CMS Proposes $1.6B Increase in IPPS Payment Rates for FY23

CMS has released its Hospital Inpatient Prospective Payment System (IPPS) proposed rule for fiscal year 2023, which includes a payment rate boost for general acute care hospitals and new measures…

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CMS Updates Medicare Billing Rules for 20% Add-On COVID-19 Payment

Claims eligible for the 20 percent add-on payment for COVID-19 hospitalizations will now have to have a positive laboratory test documented in the patient’s medical record, according to recent Medicare…

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More Hospitals Sue HHS Over Outpatient Site-Neutral Payments

Thirty-eight hospitals filed a lawsuit against HHS over a $380 million reduction in Medicare reimbursement to hospitals under a new outpatient site-neutral payment policy. The lawsuit alleges that HHS Secretary…

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Read more about the article CMS Paid $4M in Excess GME Medicare Reimbursement, OIG Finds
Handing over money.

CMS Paid $4M in Excess GME Medicare Reimbursement, OIG Finds

Audits performed by the HHS Office of Inspector General (OIG) showed that hospitals received excess Graduate Medical Education (GME) Medicare reimbursement after counting residents and interns as more than one…

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