MedPAC Releases 2010 Final Report Recommending Payment Updates for LTACHs and other FFS Providers

Posted by Jason Greis on March 1, 2010 under Articles | Be the First to Comment

On March 1, 2010, the Medicare Payment Advisory Commission (“MedPAC” or the “Commission”) released its 2010 Report to the Congress: Medicare Payment Policy (the “Final Report”).  The purpose of the Final Report is to recommend annual Medicare payment updates for the following nine Medicare fee-for-service (“FFS”) payment systems:  hospitals, physicians, ambulatory surgery centers, outpatient dialysis services, hospices, skilled nursing facilities, home health services, inpatient rehabilitation facility services and long-term acute care hospital services.  Read More...

CMS Stops Coverage for “Wrong Surgeries” Effective January 15, 2009

Posted by Jason Greis on January 22, 2009 under Articles | Be the First to Comment

The Centers for Medicare and Medicaid Services (“CMS”) has issued three Coverage Decision Memorandums establishing National Coverage Determinations (NCDs) that “wrong surgeries” — surgeries on the wrong body part, surgeries on the wrong patient, and the wrong procedure — are not covered by Medicare. The wrong body party, wrong patient, and wrong procedure NCDs are effective January 15, 2009 and apply to all provider types and coverage under both Part A and Part B. Read More...