Posted by Jason Greis on June 2, 2009 under Whitepapers | 
The current fervor to overhaul the nation’s health care delivery system has legislators discussing how to change the way post-acute care providers, including long-term acute care hospitals, home health agencies, skilled nursing facilities, and inpatient rehabilitation facilities, are reimbursed for treating Medicare beneficiaries. One potential solution endorsed by both President Obama and the Senate Finance Committee entails bundling payments for acute and post-acute care services provided within the first 30 days after a Medicare beneficiary is discharged from an acute care hospital. Read More...
Tags: baucus, brent rawlings, bundle, bundling, grassley, greisguide, greisguidetoltachs, health system, home health, hospital, irf, j. brian jackson, jason greis, kennedy, ltac, LTACH, LTCH, mcguirewoods, obama, overhaul, post-acute, rehabilitation facility, senate finance committee, skilled nursing, snf
Posted by Jason Greis on April 6, 2009 under Articles, Whitepapers |
This listserve is a continuation of a series of listserves updating McGuuireWoods healthcare clients on developments surrounding the Centers for Medicare and Medicaid Services (CMS) ,claims and activity Recovery Audit Contractors (RACs). Future updates will be available by completing McGuireWoods’ online sign-up form or by checking back on GreisGuidetoLTACHs. Read More...
Tags: brent rawlings, cms, elaine gilmer, elissa moore, greisguide, greisguidetoltachs, hospital, lainey, ltac, LTACH, LTCH, mcguirewoods, outreach, Provider Resources, RAC, recovery audit contractor, tom stallings, validation contractor, whitepaper
Posted by Jason Greis on March 31, 2009 under Articles |
LTACHs often subcontract their dietary services departments to national providers, host hospitals (for HwHs), or a host hospital’s contracted dietary service provider. CMS recently urged nursing homes and other long-term care facilities to determine whether they are currently in possession of peanut butter and peanut butter products recalled by the FDA as a result of possible Salmonella contamination. LTACHs should speak with their dietary department or dietary service provider to determine what steps are being taken to ensure that patients are not served potentially contaminated products. Read More...
Tags: brent rawlings, cms, contaminat, FDA, greisguide, greisguidetoltachs, hospital, j. brian jackson, jason greis, ltac, LTACH, LTCH, nursing home, peanut butter
Posted by Jason Greis on March 3, 2009 under Presentations |
Please click here for a copy of the PowerPoint slides from the March 3, 2009 McGuireWoods and Marsh webinar presentation entitled “RACs are Here: Are You Prepared?” This webinar addressed questions about what recovery audit contractors (or RACs) are, how to prepare for a RAC audit, how and when to respond to a RAC request for medical records or a demand letter, how and when to appeal a RAC overpayment determination, and a discussion of the other inherent risks embedded in the RAC audit process. Please feel free to contact me if you have any questions about the presentation or related to the RAC process or audits. Read More...
Tags: brent rawlings, demonstration project, elissa moore, fi, fiscal intermediary, greisguide, greisguidetoltachs, hospital, jason greis, ltac, LTACH, LTCH, marsh, mcguirewoods, powerpoint, preparedness, RAC, recovery audit contractor, slideshow, stage
Posted by Jason Greis on January 22, 2009 under Articles |
The Centers for Medicare and Medicaid Services (“CMS”) has issued three Coverage Decision Memorandums establishing National Coverage Determinations (NCDs) that “wrong surgeries” — surgeries on the wrong body part, surgeries on the wrong patient, and the wrong procedure — are not covered by Medicare. The wrong body party, wrong patient, and wrong procedure NCDs are effective January 15, 2009 and apply to all provider types and coverage under both Part A and Part B. Read More...
Tags: brent rawlings, cms, coverage decision memo, greisguide, GreisGuide to LTACHs, hospital, ipps, Joint Commission, LTACH, LTCH, medicare, ncd, NQF, value-based purchasing, wrong part, wrong patient, wrong procedure
Posted by Jason Greis on January 9, 2009 under Articles |
This listserve is a continuation of a series of listserves updating McGuireWoods clients on developments surrounding the Centers for Medicare and Medicaid Services (CMS) claims and activity Recovery Audit Contractors (RACs). Future updates will be provided on the McGuireWoods listserve as they become available. For a more comprehensive discussion of RACs, please see the white paper Medicare Recovery Audit Contractors (RACs): What Providers Need to Know and How to Prepare. Read More...
Tags: appeal, brent rawlings, Centers for Medicare and Medicaid Services, cms, error, greisguide, GreisGuide to LTACHs, hospital, ltac, LTACH, LTCH, Medicare Recovery Audit Contractors (RACs): What Providers Need to Know and How to Prepare, RAC, recovery audit contractor
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