Medicare Update
A Medicare compliance, reimbursement and enforcement resource.
Author: Michael G. Apolskis runs his own firm, Michael G. Apolskis, P.C., in Chicago.
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Recent Posts from Medicare Update
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House Passes Affordable Health Care for America Act
On November 7, 2009, the U.S. House of Representatives passed (in a 220-215 vote) the Affordable Health Care for America Act (H.R.3962). The American Medical Association (AMA) reports that, earlier in the day, the House…
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CMS Redesigns Medicare Provider Statistical & Reimbursement System
Over the last week, I have received a few inquires about a Medicare provider's responsibility with respect to obtaining a Provider Statistical & Reimbursement (PS&R) system report for cost report filing purposes. On June 12,…
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CMS to Host Home Health, Hospice & DME Open Door Forum
The Centers for Medicare & Medicaid Services (CMS) recently announced that it will hold the next Home Health, Hospice & DME Open Door Forum at 2:00 p.m. (ET) on December 2, 2009. To participate by…
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CBO Releases Cost Estimate for Medicare Physician Payment Reform Act
The Congressional Budget Office (CBO) recently released a cost estimate for the Medicare Physician Payment Reform Act of 2009 (H.R.3961), which would repeal the now 21.2 percent Medicare payment rate reduction for physician services in…
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Region D Medicare Recovery Audit Contractor Adds New CMS Approved Audit Issue
HealthDataInsights, Inc. (HDI), the Medicare recovery audit contractor (RAC) for Region D, recently posted a new CMS approved audit issue for RAC review on its website. The new CMS approved audit issue is titled "Infusion…
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House Democrats Release Amendment to Affordable Health Care for America Act
On November 3, 2009, House Democrats released a 42 page manager's amendment to the Affordable Health Care for America Act (H.R.3962). The amendment can be found here.Subscribe to Medicare Update, follow me on Twitter @MedicareUpdate,…
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Comment Period Extended for Rule Proposing New ESRD Prospective Payment System
On September 29, 2009, the Centers for Medicare & Medicaid Services (CMS) published a Proposed Rule that would implement a case-mix adjusted bundled prospective payment system for Medicare outpatient end stage renal disease (ESRD) dialysis…
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CMS Releases Final Medicare Physician Fee Schedule Changes for 2010
On October 30, 2009, the Centers for Medicare & Medicaid Services (CMS) released a display copy of the Final Rule (with comment period), which updates the payment policies and rates for the Medicare Physician Fee…
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Top Ten Medicare Update Blog Posts in October 2009
Below are the top ten Medicare Update posts during October 2009 (based on the number of views): 1) CMS Announces 2010 Medicare Premiums and Deductibles 2) OIG Work Plan Reveals Possible Risk Areas for Medicare…
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CMS Releases 2010 Final Rule for Hospital Outpatient Departments and Ambulatory Surgical Centers
On October 30, 2009, the Centers for Medicare & Medicaid Services (CMS) released a display copy of a Final Rule (with comment period) that updates the Medicare payment policies and rates for both hospital outpatient…