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Medicare Benefit Policy Manual Medicare

King & Spalding

CMS Updates Manual Guidance to Include References to the Two Midnight Rule

King & Spalding on

Although the Two Midnight Rule was effective October 1, 2013, until recently, CMS had not updated the Medicare Benefit Policy Manual (MBPM) to incorporate the Two Midnight Rule and its revisions to prior admission...more

Baker Donelson

Selected CMS Guidance for Billing for Skilled Nursing Facility Services

Baker Donelson on

Skilled nursing facilities (SNFs) should take note of the updates and clarifications set forth in Medlearn Matters article 8997, issued by the CMS on March 13, 2015. Medlearn Matters article 8997 updates the chapters in the...more

King & Spalding

CMS Issues Refunds For Collections Made On Incorrectly Identified Incarcerated Beneficiary Overpayments

King & Spalding on

Medicare does not cover supplies or services for persons who are incarcerated at the time the services are rendered. However, Medicare had purportedly paid providers in error for many such claims and sought to recover those...more

Baker Donelson

Pathology Lab That Cannot Demonstrate Adequate Physician Orders Suffers Medicare Loss

Baker Donelson on

Much has been written regarding various Medicare policies that may cause a clinical laboratory to suffer the resulting financial consequences when a test requested by a physician is found to be not medically necessary, most...more

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