President’s budget proposes to “clarify” that the DSH Medicare fraction includes exhausted and MA days *

USA - April 15 2013
The President's proposed budget for FY 2014, released last week and available here, includes a line item at page 197 that proposes to "Clarify the…

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D.C. Circuit holds three-year cost report reopening limitation does not preclude correction of prior year errors’ effects on subsequent years’ payments *

USA - March 11 2013
In a decision with potentially far-reaching implications, the U.S. Court of Appeals for the D.C. Circuit ruled last Tuesday that a hospital's…

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PRRB amends its rules and requires more thorough documentation *

USA - March 4 2013
On March 1, 2013, the Provider Reimbursement Review Board (PRRB) amended its rules for the first time since July 1, 2009. The changes are effective…

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Final state decisions on insurance exchanges *

USA - February 18 2013
The final tally is in of State decisions on the establishment of online health insurance marketplaces, or exchanges, with eighteen States agreeing to…

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CMS announces $532 Medicare enrollment fee for 2013 *

USA - December 3 2012
CMS announced a $532 application fee for calendar year (CY) 2013 for institutional providers that are initially enrolling in the Medicare, Medicaid, or CHIP programs, revalidating their Medicare, Medicaid or CHIP enrollment, or adding a new Medicare practice location.

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