To get credit for Medicare GME and IME for Medicare HMO days, the hospital must send no-pay bills to Medicare for those days. (PRRB 2009-D20).
Medicare GME and IME Credit
December 9, 2009
Comments Off | 
Hospital Reimbursement | 
Permalink
Posted by rvaks
Long Term Care Hospitals (LTCH) Clarification
December 7, 2009Long term care Hospitals (“LTCHs”) who leased space in existing hospitals could not claim inpatient capital cost reimbursement for the first two years as ‘new’ hospitals. (PRRB Hearing 2010-D2)
Comments Off | Hospital Reimbursement | Permalink
Posted by rvaks
New Outlier Computations for HHA in 2010
December 5, 2009HHA Medicare payments in 2010 will have outliers computed based upon a Fixed Dollar Loss (“FDL”) of .67, compared to an FDL of .89 in 2009. The FDL is adjusted for the wage index of the HHA’s location.
OPPS Payments Increase
December 3, 2009Medicare outpatient payments under OPPS will average a 2.1% increase in payments for 2010. Hospitals not participating in quality data reporting will receive 2% less.
Comments Off | Hospital Reimbursement | Permalink
Posted by rvaks
HHA 2010 Medicare Payment Update
December 1, 2009HHA 2010 Medicare payment update has a 2.0 inflation update, but 2.75% reduction for ‘unwarranted’ case mix increase, and changes in outlier payments (10% cap per agency). The Federal Register shows an increase of the base rate for 60-day episodes from $2271.92 to $2312.94 (1.8% increase).
It can be found in the Federal Register by clicking here
