From the OIG, an interactive map containing data by state. 2016 Data Interactive Map 2015 Data Interactive Map 2014 Data Interactive Map 2013 Data Interactive Map 2012 Data Interactive Map 2011 Data Interactive Map 2010 Data Interactive Map
CMS has provided an FAQ document to address concerns regarding the 2 Midnight Inpatient Admission Guidance which begins October 1, 2013. Click to read the document on the CMS site. Q: Will CMS direct the Medicare review contractors to apply the 2-midnight presumption-that is, contractors should not select inpatient claims for review if the inpatient […]
According to CMS the Medicare hospital inpatient prospective payment systems (IPPS) for operating and capital-related costs of acute care hospitals is being revised. Some of the changes implement certain statutory provisions contained in the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 (collectively known as the Affordable […]
This final rule updates the prospective payment rates for inpatient rehabilitation facilities (IRFs) for federal fiscal year (FY) 2014 (for discharges occurring on or after October 1, 2013 and on or before September 30, 2014) as required by the statute. This final rule also revised the list of diagnosis codes that may be counted toward […]
This final rule updates the payment rates used under the prospective payment system for skilled nursing facilities (SNFs) for fiscal year (FY) 2014. In addition, it revises and rebases the SNF market basket, revises and updates the labor related share, and makes certain technical and conforming revisions in the regulations text. This final rule also […]
The FY2014 proposals are summarized below. Changes to payment rates under the SNF Prospective Payment System (PPS) Based on proposed changes contained within this rule, CMS estimates that aggregate payments to SNFs will increase by $500 million, or 1.4 percent, from payments in FY 2013. This estimated increase is attributable to the 2.3 percent […]
Proposed Rule Details BNAF phase-out. This proposed rule would implement the fifth year of the seven-year BNAF phase-out, reducing the BNAF by 15 percent, for a total reduction of 70 percent since FY 2010. The BNAF was implemented in 1997, when the former Health Care Financing Administration (HCFA), now CMS, moved from an outdated […]