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HFMA News – Dec. 15, 2008. At the request of the U.S. House of Representatives Committee on Oversight and Government Reform, the Institute of Medicine of the National Academies (IOM) has prepared a report titled HHS in the 21st Century assessing whether the U.S. Department of Health & Human Services (HHS) is ?ideally organized? to meet […]
HFMA News – Dec. 12, 2008. As expected, President-elect Barack Obama made official his nomination of former Sen. Tom Daschle (D-S.D.) as Secretary of Health & Human Services on Thursday, Dec. 11. He also named Daschle as director of a new White House Office on Health Care Reform. Dr. Jeanne Lambrew, who authored a book […]
This is the complete Work Plan for FY 2009. (115 pages) Click here
OIG Open Letter This Open Letter discusses certain refinements and clarfications to OIG’s policies that we believe wil increase the efficiency of the SDP and benefit providers who self-disclose. Click to read the original letter dated April 15, 2008
MedPAC Releases Updated Medicare Payment Basics Documents On October 7, 2008, the Medicare Payment Advisory Commission (MedPAC) released documents for its Medicare Payment Basics series, which provide an overview of 18 Medicare payment systems. To view the documents, visit the Medicare Payment Basics page of the MedPAC website or click on any of the following […]
Billing for Observation – Update Observation services should not be billed concurrently with diagnostic or therapeutic services for which active monitoring is a part of the procedure (e.g., colonoscopy, chemotherapy). In situations where such a procedure interrupts observation services, hospitals would record for eachperiod of observation services the beginning and ending times during the hospital […]
CMS-HINN 12 Instructions Hospitals provide Hospital-Issued Notices of Noncoverage (HINNs) to beneficiaries prior to admission, at admission, or at any point during an inpatient stay if the hospital determines that the care the beneficiary is receiving, or is about to receive, is not covered because it is: Not medically necessary; Not delivered in the most […]
CMS Final Rule on NRPCMR This Final Rule regards Termination of Non-Random Prepayment Complex Medical Review. A provider or supplier may be terminated from this program by these criteria. Published in Federal Register on Sep 26, 2008. These regulations are effective Jan 1, 2009. Click for the Federal Register publication
IRS Can Levy Medicare Payments Effective October 1, 2008, Medicare payments to physicians may be reduced by the amount of tax owed to the IRS. This directive impacts providers submitting claims to Medicare contractors for services provided to Medicare beneficiaries. Click to view Pub 100-20 One Time Notification Click to view MLN Matters News Flash
