Urgent: Call your senators and urge support of legislation repealing SGR
The Senate is scheduled to begin consideration of S. 1776, the “Medicare Physicians Fairness Act of 2009,” on Monday afternoon, Oct. 19. This just-introduced legislation eliminates the 21.5 percent cut in Medicare physician reimbursement for 2010 and repeals the sustainable growth rate (SGR)…
Prior to passage of the Medicare Modernization Act of 2003 (MMA), CMS was not restricted in recouping overpayments, despite the provider’s ongoing appeal rights.
Finally, as of November 16, 2009, CMS will implement new rules required by MMA to restrict immediate recoupment. Section 1892(f) of the Social Security Act prohibits recoupment of overpayment during a supplier…
This is just a reminder of the effective date for certain new Stark Rules:
1. CMS prohibits percentage formulae conjunction with space on equipment leases, fair market value exception transactions and indirect compensation effective October 1, 2009.
2. Per click leases are prohibited effective October 1, 2009.
3. "Under arrangement" relationships have been changed because…
The Joint Commission has released a revised draft of Hospital Accreditation Standard MS.1.20, which was first proposed in June 2007 and intended to establish a balance of power between hospital administration and hospital medical staffs. Although originally scheduled to become effective January 1, 2009, the controversy and uproar accompanying the proposals in 2007 were so…
The Centers for Medicare & Medicaid Services (CMS) reminds Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) suppliers enrolled with the National Supplier Clearinghouse (NSC) they are required to obtain accreditation by September 30, 2009. Without accreditation, DMEPOS suppliers’ billing privileges will be revoked on or after October 1, 2009. Further, without accreditation, DMEPOS suppliers will not…
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Senate Finance Committee Chairman Max Baucus (D-MT) has introduced the America’s Healthy Future Act of 2009. It is scheduled for a full Committee markup on September 22, where Democrats hope to obtain more Republican support.
The bill offers initiatives that will help all Americans meet the requirement of having health coverage, such as the expansion…
The new consignment closet billing and compliance rules reported in the Med Law Blog on August 17, 2009 and intended to be effective on September 8, 2009 have been delayed until March 1, 2010 by Transmittal 300.
CMS has issued Compliance Standards for Consignment Closets and Stock and Bill Arrangements. The purpose of Change Request 6528 was to define and prohibit certain arrangements where an enrolled supplier of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) maintains inventory at a practice location which is not owned by the enrolled DMEPOS supplier, but…
