care PPS please visit http://www.cms.hhs.gov/LongTermCareHospitalPPS/. CMS-1518-F and CMS-1518-CN3 Final Rule Tables Each of these […]
This document is compiled to assist those coding for Rehabilitation Claims. Click here to download.
Statement of Work (SOW) for Recovery Audit Contractor (RAC) A new version of the RAC Final Statement of Work has been posted from CMS. While the pages are not dated, the title indicates an update from September, 2011. This document contains 57 pages and is in .pdf format. Download the file here Other information from […]
Testimony of Daniel R. Levinson, Inspector General on March 9, 2011 before the House of Representatives, Committee on Oversight and Government Reform, Subcommittee on Government Organization, Efficiency and Financial Management on Improper Medicare Payments Excerpts from the testimony: OIG Reviews Identify Improper Payments and Recommend Corrective Actions OIG conducts targeted reviews to determine the scope […]
From the HHS Press Release: Final Rule Strengthens Tie Between Payment and Quality Improvement The final rule updates payment policies and rates for acute care hospitals paid under the Inpatient Prospective Payment System (IPPS), as well as hospitals paid under the Long Term Care Hospital Prospective Payment System (LTCH PPS). The final rule also strengthens […]
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.
This document is from: MLN Matters Article #:MM7443 Posted: May 27, 2011 Related CR#: 7443 July 2011 Update of the Hospital Outpatient Prospective Payment System (OPPS) Change Request (CR) 7443 describes changes to and billing instructions for various payment policies implemented in the July 2011 OPPS update. The July 2011 Integrated Outpatient Code Editor (I/OCE) […]
This document is from: MLN Matters Article #:MM7367 Posted: May 20, 2011 Related CR#: 7367 Effective Date: Discharges on or after July 1, 2011 Update – Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) Rate Year 2012 This article is based on Change Request (CR) 7367 which identifies changes that are required as part of […]
Strengthening Medicare: Better Health, Better Care, Lower Costs Efforts Will Save Nearly $120 Billion for Medicare Over 5 Years Introduction CMS and the Obama Administration are committed to strengthening Medicare, improving the health of seniors and the quality of the care they receive, and lowering costs. The Affordable Care Act provides a breadth of new […]