News & Publications

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CMS Releases New Medicare Enrollment Forms

The Centers for Medicare & Medicaid Services (CMS) has published revised Medicare enrollment forms for all provider and supplier types. The new forms list an effective date of July 1, 2011, but were not available on the CMS website until July 5,… Read More
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CMS Proposes 2012 Home Health Agency Payment Changes

The Centers for Medicare & Medicaid Services (CMS) proposed changes for Medicare home health agency (HHA) payments for calendar year (CY) 2012. The proposed rule, which was published in the July 12, 2011, Federal Register, results in a net 3.35%… Read More
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CMS Proposes HOPD and ASC Payment Policy and Rate Updates for 2012

On July 1, 2011, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule with policy and payment changes for Hospital Outpatient Departments (HOPDs) and Ambulatory Surgical Centers (ASCs). The proposed rule would affect Medicare… Read More
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CMS Issues Proposed 2012 Physician Fee Schedule

On July 1, 2011, the Centers for Medicare & Medicaid Services (CMS) issued proposed payment rate and policy changes for the Medicare physician fee schedule that would go into effect for calendar year (CY) 2012. The proposed rule will be published… Read More
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Categories: Publications

Government Payor File Updates More Important Than Ever to Keep Revenue Streams Alive

Few surgery centers can remain economically viable without at least some level of government payor reimbursement. So imagine a scenario where the ASC’s Medicare or Medicaid receivables come to a screeching halt without warning; the enrollment h… Read More
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Medi-Cal Enrollment Fees Go Into Effect Today! DHCS Failure To Issue Implementing Instructions Leaves Providers with Questions

Starting today, Department of Health Care Services (“DHCS”) is required to collect Medi-Cal enrollment fees of $505 per enrollment for “institutional providers.” DHCS Provider Enrollment Unit has issued no formal guidance regarding how it wil… Read More
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Categories: News

Initial Enrollments and Changes of Ownership Impacted by Home Health Medicare Enrollment Rule Changes

In the 2011 Home Health Prospective Payment System Rate Update Rule, the Centers for Medicare & Medicaid Services (CMS) modified home health agency (HHA) Medicare provider enrollment provisions in two important ways. First, it extended the amount… Read More
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CMS Issues Proposed Rule to Implement Provider Enrollment Aspects of Affordable Care Act

The Centers for Medicare & Medicaid Services (“CMS”) recently published proposed regulations that would implement provisions of the Patient Protection and Affordable Care Act as amended by the Health Care and Education Reconciliation Act of… Read More
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Categories: News