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Author: Patricia A. Davis Publisher: ISBN: Category : Languages : en Pages :
Book Description
This report provides a general overview of the Medicare program including descriptions of the program's history, eligibility criteria, covered services, provider payment systems, and program administration and financing.
Author: Patricia A. Davis Publisher: ISBN: Category : Languages : en Pages :
Book Description
This report provides a general overview of the Medicare program including descriptions of the program's history, eligibility criteria, covered services, provider payment systems, and program administration and financing.
Author: Aspen Health Law Center Publisher: ISBN: Category : Business & Economics Languages : en Pages : 156
Book Description
Stepped-up efforts to ferret out health care fraud have put every provider on the alert. The HHS, DOJ, state Medicaid Fraud Control Units, even the FBI is on the case -- and providers are in the hot seat! in this timely volume, you'll learn about the types of provider activities that fall under federal fraud and abuse prohibitions as defined in the Medicaid statute and Stark legislation. And you'll discover what goes into an effective corporate compliance program. With a growing number of restrictions, it's critical to know how you can and cannot conduct business and structure your relationships -- and what the consequences will be if you don't comply.
Author: Adam K. Brooks Publisher: ISBN: 9781611229042 Category : Health care reform Languages : en Pages : 0
Book Description
The Medicare program enables millions of beneficiaries to obtain health care services; however, lacks many of the essential elements of a high-quality, high-value and efficient health system. Program spending and utilisation have increased substantially, without corresponding improvements in beneficiaries' health. This new and important book describes the need for Medicare to move away from payment policies that encourage service volume and are indifferent to quality and toward policies that promote better value for Medicare and its beneficiaries.
Author: The Law The Law Library Publisher: Createspace Independent Publishing Platform ISBN: 9781722371326 Category : Languages : en Pages : 184
Book Description
Medicare Program - Home Health Prospective Payment System Rate Update for Calendar Year 2011 - Changes in Certification Requirements (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) The Law Library presents the complete text of the Medicare Program - Home Health Prospective Payment System Rate Update for Calendar Year 2011 - Changes in Certification Requirements (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition). Updated as of May 29, 2018 This final rule sets forth an update to the Home Health Prospective Payment System (HH PPS) rates, including: the national standardized 60-day episode rates, the national per-visit rates, the nonroutine medical supply (NRS) conversion factors, and the low utilization payment amount (LUPA) add-on payment amounts, under the Medicare prospective payment system for HHAs effective January 1, 2011. This rule also updates the wage index used under the HH PPS and, in accordance with the Patient Protection and Affordable Care Act of 2010 (Affordable Care Act), updates the HH PPS outlier policy. In addition, this rule revises the home health agency (HHA) capitalization requirements. This rule further adds clarifying language to the "skilled services" section. The rule finalizes a 3.79 percent reduction to rates for CY 2011 to account for changes in case-mix, which are unrelated to real changes in patient acuity. Finally, this rule incorporates new legislative requirements regarding face-to-face encounters with providers related to home health and hospice care. This book contains: - The complete text of the Medicare Program - Home Health Prospective Payment System Rate Update for Calendar Year 2011 - Changes in Certification Requirements (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) - A table of contents with the page number of each section
Author: Patricia A. Davis
Author: Patricia A. Davis
Author: 
Author: United States. Social Security Administration
Author: Medicare Payment Advisory Commission (U.S.)
Author: Aspen Health Law Center
Author: Adam K. Brooks
Author: United States. Congress
Author: The Law The Law Library
Author: 
Author: United States. Prospective Payment Assessment Commission