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Medicare Outlier Payment Rules Centers for Medicare & Medicaid Services (CMS)

Baker Donelson

OIG Finds Continued Procedural Errors in Hospital Outlier Payment Reconciliations

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The U.S. Department of Health and Human Services, Office of Inspector General (OIG) recently released a report concluding that there are vulnerabilities in the process of reconciling Medicare hospital outlier payments....more

Baker Donelson

Outliers: CMS Explains its Reasoning for FY2004 Fixed Loss Threshold Calculation

Baker Donelson on

In accordance with the order issued by the D.C. Circuit in District Hospital Partners, LP v. Burwell and related cases, on January 22, CMS issued an explanation of the methodology it used to calculate the fixed-loss threshold...more

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