Patient Protection and Affordable Care Act – Provisions Impacting Institutional Providers

Posted by Jason Greis on April 30, 2010 under Articles | Be the First to Comment

The below CMS e-mail alert was distributed via grouplist on Thursday, April 22, 2010 and impacts LTACHs, among other institutional providers. Read More...

MedPAC to Recommend Forgoing LTACH Reimbursement Rate Update for 2011 Rate Year: Projects 5.8% Medicare Margin for 2010 Rate Year

Posted by Jason Greis on December 14, 2009 under Articles | Be the First to Comment

On Friday, December 11, 2009, the Medicare Payment Advisory Commission (“MedPAC”) released its draft recommendation to the Secretary of Health and Human Services (“HHS”) to forgo any market basket update to payment rates for long-term acute care hospitals (“LTACH”) for the 2011 rate year (“RY”) (see meeting transcript).  MedPAC found that profit margins on Medicare cases averaged 3.4% during RY 2008 and projected that Medicare margins will increase, on average, to 5.8% in RY 2010 with expected improvements in documentation and coding and recent changes to an updated classification system (i.e. MS-LTC-DRGs). Read More...

CMS Proposes New Prospective Payment System for Renal Dialysis Facilities

Posted by Jason Greis on September 21, 2009 under Articles | Be the First to Comment

The Centers for Medicare and Medicaid Services (CMS) recently proposed its new bundled prospective payment system (PPS) for dialysis services provided in End Stage Renal Disease (ESRD) facilities. Read More...