Ambulatory Surgical centers should not perform services where the patient’s stay is expected to exceed 24 hours.
More information can be found in the Federal Register 73 223
ASC New Conditions of Coverage Finalized
November 22, 2008
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2009 OPPS Payments Finalized
November 19, 2008Medicare OPPS payments for 2009 will be increased by a 3.6% inflationary adjustment. Outliers will be calculated for procedures whose cost exceed 175% of the APC payment . There is an $1800 loss threshold. Hospitals which did not participate in Medicare’s quality reporting initiative will have a 2% reduction in their payments.
For more information, please see the November 18, 2008 Federal Register Vol 73 No 223
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Home Health Payments for 2009
November 16, 2008Medicare home health payments will increase by approx. one tenth of a percent for 2009 (2.9% inflation less a 2.75% reduction), and actually decrease by almost 2% for those home health agencies that did not participate in the Medicare quality reporting initiative.
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Physician Financial Relationships
November 15, 2008CMS will send disclosure reports to several hundred hospitals to disclose their physician investments, to determine compliance with Stark regulations.
http://www.cms.hhs.gov/PhysicianSelfReferral/05b_Disclosure.asp
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New OPPS Payments For 2009
November 14, 2008CMS has issued a press release stating that the OPPS payments will increase by 3.6% effective 1/1/09. Hospitals that did not participate in quality reporting will only receive a 1.6% inflationary increase.
The coinsurance for many of the OPPS services will also now reach the follow phase-in of 20% of Medicare’s fee schedule.
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Medicare Cost Reporting 101 for Skilled Nursing Facilities and Home Health Agencies
November 13, 2008On November 6th and November 11th, Progressive Provider Services LLC was pleased to provide informative seminars educating participants on how to prepare Medicare Cost Reports. The seminars were all well attended, having participants from California, Utah, Maryland, Florida, Texas, North Carolina, Ohio, Colorado, and Michigan. Progressive Provider’s own Cost Specialist, Blimi Schwartz, hosted the thorough and enlightening seminars and participants came away with not only a Certificate of Completion but even more so with a new confidence in the preparation of Medicare Cost Reports. As one participant commented, “Before the seminar, I felt very unsure of myself but now you have given me a greater understanding of all that the Centers for Medicare & Medicaid Services (CMS) require. Thank you!”
For all those who missed this opportunity, Progressive Provider Services has several future seminars in the planning. Please e-mail blimi@ppsassistant.com or call (800) 447-2540 to see when the seminar you are interested in is being offered or to set up a private, customized seminar to meet your specific needs.
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