Medicare DSH alert: CMS finalizes new SSI ratio methodology *

USA - September 2 2010
In the preamble to the final inpatient prospective payment system (IPPS) rule, the Centers for Medicare & Medicaid Services (CMS) finalized its proposed methodology for calculating providers' SSI Ratios (aka Medicare Fractions) for purposes of the Medicare disproportionate share hospital (DSH) adjustment.

Co-authors: Krista M. Barnes.

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ESRD final rule augurs payment system changes for other providers *

USA - August 5 2010
On July 26, CMS issued its final rule establishing a case-mix adjusted bundled prospective payment system (PPS) for dialysis providers.

Co-authors: Robert M. Wolin.

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IPPS final rule imposes coding adjustment; adds payment window reg. *

USA - August 5 2010
Medicare payment for inpatient prospective payment system (IPPS) hospital services will decrease by $440 million in FY 2011 under a final rule released by the Centers for Medicare & Medicaid Services (CMS) on July 30.

Co-authors: Kathleen P. Rubinstein.

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CMS proposes implementation of major GME changes *

USA - July 22 2010
The proposed OPPS update and ASC payment changes rule for calendar year 2011 contains multiple regulatory proposals implementing the changes to Medicare graduate medical education (GME) reimbursement enacted by PPACA.

Co-authors: Krista M. Barnes.

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Three-day payment window clarified *

USA - July 8 2010
On June 25, 2010, President Obama signed the Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010.

Co-authors: Steven A. Eisenberg.

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