The CMS paid out $1.3 billion to more than 1,900 hospitals as of June 1 as part of its efforts to clear out the Medicare payment-appeals process. But the fight over Medicare appeals has only intensified.
Members of the U.S. Senate Special Committee on Aging called on the CMS during a hearing Wednesday to make changes to Medicare's recovery audit contractor program, which some providers have identified as a driving force behind the rise in observation stays in recent years.
The CMS is studying how and whether to replace its controversial “two-midnight” payment policy for short hospital stays in response to vigorous and persistent complaints from the provider community.
The CMS is delaying enforcement of the controversial "two-midnight” payment policy for short hospital stays until the end of April.
Hospitals are lobbying for an extension of the moratorium on enforcement of the “two-midnight” policy for short hospital stays that expires at the end of the month. They're hoping Congress will include the extension in action it takes this month on the Medicare physician-payment formula.
Medicare's temporary "doc fix" isn't the only controversial healthcare policy that expires at the end of March. The moratorium on enforcement of the so-called two-midnight policy for short hospital stays also runs out.
The Medicare Payment Advisory Commission is tentatively backing a package of recommendations that will both overhaul how recovery audit contractors operate and discourage hospitals from billing for too many short inpatient stays.
Inpatient admissions at many hospital systems across the country continued to decline during the third quarter of 2014, with volumes at least partly attributed to healthcare reform.
The four private companies that run Medicare's recovery audit program will have their contracts extended through 2015. But it's unclear what types of medical reviews or claims are going to be eligible for auditing.
Inpatient admissions at many hospital systems across the country continued to decline during the third quarter of 2014, with changes tied to healthcare reform partially to blame for weakened volumes.
Catholic Health System, a three-hospital group in Buffalo, N.Y., more than doubled its operating surplus for the nine-month period ended Sept. 30, compared with the same period last year.
The Medicare Payment Advisory Commission is mulling trying to solve the conundrum posed by the widely panned “two-midnight rule” by eliminating the outpatient observation claims that gave rise to it.