Medicare-Medicaid Crossover Bad Debt Accounting Classification
Providers claiming Medicare bad debt must meet 42 CFR 413.89
and all requirements from Chapter 3 of the Provider
Reimbursement Manual.
Providers must correctly classify unpaid deductible...
Billing Edits for OPPS Providers with Multiple Service Locations Delayed
The Centers for Medicare & Medicaid Services (CMS) has postponed
billing edits for outpatient providers with multiple service locations —
scheduled to start in April —...
CMS Memo Updates State Operations Manual for Emergency Preparedness
A few weeks ago, the Centers for Medicare and Medicaid (CMS) Quality, Safety, and Oversight Group (QSO) issued a Memo to State Survey Agencies...
CMS Issues Factsheets for 2019 Medicare Promoting Interoperability Program
The Centers for Medicare & Medicaid Services (CMS) has
issued factsheets on changes to the Medicare Promoting Interoperability Program
for calendar
year 2019, and the new
performance-based scoring...
Senator Thune reintroduces Rural Hospital Regulatory Relief Act
The South Dakota Association of Healthcare Organizations (SDAHO) applauds Senator Thune for continuing to fight for access to quality health care in South Dakota...
MedPAC Issues March 2019 Report to Congress
In its report, the Medicare Payment Advisory Commission (MedPAC) recommends a 2 percent increase in payment rates for hospital inpatient and outpatient prospective payment...
MACPAC Recommends Phasing in Medicaid DSH Cuts, Restructuring Allotments
The Medicaid and CHIP Payment and Access Commission (MACPAC) released its March 2019 report to Congress, which recommends Congress phase in the Affordable Care...
CMS Delivers New Guidance on Immediate Jeopardy
New guidance​ from
the Centers for Medicare & Medicaid Services (CMS) revises the guidelines
to determine immediate jeopardy. The changes to Appendix Q of the State
Operations...
All 5 PBMs agree to testify at Senate drug cost hearing
By Sarah Karlin-Smith and Sarah Owermohle with POLITICOPRO
Five pharmaceutical benefit managers (PBM) have agreed to testify about drug pricing at an April 9 Senate...
CMS Upates Drug Dashboards with Prescription Drug Pricing and Spending Data
The Centers for Medicare & Medicaid Services (CMS) updated its Drug Spending Dashboards​ with data for 2017. The Trump Administration’s version of the drug...
