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Medicare

Dec 11, 2008 Natalie Klotsche
in

According to the Office of the Actuary for the Centers for Medicare & Medicaid Services (CMS), Medicare reimbursement to California hospitals amounted to almost $58 billion in 2004, comprising

CMS to Hold Claims Payable Under Physician Fee Schedule for 10 Days in January 2010

Dec 22, 2009 John Rigg
in
Agency holding claims in anticipation of corrective legislation being signed by President Obama

The Centers for Medicare & Medicaid Services (CMS) announced on December 21 that they will be holding all claims payable under the Medicare physician fee schedule (MPFS) for the first ten business days of January (January 1 to 15).  The agency claims that this hold will not result in any delayed payment to providers, and is intended to diminish any disruption caused by the statutorily-

DataSuite Issues Impact Analysis on H.R. 3962

Dec 2, 2009 Anne McLeod
in
California Hospital Association picture

CHA’s DataSuite issued facility-specific reports this week to hospitals, analyzing the key Medicare provisions contained in the Affordable Health Care for America Act (AHCAA), H.R. 3962.

OIG Releases 2010 Work Plan

Oct 9, 2009 Lois Richardson
in

The Office of Inspector General (OIG) has posted its fiscal year 2010 Work Plan.

John Rigg

CMS Issues Final Rule on Recoupment of Medicare Overpayments

Sep 24, 2009 Natalie Klotsche
in

CMS Issues Final Rule on Recoupment of Medicare Overpayments
The Centers for Medicare & Medicaid Services (CMS) issued a final rule in the Federal Register this week that implements a provision of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003. The rule prohibits Medicare from recouping overpayments from a provider that is pursuing an appeal from a Qualified Independent Contractor (QIC).

H1N1 Vaccine - Billing and Coverage Information

Sep 9, 2009 Natalie Klotsche
in

In anticipation of the availability of a vaccine for the H1N1 virus in the fall of 2009, the Centers for Medicare & Medicaid Services (CMS) created two new HCPCS Codes for the vaccine itself (G9142), which is not payable by Medicare as it will be supplied at no cost, and for the administration (G9141), which is payable. The effective date of G9142 and G9141 is September 1, 2009.

CMS Releases ICD-10 Fact Sheet

Sep 3, 2009 Natalie Klotsche
in
Hospitals must comply with the new coding system by Oct. 1, 2013

The Centers for Medicare & Medicaid Services (CMS) has released a fact sheet on the International Classification of Diseases, 10th Edition (ICD-10). Hospitals must comply with the new coding system by Oct. 1, 2013.