Tag Archives: Medicare Reimbursement

THE OIG ADVISORY OPINION PATHWAY FOR CONIERGE AND CASH-BASED PRACTICES

For arrangements that are novel, involve significant financial investment, or present a unique structural profile without a clear safe harbor fit, the OIG Advisory Opinion process provides a mechanism for obtaining binding regulatory guidance. Under 42 C.F.R. § 1008.38, a … Continue reading

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Health Care Provisions In Fiscal Cliff Legislation

Although physicians averted a nearly 27% reduction in reimbursement under Medicare, the Fiscal Cliff Legislation included a number of changes in reimbursement that in additiona to the “doc fix.”  Many of those chanced will not make health care providers very … Continue reading

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Physician Pay Cut Averted By Doc Fix in the Fiscal Cliff Legislation

Physicians can breathe a sigh of relief that their Medicare reimbursement will not be decreased for at least another year.  The “fiscal cliff” legislation that was passed by Congress on New Year’s Day and signed by President Obama Wednesday night (January … Continue reading

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2013 Skilled Nursing Facility PPS Rates Announced By CMS

CMS Announces Skilled Nursing Facility PPS Rates for 2013 On July 27, 2012, the Centers for Medicare & Medicaid Services announced PPS increases for skilled nursing facilities for fiscal year 2013. Skilled nursing facilities will receive a 2.5% market basket … Continue reading

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