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Medicare-Enrolled Providers and Suppliers to Revalidate by 2015

The Centers for Medicare & Medicaid Services (“CMS”) has begun the process of revalidating most Medicare provider and supplier enrollments, which must be completed by 2015. This effort began making waves in the provider and supplier community… Read More
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CMS Finalizes 2012 Skilled Nursing Facility Payment Changes

The Centers for Medicare & Medicaid Services (CMS) finalized changes for Medicare skilled nursing facility (SNF) payments for calendar year (CY) 2012. The final rule will be published in the August 8, 2011, Federal Register. CMS finalized an 11.1… Read More
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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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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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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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