Preliminary Not-for-Profit Healthcare Medians Show Widespread Weakening

HFMA – March 13, 2009. Moody’s Investors Service reports that, based on audited financial results for 211 rated organizations, preliminary FY 2008 medians are showing a widespread weakening of credit measures across all rating categories. Click title to read more… Data from the preliminary medians are suggesting several significant developments. First, all major ratios are […]

AHA Reports Significant Decline in Total Margins for End of 2008

HFMA – March 16, 2009. The average total margin for hospitals reporting financial information to DATABANK fell to negative 7.8 percent in the fourth quarter of 2008 from positive 4.6 percent in the fourth quarter of 2007, according to a report released by the American Hospital Association (AHA) and Colorado Hospital Association (CHA). Hospitals in […]

Impact of California Pay-for-Performance Program Questioned

HFMA – March 11, 2009. Researchers at the RAND Corporation are evaluating a statewide pay-for-performance program launched by the California Integrated Healthcare Association in 2003. Under the program, physician groups receive financial bonuses if they meet certain performance guidelines such as increasing the number of patients with diabetes who receive recommended blood tests.  Click title […]

House Bill to Improve Accuracy of Medicare Reimbursement … – PR Newswire (press release)

PR Newswire (press release), NY – March 10, 2009. These discounts artificially reduce Medicare Part B drug reimbursement rates for community oncology clinics, jeopardizing the viability of these providers. The bill is a step forward in addressing problems with Medicare reimbursement for cancer drugs. … House Bill to Improve Accuracy of Medicare Reimbursement …

Defunct Victory Hospital Settles Medicare Fraud Charges – Brooklyn Daily Eagle

Brooklyn Daily Eagle – March 10, 2009. “The settlement reached in this case reflects our continuing commitment to vigorously investigate fraud on the Medicare Program.” In accordance with the settlement agreement, the total settlement of the fraud claims could approach a total of $2.8 … Defunct Victory Hospital Settles Medicare Fraud Charges

Impact of Health IT Economic Stimulus Provisions Examined

HFMA – March 10, 2009. A series of articles offers perspectives on health IT and the recently enacted economic stimulus package (the American Recovery and Reinvestment Act of 2009).  Click title to read more… David Brailer, the former National Coordinator for Health Information Technology, shares lessons from health IT efforts in the Bush administration and […]

Condition Code 44, “Inpatient Admission Changed to Outpatient” October, 2009

On , in Archives, by AQ-IQ LLC

This document is from: CMS Manual System Pub. 100-04 Medicare Claims Processing Transmittal 1803   Change Request 6626 Dated August 28, 2009 Subject: October 2009 Update of the Hospital Outpatient Prospective Payment System (OPPS) SUMMARY OF CHANGES: This Recurring Update Notification describes changes to and billing instructions for various payment policies implemented in the October […]

Condition Code 44, “Inpatient Admission Changed to Outpatient” (September 10, 2004)

On , in Archives, by AQ-IQ LLC

This document is from: CMS Manual System Pub. 100-04 Medicare Claims Processing Manual Transmittal 299   Change Request 3444 Dated September 10, 2004 Subject: Use of Condition Code 44, “Inpatient Admission Changed to Outpatient” SUMMARY OF CHANGES: This transmittal implements Chapter 1, Section 50.3, which describes when and how a hospital may change a patient’s status […]

HIPAA 2009

On , in Archives, by AQ-IQ LLC

American Recovery and Reinvestment Act of 2009, Division A, Title XIII, Subtitle D (Privacy) begins here. Use the “next page” and “jump to page” icons on the bottom of the pdf to change pages within this document.