Medicare and Medicaid NetNews Newsletter Library

August 30, 2010

Featured This Week:

  • Medical equipment supplier protections strengthened
  • HHS expands coverage of tobacco cessation counseling
  • CMS issues reminder on testing transaction standards
  • Provider subject to recoupment for false enrollment application
  • Hospitals’ psychiatric units not subject to reimbursement cap

Decisions and Developments:

  • CMS Manuals
  • DAB Decisions
  • Medicaid
  • Medicare

August 23, 2010

Featured This Week:

  • Medicaid EHR incentive program implementation requirements
  • ESRD quality incentive program proposed
  • Court upholds Medicaid-planning annuity purchase
  • Expanded options for Medicaid HCBS begin in October
  • Reimbursement for off-shore insurance cost
  • CMS Actuary questions Medicare Trustee’s projections
  • Interest rate unchanged
  • Withdrawal of laboratory accreditation
  • Prohibited Medicaid collection activities
  • HIT certification applications sought

Decisions and Developments:

  • CMS Manuals
  • DAB Decisions

August 16, 2010

Featured This Week:

  • CMS finalizes error report changes under CHIPRA
  • CMS oversight of Medicaid managed care inconsistent: GAO
  • Chief Actuary signals caution in annual trustee report
  • Analysis of HAI laws reveals successes and challenges
  • RAC reveals list of medical necessity reviews

Decisions and Developments:

  • CMS Manuals

August 9, 2010

Featured This Week:

  • CMS creates new PPS for all ESRD facilities
  • New rules require free preventive care, prohibit cost-sharing
  • OPPS and ASC payment changes proposal
  • Health reform changes to CY 2010 OPPS and ASC system
  • Medicare trustees report shows improved financial status
  • Obama signs bill to reduce improper payments by $50 billion
  • Challenge to PPACA minimum coverage provision survives
  • Medicare rate doesn’t cover most FQHCs’ costs
  • Physician testimony improperly excluded in EMTALA case
  • Hospital’s knowledge of patient’s risk a jury question
  • Court defines “usual charges” as the amount billed by provider
  • Use of medical device deemed reasonable and necessary
  • Allocation of lump sum sales price to intangible assets allowed
  • RAC’s decision to reopen claim not subject to appeal
  • Family continues suit for 24/7 home nursing care
  • Nursing Home Reform Act suit against nursing facility fails

Decisions and Developments:

  • CMS Manuals
  • DAB Decisions
  • Medicaid
  • Medicare

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