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The Federal Register for August 16, 2010 includes updates for the Medicare Program: Hospital IPPS for Acute Care Hospitals and the LTC Hospital PPS Changes and FY2011 Rates; Provider Agreements and Supplier Approvals; and Hospital Conditions of Participation for Rehabilitation and Respiratory Care Services; and for the Medicaid Program: Accreditation for Providers of Inpatient Psychiatric […]
First Requests for Maximum Records Seen Connolly Healthcare requested the maximum allowable number of records from many facilties in their region over the past few days, sending out Additional Documentation Request (ADR) letters immediately after posting approval for medical necessity review of 29 MSDRGs on August 30. The targeted facilities have never before seen requests […]
Largest Ever Jury-granted Award for Damages in America A jury returned a $677 million judgment against Skilled Healthcare Group, Inc. in a more than four-year-old class action lawsuit alleging that the company violated state mandated nursing coverage requirements in 22 of its nursing facilities over a six-year period, on Tuesday, July 6, 2010. At issue […]
Documents related to this case: SECONDED AMENDED CLASS ACTION COMPLAINT — Filed in Superior Court of the State of California for the County of Humboldt, Case No.: DR060264, April 16, 2008. VERIFIED ANSWER TO MOTION TO DISQUALIFY JUDGE — Filed Jun 11, 2009. STIPULATION AND ORDER, FORM 8-K AND PRESS RELEASE — Dated July 15, […]
Largest Ever Jury-granted Award for Damages in America A jury returned a $677 million judgment against Skilled Healthcare Group, Inc. in a more than four-year-old class action lawsuit alleging that the company violated state mandated nursing coverage requirements in 22 of its nursing facilities over a six-year period, on Tuesday, July 6, 2010. At issue […]
Report encourages CMS to Pursue Widespread Recovery Medicare contractors overpaid physicians an estimated $13.8 million for claims with the incorrect place-of-service code during calendar year 2007, the HHS Office of Inspector General (OIG) says in an audit report (A-01-09-00503) posted Aug. 13, 2010. Medicare reimburses physicians more for certain services they perform in offices, urgent […]
The Affordable Care Act In Action, Securing Medicare Benefits From the Introduction: The Patient Protection and Affordable Care Act (PPACA) includes a series of Medicare reforms that will generate billions of dollars in savings for Medicare and strengthen the care Medicare beneficiaries receive. The new law protects guaranteed benefits for all Medicare beneficiaries, and provides […]
AFFORDABLE CARE ACT SAVING MONEY FOR MEDICARE AND TAXPAYERS New CMS Report Shows Savings of Nearly $8 Billion by 2012 Medicare will see savings of nearly $8 billion by the end of 2012 with the implementation of the Affordable Care Act, the Centers for Medicare & Medicaid Services (CMS) reported on August 2, 2010. In […]
[The following includes several subjects, included in this posting by CMS on July 30, 2010.] Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System Changes and FY2011 Rates; Provider Agreements and Supplier Approvals; and Hospital Conditions of Participation for Rehabilitation and Respiratory Care Services; Medicaid […]
