Medicare and Medicaid NetNews Newsletter Library

August 18, 2008

Featured This Week:

  • Administration eases up on SCHIP penalties for states
  • HHS proposes use of ICD-10 code sets
  • CMS seeks to make permanent Medicare RAC program successful
  • Hospice wage index, rate update finalized
  • More accurate IRF payment method adopted for FY 2009
  • SNFs to receive 3.4 percent increase in 2009
  • CMS finalizes several Stark changes in IPPS final rule

Decisions and Developments:

  • CMS Manuals
  • DAB Decisions

August 11, 2008

Featured This Week:

  • Final tables for IPPS delayed by MIPPA changes
  • IPPS rule changes affect cost report, reclassifications
  • OMHA hearing options fail to reduce caseloads
  • Medicaid directors instructed on payment for "never events"
  • Reimbursement methodology for new providers
  • NPR adjustment rejected due to untimely request
  • Settlement narrows scope of class action relief
  • Challenge to standards for personal care to proceed
  • DME supplier convicted of Medicare fraud
  • EMTALA retaliation provision
  • Correction to physician fee schedule
  • Medicare Part D contracting for PSAOs reviewed

Decisions and Developments:

  • CMS Manuals
  • DAB Decisions

August 4, 2008

Featured This Week:

  • "Never events" one key focus of IPPS final rule
  • IRF, SNF final rules to publish Aug. 8
  • Medicare pays more for medications under Part D plans
  • Midyear benefit enhancements prohibited for MA plans

Decisions and Developments:

  • CMS Manuals

July 28, 2008

Featured This Week:

  • CMS announces changes in wake of MIPPA law
  • House approves delay in consideration of Medicare trigger bill
  • RAC demonstration notes almost $1 billion in overpayments
  • Senate examines goal of using health IT to improve clinical research
  • Senators' plans for SCHIP resolution thwarted
  • CMS to reward doctors for electronic prescribing

Decisions and Developments:

  • CMS Manuals

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