Archive for the ‘Reimbursements’ Category
BACK AND FORTH: Do Reimbursement Rules Penalize Hospitals With More Accurate Billing Records?
A CMS rule that bans Medicare reimbursement for certain high-cost conditions that are believed to be preventable could be penalizing hospitals that provide more accurate information on their billing records, according to Reuters.
AHL’s TOP STORY: CMS Reaches Settlement With 2,200 Hospitals Over Error in Reimbursements
CMS on April 5 agreed to a settlement with about 2,200 hospitals to end lawsuits related to an error in reimbursement rates, according to parties involved in the deal, the Los Angeles Times reports.
In the suits, the hospitals allege that Medicare committed a mathematical error in 1998 when it adjusted certain reimbursements for inpatient hospital care to reflect area wages. Congress requested the change in the Balanced Budget Act of 1997 to ensure adequate reimbursements for urban and rural hospitals. According to the lawsuits, the error caused thousands of hospitals to receive significant underpayments.
AHL’s TOP STORY: Supreme Court Sends California Medicaid Lawsuit Back to Appellate Court
The Supreme Court yesterday declined to rule on a California lawsuit that could determine whether Medicaid beneficiaries and providers can sue states over reimbursement cuts, the Los Angeles Times reports (Savage/Megerian, Los Angeles Times, 2/23). The justices sent the case back to a lower appellate court, noting the complexity of the case and the fact that some circumstances have changed since it originally was filed (Doyle, Sacramento Bee, 2/23). Read the rest of this entry »
