News & Analysis as of

Medicare Part B Patient Prospective Payment System

Baker Donelson

CMS Releases CY 2014 Hospital OPPS and ASC Final Rule

Baker Donelson on

CMS has published its Calendar Year (CY) 2014 Final Rule for Medicare policy and payment rates for hospital outpatient prospective payment systems (OPPS) and Ambulatory Surgical Center (ASC) services. This final rule with...more

Polsinelli

FY 2014 IPPS/LTCH PPS Final Rule Goes Into Effect October 1, 2013

Polsinelli on

In This Issue: - What Providers Should Know - Requirements for Inpatient Admissions and Payment Under Medicare Part A - New Rules Permitting Re-billing Under Medicare Part B for Denied Admissions - New HAC...more

King & Spalding

Federal District Court Rules Against Medicare Beneficiaries Challenging Observation Status

King & Spalding on

In Bagnall v. Sebelius, No. 3:11-CV-01703 (D. Conn.), a federal district court in Connecticut recently granted a motion to dismiss the complaint of fourteen Medicare beneficiaries seeking to invalidate an HHS policy allowing...more

King & Spalding

Three-Month Implementation Period for “Two-Midnight” Rule to Begin October 1, 2013

King & Spalding on

CMS issued guidance on September 26, 2013, regarding the implementation of the “Two-Midnight” rule addressed in the August 2013 Inpatient Prospective Payment System (IPPS) final rule. Under the Two-Midnight rule, patient...more

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