Medicare
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Medicare
CBO Analyzes Anti-Fraud Efforts The Congressional Budget Office reports on the effectiveness of Medicare and Medicaid anti-fraud legislation.
- October 30, 2014
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Medicare
Court Ruling Delays New Medicare RAC Audit Contracts Decision in the case of CGI Federal v. U.S. will likely delay the awarding of new federal Recovery Audit Contracts for at least a year.
- September 9, 2014
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Medicare
Physician Certifications Causing Medicare Denials Physician certification for SNF level of care is the new hot topic for Medicare claims auditors. The CERT (Comprehensive Error Rate Testing) claims review results are showing denials related to incomplete certifications and recertifications based on a frequently missed, yet lesser known, requirement of the process.
- September 2, 2014
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Medicare
SNF PPS Medicare Part A Rates for FY 2015 LeadingAge NY provides members with a detailed analysis of reimbursement and programmatic changes in the skilled nursing facility prospective payment system final rule effective Oct. 1, 2014.
- September 2, 2014
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Medicare
SNF Medicare Part A Rates Effective Oct. 1, 2015 CMS finalizes the skilled nursing facility prospective payment system rule for federal fiscal year 2015.
- August 12, 2014
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Medicare
CMS Issues Audit Report Seeking $1.26 Billion Repayment from New York's Medicaid Program Audit finds that developmental centers were overpaid for services in 2010-11.
- August 5, 2014
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Medicare
CY 2015 Payment and Policy Update for ESRD and DME CMS issued its proposed 2015 rule updating payments and programmatic policies for End Stage Renal Disease providers and Durable Medical Equipment suppliers.
- July 22, 2014
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Medicare
Proposed Rule for CY 2015 Medicare Part B CMS issued CY 2015 proposed rule on payment and policy changes for Medicare Part B impacting nursing homes and home health agencies.
- July 22, 2014
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Medicare
Summary of Proposed 2015 Changes in Medicare Wage Index LeadingAge NY provides members with detailed summary of proposed Medicare wage index changes for 2015, impacting both nursing homes and home health agencies.
- July 15, 2014
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Medicare
More than Half of SNFs Have Not Yet Accessed PEPPER Reports The current release (version Q4FY13) of the Program for Evaluating Payment Patterns Electronic Report (PEPPER) for Skilled Nursing Facilities (SNFs) has been available for download since May 5, 2013. As of the end of June, 49 percent (7,363) of the 14,961 SNF PEPPERs have been accessed. If you have not accessed your SNF PEPPER, now is the time!
- July 8, 2014
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