Medicare Compliance & Reimbursement
House Subcommittee Checking Into Asset Transfers
Medicaid-sponsered nursing home care could get harder to obtain. That "personal responsibility" could include tightening regulations on asset transfers that allow people to qualify for Medicaid-funded nursing home care as well as more co-payments for services, he said. Last month, Health and Human Services Secretary Mike Leavitt formally established a commission to study Medicaid, including the way the program delivers long-term care.
Congressional leaders once again are taking aim at asset transfers among recipients of Medicaid's nursing home benefit.
House Energy and Commerce Health Subcommittee Chair Nathan Deal (R-GA) said the $10 billion in reconciliation savings designated for his subcommittee probably would not come solely from Medicaid, CQ HealthBeat reports. He said "personal responsibility" would be the focus of Medicaid changes.
Medicaid Qualifications Could Tighten
Medicare Compliance & Reimbursement
- HIPAA:
Compliance Changes Do Not Equal Relaxed Standards
HHS still expects providers to pay for non-compliant behavior.
Providers that base their security rule compliance [...] - PHARMACEUTICALS:
E-Benefit Coordinaton To Coincide With New Rx Plan
NDCHealth to construct pharmacy-like electronic system for benes.
The Centers for Medicare and Medicaid Services wants [...] - PHYSICIANS:
PPAC Calls For Physicians To Share In Care Rewards
Organization proposes transferring some Medicare savings to docs.
When physicians do a good job taking care [...] - LONG-TERM CARE:
House Subcommittee Checking Into Asset Transfers
Medicaid-sponsered nursing home care could get harder to obtain.
Congressional leaders once again are taking aim [...] - MEDICAID:
Reports-Benes Blighted By Increasing Costs
Out-of-pocket expenses getting out of control, says CBPP.
It looks as if Medicaid beneficiaries already struggling [...] - HOSPITALS:
Overcrowded EDs Could Become All Too Common
Recorded ED numbers may only be starting, ACEP warns.
The president of a leading emergency medicine [...] - HOSPITALS:
Specialty Hospitals Hearings See AMA, MedPAC Clash
Organizations disagree on specialty moratorium extension.
Congress should end the moratorium on specialty hospitals, which stifles [...] - HOSPITALS:
April OPPS Offers An Array Of Coding, Policy Changes
Use C9723 when reporting blood perfusion imaging to Medicare.
Hospitals can anticipate payment for a wider [...] - PHYSICIANS:
Bills Would Replace Cut With 2.7-Percent Boost
... but a permanent solution to physician payment woes may have to wait.
Physicians could avert [...] - ENFORCEMENT WATCH:
OIG Eyes Suspicious Therapy Claims
Providers must meet all 10 medical necessity requirements.
Make sure your home health therapy claims meet [...] - LABS:
Know Diagnostic From Screening For Testing Claims
If a screening is deemed medically unnecessary, Medicare will deny the claim.
If labs don't know [...] - BILL WATCH
The following bills were introduced in the House: H.R. 2518. A bill to amend title [...]
