Regulated transactions with physicians are now common for hospitals. With the significant number of physician practice acquisitions and other affiliations, the number of regulated transactions with physicians has gone up exponentially
On June 22, 2012, the IRS issued proposed regulations regarding several additional requirements enacted by the Patient Protection & Affordable Care Act applicable to tax-exempt hospitals.
On Monday, May 21, 2012, the Centers for Medicare & Medicaid (CMS) published a reminder that, effective for services provided on or after July 1, 2012, the statutory moratorium allowing certain pathologists and independent laboratories to bill for the technical component (TC) of pathology services expires. This means the TC for those surgical pathology services provided under arrangement to Medicare hospital patients only will be considered covered and payable by Medicare if billed by the hospital. The hospital will receive additional payment under the Outpatient Prospective Payment System (OPPS) for services provided to outpatients, but such services are considered included in the diagnosis-related group reimbursement for inpatients
On July 19, 2011, the Centers for Medicare & Medicaid Services (CMS) published the Calendar Year 2012 Physician Fee Schedule (PFS) proposed rule. While the proposed rule includes significant changes, it does not address changing the methodology in place for updating the PFS conversion factor.