Healthcare Law Blog
FEBRUARY 1, 2023
On January 30, 2023 , the Centers for Medicare & Medicaid Services (“CMS”) released the long-delayed final rule on risk adjustment data validation (“RADV”) audits of Medicare Advantage (“MA”) organizations (the “Final Rule”). One thing that is certain, CMS can expect further challenges to its RADV audit methodology. 3d 1, 18 n.19
AIHC
JANUARY 28, 2022
For more information on filing compliance cost reports, attend the Medicare Cost Report Camp in March 2022 presented by KraftCPAs and sponsored by the American Institute of Healthcare Compliance. LTCHs are paid under the Long-Term Care Hospital Prospective Payment System (LTCH PPS). This is known as the hospital “market basket.”
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CMS.gov
OCTOBER 2, 2018
Modernizing Medicare to Take Advantage of the Latest Technologies. Tue, 10/02/2018 - 13:57. Administrator, Centers for Medicare & Medicaid Services. Modernizing Medicare to Take Advantage of the Latest Technologies. Together we can ensure that Medicare beneficiaries see the impact of advances in 21 st century biomedicine.
Healthcare Law Blog
JUNE 20, 2022
The Court found that “under the text and structure of the statute, this case is therefore straightforward,” and concluded that HHS’ decision to vary reimbursement rates only for hospitals in 2018 and 2019 was unlawful because it did not conduct a survey of hospitals’ acquisition costs in those years.
Hall Render
AUGUST 10, 2023
On August 1, 2023, the Centers for Medicare & Medicaid Services (“CMS”) issued its Final Hospital Inpatient Prospective Payment System (“IPPS”) and Long-Term Care Hospital (“LTCH”) PPS rule for fiscal year (“FY”) 2024 (“Final Rule”). The Final Rule increases the rate for IPPS payments by 3.3%
Hall Render
JULY 14, 2023
On Friday, June 20, 2023, the Centers for Medicare & Medicaid Services (“CMS”) posted a pre-publication copy of the Calendar Year (“CY”) 2024 Home Health Prospective Payment System Rate Update (“PPS Rule”), which has since been published in the Federal Register and is currently open for comment. Speech Therapy 0.21
Natalia Mazina
APRIL 25, 2023
On another, Medicare Part B recently challenged payments to 340B providers. Medicare reimbursement cut In 2018, CMS implemented a 28.5% reduction to payments for most drugs purchased through the 340B Program and paid under the Outpatient Prospective Payment System (“OPPS”).
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