Physician Medicare Reimbursements › Centers for Medicare & Medicaid Services

News & Analysis as of May 25, 2013

Hospitals And Fraud Enforcement

by Michael Volkov on 2/19/2013

The HHS Office of Inspector General has targeted hospitals for fraud enforcement. It is one of the OIG’s most important initiatives because of the impact it could have on reducing health care costs....more

CMS Announces Participants in Bundled Payments for Care Improvement Initiative

by King & Spalding on 2/7/2013

On January 31, 2013, CMS announced the organizations that will be participating in its Bundled Payments for Care Improvement (BPCI) initiative. Established under CMS’s innovation authority provided for in the Patient...more

Supreme Court Rules Equitable Tolling Cannot Be Used To Extend Deadline For Filing Medicare Part A Reimbursement Appeals

by Jeffrey Bates, Donald H. Romano, Chris Rossman, R. Michael Scarano Jr., Judith A. Waltz | Foley & Lardner LLP on 2/5/2013

On January 21, 2103, the U.S. Supreme Court unanimously held in Sebelius v. Auburn Regional Medical Center that the Medicare statute does not permit the time period for filing an appeal with the Provider Reimbursement Review...more

What Hospitals Should Know About Payment Changes For 2013

by Janice Anderson, Colleen M. Faddick, Randy Gerber, Sara Iams, Lindsay Kessler, Ann McCullough, Joseph Van Leer | Polsinelli on 1/18/2013

In response to the government’s continued focus on improving quality of care through payment policy, several changes to new and existing regulatory requirements recently came about through the 2013 Inpatient Prospective...more

Important Medicare Provisions Contained in Fiscal Cliff Compromise

by King & Spalding on 1/14/2013

On January 2, 2013, President Obama signed into law the American Taxpayer Relief Act of 2012 (ATRA), to avert the so-called fiscal cliff. While most popular coverage has focused on ATRA’s changes to the tax code, the new law...more

Birmingham Medical News: 2012 Health Care Year In Preview

by Howard E. Bogard | Burr & Forman on 12/6/2012

The health care events of 2012 can be properly divided into "Before" and "After": Before the Supreme Court ruling on the Affordable Care Act and President Obama's re-election and After. Before these two events, the viability...more

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