Mark A. Stanley

Mark A. Stanley

Ober|Kaler

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CMS Releases Final FFY 2014 IPPS Rule

CMS has released its final federal fiscal year (FFY) 2014 prospective payment system (PPS) rule for inpatient stays in acute care and long-term care hospitals (LTCHs). The rule projects a net increase in operating payments to...more

8/9/2013 - American Taxpayer Relief Act Hospitals Long Term Care Facilities Long-Term Care Medicare Payment Plans

CMS Releases Proposed FFY 2014 SNF PPS Rule

CMS has released its proposed federal fiscal year (FFY) 2014 prospective payment system (PPS) rule for Medicare Skilled Nursing Facilities (SNFs). The rule projects a net increase in operating payments to SNFs in the amount...more

6/14/2013 - CMS Medicare Provider Payments Reporting Requirements SNF

CMS Releases Proposed FFY 2014 IPPS Rule

CMS has released its proposed federal fiscal year (FFY) 2014 prospective payment system (PPS) rule for inpatient stays in acute care and long-term care hospitals (LTCHs). The rule projects a net increase in operating payments...more

5/2/2013 - CMS Document Coding Healthcare Hospitals Long Term Care Facilities Long-Term Care Medicare Patient Prospective Payment System Proposed Regulation

Court Grants Unexpected Victory to Providers on Medicare DSH Adjustment

The United States District Court for the Eastern District of Pennsylvania’s opinion in Nazareth Hosp. v. Sebelius, slip op. no. 10-3513 furnished a surprising victory to two providers that challenged the calculation of the...more

4/18/2013 - CMS DSH Medicaid Medicare Patients

Payment Adjustments for Low-Volume Hospitals and Medicare-Dependent Hospital Program Extended

CMS has issued a notice that (1) payment adjustments for certain low-volume hospitals and (2) the Medicare-dependent hospital (MDH) program will be extended through federal fiscal year 2013 (FY 2013). The extension of the...more

3/30/2013 - Affordable Care Act CMS Hospitals Medicare

No Judicial Review of Contractor’s Finding of a High Payment Error Rate, a Condition for Extrapolation

Before a Medicare contractor can use extrapolation to determine an overpayment amount, the Medicare statute requires that it must make a finding that there is a sustained or high level of payment error or that documented...more

2/11/2013 - ALJ Appeals CMS Extrapolation High Payment Error Rate Independent Contractors Judicial Review Jurisdiction Medicare Medicare Appeals Council Overpayment QIC

AHA Survey Identifies Continuing Problems with Medicare RAC Program

The American Hospital Association (AHA) published its RACTRAC Survey results for the third quarter of 2012. The AHA created the survey in response to the lack of information released by CMS on its Medicare RAC program. For...more

1/25/2013 - American Hospital Association Appeals CMS Medicare RAC Program Surveys

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