On January 31, 2014, the Centers for Medicare & Medicaid Services (“CMS”) issued a notice delaying by an additional six months (through September 30, 2014) enforcement of the “Two-Midnight” policy, referred to as the Inpatient Hospital Prepayment Review “Probe &
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Federal court holds against hospitals in Medicare outlier payments litigation
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On January 6, the US District Court for the District of Columbia granted summary judgment to the Department of Health and Human Services (“HHS”), upholding the agency’s method of calculating Medicare outpatient payments for hospitals. District Hospital Partners, L.P., d/b/a …
MedPAC recommends to Congress aligning Medicare payment rates between hospital outpatient payments and physician office payments for certain services
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On January 16 and 17, the Medicare Payment Advisory Commission (“MedPAC” or “Commission”) held its first public meeting of 2014. One topic the Commission debated was aligning Medicare hospital outpatient payments and physician office payments for certain services. Medicare payment…
MedPAC considers significant changes to Medicare payments to acute care hospitals, long-term care hospitals, and physician groups for certain services
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The Medicare Payment Advisory Commission (“MedPAC”) during its December 12-13, 2013 meeting discussed potentially significant changes to certain Medicare payments to acute care hospitals, long-term care hospitals, and physician groups. One change would be to eliminate or reduce the payment…
OIG seeks input on safe harbors & special fraud alerts
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The Department of Health and Human Services Office of Inspector General (“OIG”) has asked for recommendations to help develop new or revised safe harbors from the federal Anti-Kickback Act, according to a notice published on December 27, 2013. The OIG…