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Medicare Administrative Contractors

Today in Washington – May 20, 2020: COVID-19 Updates

[05/20/20]

Posted on May 20, 2020 in COVID-19 Daily Updates, Health Law News

Published by: Hall Render

Wednesday, May 20 Update Our Federal Advocacy Team is dedicated to providing frequent COVID-19 updates as they develop. Going forward, these updates will be distributed as developments warrant instead of nightly. These updates along with other resources can be found ​on the COVID-19 ​Resource ​Center page ​of Hall Render’s website​. Note – ​we believe this is... READ MORE

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CMS Releases FFY 2022 Wage Index Development Timetable

[05/15/20]

Posted on May 15, 2020 in Health Law News

Published by: Hall Render

On May 8, 2020, CMS released the FY 2022 Hospital Wage Index Development Timetable. The timetable indicates that the preliminary FY 2022 Worksheet S-3, Parts II and III wage index Public Use File (“PUF”) will be released on May 18, 2020. The PUF will contain wage data based on FFY 2018 hospital cost reports... READ MORE

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Today in Washington – April 1, 2020: COVID-19 Updates

[04/01/20]

Posted on April 1, 2020 in COVID-19 Daily Updates

Published by: Hall Render

Wednesday, April 1 Recap Note – ​We believe this is the most up-to-date information available at this time, but it is subject to change ​as circumstances warrant. Also, all finalized resources can be found ​on the COVID-19 ​Resource ​Center page ​of Hall Render’s website.​ Major Hospital Associations Provide Recommendations to HHS on Distribution of Stimulus Funds... READ MORE

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Court Takes Broad View of Medicare DSH Eligibility for § 1115 Waiver Program Days

[08/09/19]

Posted on August 9, 2019 in Health Law News

Published by: Hall Render

Recently, the D.C. District Court ruled that HHS must include certain waiver programs in its Medicare disproportionate share calculations. This is a significant ruling because many states have experimented with different ways to provide health care to low-income populations. As a result, hospitals serving these populations may be entitled to increased payments.[1] Background Under... READ MORE

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CMS Proposes Payment Policy Changes Impacting Hospital Outpatient Department Services – What You Need to Know

[08/02/19]

Posted on August 2, 2019 in Health Law News

Published by: Hall Render

On July 29, 2019, the Centers for Medicare & Medicaid Services (“CMS”) released its proposed rule for Calendar Year (“CY”) 2020 Hospital Outpatient Prospective Payment System (“Proposed Rule”). Among many other changes, CMS proposed three key payment policy updates impacting hospital outpatient departments, including: (1) lowering the supervision standard for hospital outpatient therapeutic services... READ MORE

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Location Matters: Get It Right or Don’t Get Paid

[03/06/19]

Posted on March 6, 2019 in Health Law News

Published by: Hall Render

Location, location, location – this will be the focus of a Medicare hospital claims processing requirement. Starting in April 2019, CMS will activate billing edits that will Return to Provider (“RTP”) any hospital UB-04 claims that identify a service location that is not an exact match to a Medicare enrolled location identified in Provider... READ MORE

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