Collection Agencies

September 30, 2008

CCH reports that the CMS has released a memo instructing Medicare contractors to disallow Medicare bad debt claimed while the provider’s collection agency continues to pursue collection.  (CCH Medicare and Medicaid Guide, July 15, 2008)


Part B Therapy

September 29, 2008

The CMS Adminstrator has upheld that there is no Medicare bad debt reimbursement to be paid for items paid under a fee schedule, e.g. Part B therapy. (CCH in their July 1, 2008 Medicare and Medicaid Guide).


Medicare Improvements for Patients and Providers Act, 2008 (“MIPPA”)

September 26, 2008

MIPPA impacts items paid under the Medicare physician fee schedule, and is effective July 2008.  A summary may be found at http://www.cms.hhs.gov/apps/media/press/release.asp?Counter=3200.


IME/GME (Medical Education) Reimbursement

September 24, 2008

In the July 1, 2008 CCH Medicare and Medicaid Guide, CCH reports that Medicare HMO days must be billed to standard Medicare too (as a no pay bill) to be counted as Medicare days for IME and GME payments.


August 12, 2008 CCH Report

September 1, 2008

CCH reports in their August 12, 2008 Medicare and Medicaid Guide that effective 10/1/08, Medicare will not pay hospitals for ‘never events’- specific medical conditions caused by medical errors or failure in care at the hospital.