According to a Medicare risk compliance web-based survey launched by Clinicient, 64% of its respondents are at significant risk for Medicare regulatory noncompliance and consequential cash flow issues, denied claims, Medicare fines, and higher overhead costs for audit preparation and response.
The Centers for Medicare and Medicaid Services (CMS) recently issued final 2015 rules for prospective payment systems for long-term care and acute care hospitals.
SI-BONE Inc, a medical device company that offers the iFuse Implant System designed for fusion of the sacrolliac (SI) joint, reports that it has been provided positive coverage for its MIS SI joint fusion procedure, thanks to a policy update published by Priority Health (Michigan).
An APTA news release reports that recent rules proposed by the Centers for Medicare and Services (CMS) include a 2.1% increase in payment rates for 2015 under the outpatient prospective payment system (OPPS) and changes to hospital admissions requirements.
Newly introduced legislation aims to expand telehealth services under Medicare, including telehealth coverage for healthcare professionals such as speech language therapists, occupational therapists, physical therapists, and audiologists.
In a recent congressional report, the Senate Special Committee on Aging assesses the Centers for Medicare and Medicaid Service’s (CMS) attempts to curb improper payments.
Comments submitted by AMRPA to CMS voice concern regarding changes in its proposed FY 2015 rule for the inpatient rehabilitation facility prospective payment system (IRF PPS), which it says could potentially limit patient access to key rehabilitation services provided in an inpatient rehabilitation hospital and unit.
The National Transitions of Care Coalition (NTOCC) recently announced its support for Medicare Transitional Care Act of 2014, legislation designed to improve transitions of care for the Medicare beneficiaries at the highest risk for readmission during their transition from a hospital setting to their home, skilled nursing facility, or next point of care.
A statement released by American Medical Rehabilitation Providers Association (AMRPA) chairman Bruce M. Gans, MD, responds to the MedPAC June Report to Congress, and its recommendation to implement a site-neutral Medicare payment policy for certain conditions treated in inpatient rehabilitation hospitals, units, and skilled nursing facilities.
The APTA reports that CMS has implemented a variety of fixes intended to decrease the number of rejects in the processing of functional limitation reporting (FLR) claims.