Reimbursement
CMS has posted an "emergency update" to the 2011 Medicare physician fee schedule (MPFS) files, reflecting recent statutory changes and certain technical corrections.
The Office of the Inspector General has discovered that some nursing homes are charging Medicare more then they should for resource utilization groups, and they want to put a stop to it.
In a move that dramatically changes how it pays end-stage renal disease facilities, the Centers for Medicare & Medicaid Services on Wednesday issued a final rule that will allow payment adjustments based on how well facilities meet dialysis performance standards.
As the Centers for Medicare and Medicaid Services (CMS) prepares to upgrade its computer systems and begins to award incentive payments to eligible meaningful users of electronic health records, the Office of the Inspector General is positioning itself for its monitoring responsibilities. Medicare and Medicaid information systems and data security falls under the oversight of the OIG, as outlined in its work plan for 2011.
Citing low reimbursement rates that could threaten its ability to provide medical care to all patients, Appalachian Regional Healthcare on Monday filed a lawsuit against the West Virginia Department of Health and Human Resources and its Bureau for Medical Services for inadequate Medicaid reimbursement rates.
A new OIG report, “Questionable Billing for Medicare Outpatient Therapy Services,” reviews 20 counties with the highest Medicare outpatient therapy payments per beneficiary and overall high outpatient utilization levels in 2009.
Sen. Charles Grassley (R-Iowa), ranking member of the Senate Finance Committee, is pressuring President Barack Obama's administration to defend how it has spent money fighting Medicare fraud, including the addition of new fraud-fighting IT.
The Centers for Medicare and Medicaid Services, the largest healthcare payer in the country, has released a plan for upgrading its computer and data systems with the aim of providing better care.
As the December 31 Medicare open enrollment deadline grows closer, the Centers for Medicare and Medicaid Services reports record-level enrollment activity from seniors.
The Bethesda Healthcare System, a not-for-profit, two-hospital system in Boynton Beach, Fla., intends to redesign its revenue cycle processes, adding a fully automated financial and clinical patient record.