Technical Bulletins
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Bulletins.
- TB #355: Medicare
Administrative Contractor Update (7/28/10)
CMS 2009 Medicare Contractor Provider Satisfaction Survey Results and status
of Round II Contract Procurements. More
information.
- TB #354: Medicare Post Acute
Services, Notice of Payment Rate Changes for FY2011 (7/22/10)
On July 16, CMS published several publications regarding changes in the
Medicare payment rates for various post acute services.
More information.
- TB #353: Medicare Proposed
2011 Payment Rules for Hospital Outpatient and Physician Services
(7/14/10)
CMS published its proposed rules addressing changes in the Medicare
reimbursement methodologies for hospital outpatient, ambulatory surgery and
professional services. Summary of the
provisions, along with select IHA comments.
- TB #352: CMS Validation and
Update of Provider Information in the Provider Enrollment, Chain and
Ownership System (6/25/10)
CMS periodically requests that providers participating in the Medicare
program review their specific information in the Medicare enrollment system,
known as the Provider Enrollment Chain and Ownership System (PECOS). A
provider whose enrollment information is missing in incomplete is at risk of
losing its Medicare payments. CMS will be conducting a "revalidation" review
this summer. Summary of CMS' focus and objectives and guidance to assist
members in becoming or remaining compliant with the enrollment requirements.
More information.
- TB #349: Medicare
Disproportionate Share Payments; Disproportionate Payment Percentage-CMS
Updates (5/13/10)
One of the variables used in the calculation of the Medicare
Disproportionate Share Hospital (DSH) payments is the hospital's specific
Medicare Supplementary Security Income (SSI) percentage. The percentage is
determined by CMS and communicated to hospitals through their fiscal
intermediaries. Summary of major developments in the SSI payment
methodology, including the use of more current SSI percentages by hospital,
and the impact of those developments on outstanding appeals and cost report
settlements. More information.
- TB #348: Medicare Psychiatric
Prospective Payment System; CMS FY2011 Final Notice (5/6/10)
Medicare payments for inpatient psychiatric services are made on a
prospective, per-diem basis. Each year, CMS issues a notice of changes to be
implemented for the upcoming year. Summary of
payment changes effective with discharges occurring on or after July 1,
2010 through June 30, 2011.
- TB #347: CMS Medicare Proposed
Payment Rules for FY2011: Inpatient Acute Services and Long-Term Care
Services (5/6/10)
CMS published its proposed rules addressing changes in the Medicare
reimbursement methodologies for hospital inpatient acute and long-term care
services. Summary of provisions to that rule, along with select IHA comments
on those provisions important to members. More
information.
- TB #344: Physician Supervision
of Hospital Outpatient Services -- Update (3/4/10)
CMS addresses revisions to the criteria by which compliance with the
regulations governing coverage of hospital outpatient services provided to
Medicare patients by a non-physician practitioner (NPP) in its annual
outpatient final payment rule. For the final 2010 Medicare OPPS rule,
additional changes/requirements were promulgated.
Summary of those changes and highlights of a
recent webinar, conducted by AHA, on this issue.
- TB #343: Medicare Outpatient
Prospective Payment System, Ambulatory Surgery Payment System, Professional
Services Payments, and CMS Final Rules for FY2010 (12/10/09)
Summary of the changes affecting Medicare payments for hospital outpatient,
ambulatory surgery services and professional services payments effective for
services provided on or after January 1, 2010. The rule also addresses
payment changes for Medicare end-stage renal disease and ambulance services.
More information.
Staff Contact: Tom Jendro: (630)
276-5516
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