Medicare
Hospitals are experiencing a significant increase in audit activity by contractors for the Centers for Medicare & Medicaid Services (CMS).
In the May 11 Federal Register, the Centers for Medicare & Medicaid Services published its fiscal year 2013 proposed rule for the inpatient prospective payment system and long-term care hospital PPS.
The Centers for Medicare & Medicaid Services requires hospitals to meet specified Conditions of Participation (CoPs) in order to participate in the Medicare and Medicaid programs.
On April 11, the Department of Health and Human Services (HHS) sent Congress a plan for reforming Medicare's hospital wage index, as required by the Patient Protection and Affordable Care Act of 2010.
On February 14, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule implementing a provision in the Patient Protection and Affordable Care Act that requires a health care provider or supplier that received an overpayment from the Medicare program to report and return the…
Congress long ago determined that Medicare patients should be required to share in the cost of their care through deductibles and coinsurance. Many Medicare beneficiaries purchase Medigap policies or have other supplemental health insurance that covers their coinsurance and deductibles. But many…
Recommendations, Impact Data, and Opportunity for Member Input
Hospitals repeatedly have expressed concern that the Medicare Area Wage Index (AWI) is greatly flawed in many respects. Members of Congress, Medicare officials and other policymakers also have voiced concerns with the present system.
AHA friend-of-the-court brief supporting the Colorado governor's decision to opt out of Medicares physician supervision requirement for certified registered nurse anesthetists to improve access to care for rural residents.
On Nov. 1, the Centers for Medicare & Medicaid Services released the outpatient prospective payment system (OPPS) and ambulatory surgical center final rule for calendar year 2012.
A summary of CMS's physician fee schedule final rule for CY 2012 with changes to the Medicare and other Medicare Part B payment policies.