AHA Calls Upon CMS to Take Action to Address OIG Audits
Claims Flawed OIG Extrapolations and Overstatements of Repayment Demands In a letter to CMS, the American Hospital Association (AHA) requested that…
Largest EMTALA Settlement
Tips for Performing Ongoing Monitoring and Auditing AnMed Health, a hospital located in South Carolina, recently agreed to pay $1.3…
CMS Issues Final Rule Implementing Changes to the PERM and MEQC Programs.
The Centers for Medicare & Medicaid Services (CMS) recently issued a final rule to implement changes to the Payment Error…
OIG Reports Medicare Paid $730 Million in Improper EHR Payments
12 percent of the $6 billion in EHR incentive payments were improper The HITECH Act established the electronic health record…
CMS Issues Report on 2017 Managed Care Star Ratings.
The Centers for Medicare & Medicaid Services (CMS) recently published the Part C and D Star Ratings to measure quality…
Looking Beyond the End of the Physician ICD-10-CM Coding Grace Period
Key Points ICD-10-CM Grace Period The one-year-long grace period for ICD-10-CM implementation ended on October 1, 2016. This provided the…
CMS Issues Final Rule on Medicaid Face-to-Face Requirements for Home Health Services.
The Centers for Medicare & Medicaid Services (CMS) recently released a final rule requiring documentation related to Medicaid coverage of…
Stark Law Final Rule Summary
CMS recently issued the Stark Law Final Rule (“Final Rule”), which makes numerous significant changes and provides important clarifications to the…
CMS Issues CY 2015 OPPS and ASC Final Rule
The Centers for Medicare & Medicaid Services (CMS) recently issued the Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center…
CMS Releases Medicare Physician Fee Schedule Final Rule
The Centers for Medicare & Medicaid Services (CMS) recently released a final rule with comment period revising payment policies under…
CMS Issues Medicare Advantage and Medicare Prescription Drug Benefit Programs Proposed Rule
The Centers for Medicare & Medicaid Services (CMS) recently issued a proposed rule with comment period, which will strengthen protections,…
CMS Releases FAQs for the Billing under the Three- and One-Day Payment Windows
The Centers for Medicare & Medicaid Services (CMS) recently published Frequently Asked Questions (FAQs) regarding the three-day and one-day payment…