Medicare/Medicaid News
« Previous EntriesUS Senators Back Market Basket CMS Reform
Saturday, August 21st, 2010More than 20 percent of US Senators signed a letter to CMS Administrator Donald Berwick, MD, asking his help in implementing the market basket index in the Medicare ASC payment system. Click here to read the letter.
At least one governor is optimistic about a US Senate vote on additional Medicaid dollars
Saturday, August 21st, 2010Gov. Chris Gregoire is optimistic she won’t have to make deep cuts to state programs following a key Senate vote on additional federal Medicaid dollars.
The Senate voted 61-38 Wednesday morning to advance the bill, and is expected to vote on it later Wednesday or Thursday. It would extend programs enacted in last year’s…
UASCA Alert – Conditions for Coverage
Tuesday, July 27th, 2010In order to receive Medicare payment for surgical services furnished to program beneficiaries, an ambulatory surgical center (“ASC”) must meet certain specific requirements referred to as Conditions for Coverage and set forth at 42 C.F.R. 416, Subpart C.
WSJ: Berwick — Bigger Than Kagan
Monday, July 19th, 2010Barack Obama’s incredible “recess appointment” of Dr. Donald Berwick to head the Centers for Medicare and Medicaid Services (CMS) is probably the most significant domestic-policy personnel decision in a generation. It is more important to the direction of the country than Elena Kagan’s nomination to the Supreme Court.
Click here to read…
Utah lawmakers discuss Medicaid spending cap
Wednesday, May 26th, 2010Depending on which side you’re talking to, a new proposal to cap Medicaid spending in Utah is either a damned if you do or a damned if you don’t situation.
Sen. Dan Liljenquist, R-Bountiful, says that if the state doesn’t do something and soon, Medicaid costs are going to cripple future funding for other…
Obama Chooses Health Policy Scholar, AHA Trustee, as the Director for Medicare and Medicaid
Friday, April 2nd, 2010WASHINGTON — President Obama will soon name Dr. Donald M. Berwick, an iconoclastic scholar of health policy, to run Medicare and Medicaid, the programs that serve nearly one-third of all Americans, administration officials said Saturday.
Revised Ambulatory Surgical Center (ASC) Infection Control Surveyor Worksheets
Wednesday, March 10th, 2010The CMS Center for Medicaid and State Operations/Survey and Certification Group released a memo March 5, 2010, regarding Revised Ambulatory Surgical Center (ASC) Infection Control Surveyor Worksheets. Click here for the revised Infection Control Worksheets…
Medicaid Audit Implementation
Wednesday, February 17th, 2010Click here to read the report.
CMS Manual System: Revised Appendix L, “Interpretive Guidelines for Ambulatory Surgical Centers” with Exhibit 351 Infection Control Surveyor Worksheet
Friday, January 8th, 2010Click here to read the document…
Limitation on Medicare Exception to Prohibition on Physician Referrals
Friday, October 16th, 2009Chairman’s Mark out of the Senate Finance Committee.
The following section is located on page 211. Not finalized as of 10-8-09.
TITLE IV—TRANSPARENCY AND PROGRAM INTEGRITY
Limitation on Medicare Exception to the Prohibition on Certain Physician Referrals for Hospitals
Current Law
Physicians are generally prohibited from referring Medicare patients…
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