Healthcare Law Blog

FEBRUARY 1, 2023

FFS Adjuster Back in 2012, CMS announced that it would apply a FFS Adjuster to RADV audit findings to account for any effect of erroneous diagnosis codes in the data from Medicare Parts A and B that are used to calibrate the MA risk adjustment model. District for the District of Columbia agreed with United and vacated the Overpayment Rule.

Medicare 105

Medicare Medicare Overpayment Overpayments 105

The Digital Health Corner

APRIL 28, 2017

It is interesting to note that a 2012 report by the Robert Wood Johnson Foundation on this topic concluded that hospital consolidation increases healthcare costs and that physician-hospital consolidation has neither improved quality of care or reduced costs. This has yet to be demonstrated (in healthcare or any other industry).

Hospitals 60

Hospitals ACA Patient Satisfaction Payment Systems 60

Hall Render

AUGUST 10, 2023

On August 1, 2023, the Centers for Medicare & Medicaid Services (“CMS”) issued its Final Hospital Inpatient Prospective Payment System (“IPPS”) and Long-Term Care Hospital (“LTCH”) PPS rule for fiscal year (“FY”) 2024 (“Final Rule”). The Final Rule increases the rate for IPPS payments by 3.3%

Hospitals 40

Hospitals Medicare Medicare Medicaid 40

Redox

DECEMBER 4, 2020

Meaningful Use Stage 2 in 2012, and made immunization reporting mandatory unless a state had no registry. Immunization requirements still live on as Meaningful Use has turned into the Medicare Access and CHIP Reauthorization Act of 2015 and associated Merit Based Incentive Payments System (MIPS). It also converged on HL7 2.5.1

Public Health 52

Public Health Governance Doctors Medicare 52

Kaiser Health News

JUNE 29, 2022

Although CMS chose not to appear at the hearing, officials clearly knew years ago that some health plans were abusing the payment system to boost profits yet for years ran the program as what one CMS official called an “honor system.” Bliss said Medicare paid $2.6

Medicare 107

Medicare Medicare Governance Overpayment 107

Drug & Device Law

JULY 31, 2023

2012), computer code was not a “product” for purposes of the National Stolen Property Act, 18 U.S.C. 2012 WL 5932437 (N.D. 27, 2012), limited the undefined term “product” in an Alabama sales commission statute to tangible things, excluding franchise rights. 3d 316, 338 (Alaska 2012). 2012 WL 12886210, at *3 (C.D.

Governance 52

Governance Payment Systems Hospitals Licensing 52