Healthcare Regulatory Update 2009
Hospital Services
CMS - more accurate payments for Inpatient Rehabilitation Services in FY09
CMS - Medicare Premiums / Deductibles for 2009
IRS Instructions for New Form 990
Hospital Inpatient PPS full basket rate of 3.6%
Medicare Improvements for Patients and Providers Act of 2008 (MIPPA)
CMS - 3 Conditions to 'Never Events'
Physician/Ambulatory Services
MIPPA requires accreditation for advanced imaging services
Prepare for claims transaction system upgrade to 5010 HIPAA electronic standard
MedPAC - prior authorization for imaging services
Compliance Regulations
OIG Advisory Opinion Hospital and Surgeons can Invest in ASC
CMS Bans MD Signature Stamps on Medical Records
Hospital Outpatient Rebilling Limited under RACs
Recovery Audit Contractors (RACs) National Implementation
Healthcare News
Healthcare Services
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October 2008 Program
Presented by
Amper’s Healthcare Services Group
Regulatory Update
- CMS Adds Three Conditions to "Never Events"
- CMS Announces More Accurate Payments for Inpatient Rehabilitation Services in FY09
- IRS Issues Instructions for New Form 990
- HHS Proposes Adoption of ICD-10 Code Sets and Updated Electronic Transaction Standards
- Moody's Says Operating Performance for Hospitals Good in FY07, Cautions for Future
- CMS Announces Medicare Premiums, Deductibles for 2009
- HHS Takes New Steps to Accelerate Adoption of Electronic Prescribing
- Hospital Inpatient PPS full basket rate of 3.6%
- A reduction of 2% for a hospital that does not submit quality data
- Medicare Improvements for Patients and Providers Act of 2008 (MIPPA)
- "Never Events" Responsible for One Out of Six Professional Liability Claims
- MIPPA requires accreditation to perform advanced imaging services
- Boost revenue to cope with tough times
- MA Enrollment hits an all-time high
- Countdown begins for ICD-10
- The update to the physician fee schedule contains new modifiers for sleep test codes
- Physicians are exempt from DMEPOS accreditation
- Revised ABN deadline to March 2009
- CMS suspends the Competitive Acquisition Program (CAP)
- Artificial hearts will be covered in clinical trial
- Prepare for claims transaction system upgrade to 5010 HIPAA electronic standard
- MedPAC discusses prior authorization for imaging services
- ASC services paid at a 50/50 blend of the 2007 ASC payment and the 2009 ASC payment (i.e., 65% of the hospital outpatient rate)
- OIG Advisory Opinion Hospital and Surgeons can Invest in ASC
- CMS Narrows "Stand in the Shoes" - Stark
- Case Management protocol for Hospital Admissions
- CMS Bans MD Signature Stamps on Medical Records
- Recovery Audit Contractors (RACs) National Implementation
- Attorney Client Privilege is not at Risk under new DOJ Guidelines
- CMS Deploys Data Analysis Tools
- Hospital Outpatient Rebilling Limited under RACs
- OCR Releases Guidelines on Sharing Information with Family and Friends
- Billing for Consultations versus Transfers of Care
- OIG Workplan Targets Provider-Based Status
- CMS Reveals Majority of MUEs
Amper’s Healthcare Services Group
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