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The Physician Payments Sunshine Act – Compliance in a Nutshell                                                                     

AIHC

The "Sunshine Act," officially known as the Physician Payments Sunshine Act, mandates those manufacturers of drugs, medical devices, and biologics report payments and transfers of value to physicians and teaching hospitals to the Centers for Medicare & Medicaid Services (CMS).

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How 2014 IPPS Final Rule Impacts Physicians Admitting Patients to Hospitals

The Health Law Firm

Board Certified by The Florida Bar in Health Law On August 2, 2013, the Centers for Medicare and Medicaid Services (CMS) released the 2014 Inpatient Prospective Payment System (IPPS) Final Rule (the 2014 IPPS Final Rule). Leider, J.D., The Health Law Firm and George F. Indest III, J.D.,

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Uncompensated Care and DSH (Medicare disproportionate share hospitals)

AIHC

Medicare Uncompensated Care Payments & DSH Hospitals' charity care and bad debt, together known as uncompensated care, is used to calculate disproportionate-share hospital payments. LTCHs are paid under the Long-Term Care Hospital Prospective Payment System (LTCH PPS).

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Government Watchdogs Attack Medicare Advantage for Denying Care and Overcharging

Kaiser Health News

The watchdogs also recommended imposing limits on home-based “health assessments,” arguing these visits can artificially inflate payments to plans without offering patients appropriate care. Bliss said Medicare paid $2.6 billion in 2017 for diagnoses backed up only by the health assessments; she said 3.5

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