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Posts from the ‘Medicare/Medicaid News’ Category

25
Jan

ASC Medicaid Pilot Project – Phase One

ASC Medicaid Pilot Project – Phase One

ASC Medicaid Pilot Project – Reimbursement Amounts (Excel spreadsheet)

12
Apr

Senators Push to Open Database on Medicare

Two senators have introduced legislation to overturn a 1979 court injunction that bars the government from revealing what individual physicians earn from Medicare.

That information is stored in the Medicare-claims database, widely considered one of the best tools for finding fraud and abuse in the $500 billion federal health-insurance program for the elderly and…
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17
Mar

MedPAC Releases March 2011 Report to Congress

The Medicare Payment Advisory Commission (MedPAC) is an independent congressional agency established by the Balanced Budget Act of 1997 (P.L. 105–33) to advise the U.S. Congress on issues affecting the Medicare program. Two reports—issued in March and June each year—are the primary outlets for Commission recommendations. In addition to annual reports and occasional reports on…
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11
Mar

States Asking Feds for Medicaid Flexibility

In an op-ed posted at the Seattle Times, Congresswoman Cathy McMorris Rodgers (R-WA) and Jason Mercier, director of the Seattle-based Center for Government Reform at the Washington Policy Center says Congress should give states more flexibility in dealing with Medicaid.

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22
Feb

OIG Finding of ASC Overpayments Part B

ASCs did not comply with Medicare consolidated billing requirements in CYs 2006 through 2008 for surgeries performed on patients in Skilled Nursing Facilities. . All 100 services that the Office of the Inspector General reviewed, totaling $102,879, were incorrectly billed to Medicare Part B even though they were included in the SNFs’ Part A payments…
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24
Dec

Some States Weigh Unthinkable Option: Ending Medicaid

Huge budget shortfalls are prompting a handful of states to begin discussing a once-unthinkable scenario: dropping out of the Medicaid insurance program for the poor.

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3
Dec

MedPAC: Assessing payment adequacy for ASCs

New opportunity for stakeholder comment on MedPAC deliberations.

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29
Nov

WSJ on ACOs – Boon or Boondoggle

Spurred by incentives in the federal health-overhaul law, hospitals and doctors around the country are beginning to create new entities that aim to provide more efficient health care.

But these efforts are already raising questions about whether they can truly save money, or if they might actually drive costs higher.

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8
Nov

How Medicare Killed the Family Doctor

An Opinion piece in the Nov. 8 Wall Street Journal bemoans how Medicare Killed the Family Doctor

3
Nov

CMS released its final payment rule for ASCs

CMS released its final payment rule for ASCs. Read more here.