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Federal bill would link Medicare hospital pay to quality

November 26, 2008 — 4:18am ET | By Anne Zieger
Now here's a bill that would scare me a bit if I were a hospital administrator--even if it was inevitable (and it is) that such a measure would be written. Sens. Max Baucus (D-MT) and Chuck Grassley... Read more...

CMS reports lower claims error rate for 2008

November 19, 2008 — 11:12am ET | By Anne Zieger
Maybe having Recovery Audit Contractors in the news frequently has had some effect on provider claims practices. CMS has reported that the 2008 error rate for Medicare fee-for-service payments has... Read more...

CMS struggling to roll out new no-pay policy

October 22, 2008 — 1:38pm ET | By Anne Zieger
For about a year now, the hospital industry has been struggling to prepare for the rollout of Medicare's strict reimbursement policy. Under the policy the Medicare won't pay for some... Read more...

CMS sets plans for RAC contractor expansion

October 7, 2008 — 2:32am ET | By Anne Zieger
In an inevitable, but still widely feared, next step, CMS has taken the first steps in phasing in its Recovery Audit Contractor (RAC) program, announcing the four new contractors that will administer... Read more...

Study: 40 percent of hospitals expect to owe money to Medicare under RAC

September 3, 2008 — 11:20am ET | By Anne Zieger
It seems like people aren't very optimistic about their chances of escaping a Recovery Audit Contractor review unscathed, according to a new study. The study, done on behalf of Wolters Kluwer... Read more...

CMS pays $16.7M to groups in P4P demo, but few get big bucks

August 20, 2008 — 2:26am ET | By Anne Zieger
You've gotta love it when CMS gives out money above and beyond the usual reimbursement rates--and it's even better when the bonuses work out for pretty much everyone involved. That's the cheery story... Read more...

CMS: Providers lose almost 70 percent of RAC appeals

July 15, 2008 — 10:55pm ET | By Anne Zieger
CMS has released a new report stating that Medicare has recovered more than $1 billion through the Recovery Audit Contractor program since 2005, with 85 percent of the money having been taken back... Read more...

Medicare may allow payment for electronic consults

July 2, 2008 — 12:02am ET | By Anne Zieger
CMS has proposed new regulations which as of 2009, would allow physicians to bill Medicare for follow-up inpatient consultations, along with adding 56 new measures to the Physician Quality Reporting... Read more...

CMS now says NPI must match IRS data

June 18, 2008 — 12:40am ET | By Anne Zieger
Providers have been going through some serious headaches already working to make sure they use their National Provider Identifier number properly and avoid getting claims bounced by Medicare. Now,... Read more...

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