Outpatient Therapy Caps With Exceptions in CY 2009

March 11, 2009

Outpatient therapy caps are increased to $1,840 for 2009.

For more information, please see this transmittal from CMS.


Correction to Home Health Prospective Payment System Episode Sequence Edits

March 9, 2009

Medicare changed their system to ensure that episode sequence is enforced accurately under the Home Health Prospective Payment System (HH PPS).  Episodes are paid differently depending upon whether the episode is an early episode (the first or second episode in a sequence of related episodes) or a later episode (the third or later episode in such a sequence). 

Payments for episodes with 20 or more therapies are identical regardless of whether the episode is early or later but they were being processed incorrecly into the wrong payment group.  This transmittal documents the system changes to prevent these payment errors.


Positive Response to Cost Report Training Seminars

March 4, 2009

Having just completed our first round of Medicare Cost Report Training Seminars, we are pleased to share just a few of the responses we have received from participants:

     “Very thorough presentation”

     “Very informative”

     “I would strongly recommend this webinar to others”

It is not too late to register for the next round of Spring Cost Report Training Seminars.   For more information or to register, please click here or call our Michigan branch office at 248-968-4100.


NEW!!! Medicare Cost Report Seminar for Hospitals

March 2, 2009

ATTENTION!  DATE RESCHEDULED!

Due to popular demand, we are pleased to offer a new Medicare Cost Report Webinar for Hospitals.  Hosted by Solomon Melamed, this webinar will go through highlights of a Hospital Cost Report and will include:

  • Overview of Medicare eligibility and benefits
  • Reimbursement methodology for PPS, cost reimbursement, TEFRA, and outliers
  • Details regarding add-on payments for Medical Education, DSH, Medicare bad debt,and others
  • Interplay with Medicaid reimbursement
  • Review of the various worksheets of the Cost Report

Friday, March 13, 2009   12:00 – 3:00 PM EST