“(W)e believe that this change is appropriate because the re-enrollment bar in such circumstances often results in unnecessarily harsh consequences for the provider or supplier and causes beneficiary access issues in some cases. We have learned of numerous instances where the provider’s failure to respond to a revalidation request was unintentional; that is, the provider was not aware of the request due to, for instance, misrouted mail or a clerical mistake,” CMS officials noted in the Federal Register notice for the new rule.
Video: Medicare Benefits Made Clear: News, Reform & Obamacare Exposed!
AuibleRx, Medication information you listen to.: Seniors, Medicare & The Affordable Care Act
These reductions will lead to corresponding savings for beneficiaries through lower co payments and premiums. A slower rate of growth in Medicare is expected to result in a slower rate of growth in beneficiary out-of-pocket payments, and a slower rate of growth in Part B premiums. In addition, the closing of the donut hole will result in large savings for beneficiaries with high levels of prescription drug spending.
Court: You Can Appeal Medicare Decisions About Hospice Services
That’s a victory of sorts, because it makes it clear that beneficiaries have the right to challenge a hospice provider’s refusal to provide a service that a doctor deems necessary, Mr. Deford said. But it’s disappointing because it doesn’t ensure that people receive a notice of their right to appeal when they enter hospice care, or that any mechanism exists for expedited appeals – an important protection for people who are dying.
Obama Crows About Private Medicare Provider Success while Bashing GOP Plans
[…] abuse Advance Directives advantage plans affordable care act baby boomers budget Congressional Budget Office Dan Morhaim donut hole election fraud gap coverage healthcare Health Care healthcare reform Health Care Reform health exchange individual mandate provision Living Wills medicaid medicare medicare advantage medicare benefits medicare budget medicare cuts medicare fraud medicare news medicare politics medicare refor medicare reform medicare supplement medigap obama obamacare part d plans paul ryan Politics News romney Sarah Palin seniors supreme couty tax breaks unitedhealth waste wealthySource: medicarewire.com […]
How Stage 2 makes MU more achievable
A: There are a number of important changes in the final rule, including changes to existing Stage 1 meaningful use EHR requirements, new Stage 2 meaningful use objectives and associated measures, new clinical quality measures (CQMs) and reporting mechanisms for the CQMs, clarifications regarding Medicare payment adjustments, and the creation of specific Medicare payment adjustment exceptions. However, given that eligible hospitals and eligible professionals (EPs) who are currently in Stage 1 of meaningful use will need to progress to the Stage 2 requirements to continue receiving incentive payments and to avoid Medicare payment adjustments, perhaps the most significant change is the delay by one year (from 2013 to 2014) of the start of Stage 2 for providers who became meaningful users in 2011. This extra year will give providers and vendors additional time to implement changes to their technology and workflow to accommodate the Stage 2 requirements. As further relief for providers in this regard, the final rule also permits providers to attest to meaningful use in 2014 (which is the first year in which a provider could be required to meet Stage 2 meaningful use) based on a three-month quarter reporting period as opposed to a 365-day reporting period. This three-month quarter reporting period in 2014 also applies to providers who are still in Stage 1.
To Post or Not to Post—
Every afternoon and well into the evening, I monitor each and every MAC/FI to see if they have posted their process. You are probably thinking to yourself that I don’t have much of a life if that is all I do well into the evening! Well, that may be true but I am committed to keeping our internal and external customers updated with the most current documentation compliance information. It is my responsibility as Functional Pathways’ Director of Compliance to ensure that our therapists and therapist assistants are informed, trained, and well supported. I value our relationships with our customers and am passionate about ensuring the services we provide are innovative and regulatory sound. Ongoing self-improvement in our environment is crucial in every aspect of resident care and customer service.
Louisiana Federal Judge Affirms Medicare Overpaid Health Provider
NEW ORLEANS – A Louisiana federal judge on Aug. 24 affirmed that the operator of an inpatient rehabilitation facility had received Medicare overpayments after an audit of claims submitted for payment (United Medical Healthcare Inc. v. Department of Health and Human Services, No. 10-4158, E.D. La.; 2012 U.S. Dist. LEXIS 12046).Full story on lexis.com