Fact Sheet

Medicare Part B Inpatient Billing in Hospitals Proposed Rule Fact Sheet ;reasonable and necessary;Medicare Part A claim denial;inpatient admission

This fact sheet highlights the CMS's proposed rule, Medicare Program; Part B Inpatient Billing in Hospitals, which would revise the current billing policy under Medicare Part B following a denial of a Medicare Part A inpatient claim for services not reasonable and necessary.

By HFMA April 5, 2013

CY13 Medicare Physician Fee Schedule Final Rule Fact Sheet

CMS has issued a final rule regarding revisions to payment policies under the Medicare Physician Fee Schedule for calendar year 2013 (CY13).

By HFMA January 11, 2013

CY13 OPPS Final Rule Fact Sheet

This fact sheet provides information on the updates to Medicare payment rates for hospital outpatient services paid under the outpatient prospective payment system and the ambulatory surgical center payment system for calendar year 2013.

By HFMA December 19, 2012

FY12 IPPS Final Rule Overview

This document provides an overview of CMS's final rule updating the payment rates under the IPPS and the LTCH PPS for fiscal year 2012 (FY12).

By HFMA October 18, 2012

CY12 OPPS Final Rule Fact Sheet

This fact sheet provides updates to payment rates under the hospital outpatient PPS for CY12.

By HFMA October 18, 2012

FY12 Skilled Nursing Facility PPS Final Rule Fact Sheet

This fact sheet contains noteworthy information on the final rule updating payments to Skilled Nursing Facilities in FY12.

By HFMA October 18, 2012

CY12 Home Health PPS Final Rule Fact Sheet

This document contains noteworthy information on CY12 prospective payment system updates to home health agencies.

By HFMA October 18, 2012

CY12 Medicare Physician Fee Schedule Final Rule Fact Sheet

This document highlights the final payment rate updates under the Medicare Physician Fee Schedule for CY12.

By HFMA October 18, 2012

CY13 OPPS Proposed Rule Fact Sheet

This fact sheet summarizes the proposed rule released by CMS updating payments to outpatient hospitals paid under the Medicare OPPS, and ambulatory surgical centers for CY13.

By HFMA October 18, 2012

CY13 Medicare Physician Fee Schedule Proposed Rule Fact Sheet

This fact sheet contains information on the proposed rule released by CMS updating payment rates under the Medicare Physician Fee Schedule for calendar year 2013 (CY13).

By HFMA October 18, 2012
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