TITLE

CMS Offers Partial Concession to Hospitals by Issuing Ruling, Proposed Rule on Part B Re-Billing

AUTHOR(S)
Caron, Jason B.; Isbey, Elizabeth K.; Polacheck, Joan; Zimmerman, Eric
PUB. DATE
January 2013
SOURCE
Venulex Legal Summaries;2013 Q1, Special section p1
SOURCE TYPE
Law
DOC. TYPE
Article
ABSTRACT
The article reports on the U.S. Centers for Medicare & Medicaid Services' (CMS) release of both a ruling and a proposed rule to address the growing concern among hospitals about billing Medicare Part B following a medical necessity denial of a Medicare Part A hospital inpatient claim. The rules provide temporary and partial concession to the hospital community, but fell short of hospital expectations. Hospital are advised to assess their recovery audit contractors (RAC) appeals strategy.
ACCESSION #
87755141

 

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