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Tag Archives: CMS

Providers Get Short Reprieve on New CMS Two-Midnight Rule on Hospital Stays

Posted in Hospitals, Medicaid, Regulations

The new CMS “Two-Midnight Rule,” which is intended to provide greater clarity regarding when inpatient hospital admissions are generally appropriate for Medicare Part A payment, goes into effect today. However, in order to address widespread concern among hospitals and doctors about the new rule, CMS officials announced last Thursday that government recovery auditors will delay… Continue Reading

Physician-Hospital Integration: “Same Doctor Visit, Double the Cost”

Posted in Accountable Care Act, Hospitals, Medicaid, Physicians and Group Practices

“Same Doctor Visit, Double the Cost” – this is the title of a recent Wall Street Journal article written by Anna Wilde Mathews, which provides a view on the hospital-physician integration phenomenon.  The article describes the higher fees charged by hospitals that result when physicians become employed by hospitals.    It is our experience that… Continue Reading

CMS Releases Three-Day Payment Window FAQs

Posted in Administration, Hospitals, Physicians and Group Practices, Regulations

On July 9, 2012, the Centers for Medicare and Medicaid Services (“CMS”) posted 43 frequently asked questions (“FAQs”) addressing various issues concerning the 3-day Payment Window Rule (the “Rule”).  As background, the Rule applies to outpatient services furnished (1) by a hospital or (2) by another Part B supplier (referred to herein as a “Physician… Continue Reading