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Archived Blog Posts

Showing 5 posts from October 2016.

On Friday, October 14, the Centers for Medicare and Medicaid Services (CMS) released the much anticipated Final Rule with comment period implementing the Medicare Access and CHIP Reauthorization Act (MACRA).  Read More ›

A recent California Court of Appeal decision addressing the statute of limitations created a potential pitfall for health care providers who rely on a plan’s voluntary internal appeals process for underpaid claims as a basis to delay filing formal legal action.  Read More ›

On September 23, 2016, Governor Jerry Brown signed into law AB 2024, which includes a new exception to California’s ban on the corporate practice of medicine for critical access hospitals.  Read More ›

On September 29, 2016, the Office of Inspector General for the U.S. department of Health and Human Services (OIG) published findings of its audit of Medi-Cal Electronic Health Record (EHR) payments made to 64 hospitals from October 1, 2011, through December 31, 2014.  These hospitals received 53 percent of Medi-Cal EHR incentive payments from the State of California to eligible hospitals during this time period.  Altogether, the State paid 263 hospitals approximately $601 million during this time period.  The OIG report found overpayments and some underpayments to 61 of the 64 hospitals, which net to $22 million.  The OIG also noted that prospective payments to these hospitals should be reduced by an additional $6.3 million. Read More ›

On August 2, 2016, the Centers for Medicare & Medicaid Services (CMS) issued its Hospital Inpatient Prospective Payment Systems (IPPS) final rule for Federal Fiscal Year 2017 (Final Rule).  Contained within the Final Rule was a notice from CMS of the closure of three teaching hospitals and the opportunity for hospitals to apply for the newly available graduate medical education resident slots under Section 5506 of the Affordable Care Act (ACA).  Read More ›

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