Medicare
publication date
Strategy
In Poisoned Montana Town, Warren Buffett-Owned Railroad Accuses Clinic of Medicare FraudBNSF Railroad is going after the local health clinic that opened to deal with the health crisis in 2000 and...
Strategy
CMS to Repeal Public Disclosure of Payer-Provider Negotiated RatesThe sweeping proposed rule also calls for a 2.8% IPPS rate increase for FY22, and creates 1,000 new residency slots...
Strategy
The FDA Seeks a New Way to Review Old Drugs Without Causing Prices to SoarThe departing Trump administration unexpectedly ended the FDA program that led to a price spike for colchicine and other older...
Strategy
Study Finds Ongoing Confusion Among Medicare BeneficiariesGoHealth CMO, Paul Hain, MD, shares misconceptions Medicare beneficiaries have about Original Medicare and Medicare Advantage.
Finance
House Delays Medicare 2% Sequester Cuts Through 2021President Biden is expected to sign the bill, which has already cleared the Senate.
Revenue Cycle
OIG: Nevada-based Hospital Overcharged Medicare $23.6M for Rehabilitative ServicesThe OIG found that Sunrise Hospital & Medical Center in Winchester, Nevada complied with Medicare billing requirements for 46 of...
Revenue Cycle
Q&A: Calculating RHC PaymentFor each calendar year, a single deductible is established for Medicare Part B services, including rural health clinic services.
Strategy
Biden Seeks $400B to Buttress Long-Term Care. A Look at What's at Stake.It comes as the coronavirus pandemic has wreaked havoc in nursing homes, assisted living facilities and group homes, killing more...
Finance
CMS Begins Recouping Accelerated Medicare PaymentsPayments will be recouped at a rate of 50% for six months after the initial 11-month period.
Strategy
'Substantial Increase' Found in Medicare Advance Care PlanningA Health Affairs study also found prevalence of annual wellness claims to be below 7.5% for all fee-for-service Medicare patient...
Strategy
CMS Pauses Claim Payments Until Congress Passes Sequester FixThe House is on recess but expected to pass the bill when it returns to Washington, D.C., on April 13.
Revenue Cycle
OIG: Mississippi-based Hospital Overcharged Medicare $67k for Polysomnography ServicesTo determine whether Medicare claims that North Mississippi submitted for polysomnography services complied with Medicare requirements, the OIG reviewed a...