Medicare released a proposed rule in the Federal Register , “Medicare Program; Part B Inpatient Billing in Hospitals,” in March 2013. That proposed rule, in combination with the ruling for Part A to B denial rebilling—which was effective immediately on publication—is intended to get a handle on a huge area of heartburn for hospitals.
The Centers for Medicare & Medicaid Services (CMS) released the 2014 IPPS Proposed Rule on April 26, 2013, proposing several payment revisions as a result of the Patient Protection and Affordable Care Act (PPACA).
Although compliance programs for skilled nursing facilities (SNFs) are not a new concept, the Patient Protection and Affordable Care Act , enacted March 23, 2010, requires nursing facilities to have a compliance and ethics program in operation by March 23, 2013, that effectively prevents and detects criminal, civil and administrative violations under the Social Security Act of 1935 and promotes quality of health care.
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
Update from our Washington Expert: Effect of the President’s Proposed Budget on Health Care Providers
Washington engaged in an annual ritual on February 13. The president sent his proposed budget for fiscal year 2013 to Capitol Hill, where it promptly was declared dead on arrival. While this declaration is true, it also is entirely beside the point.