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Showing 2 posts by John R. Hellow.

CMS’s Final Rule Implementing the 60-Day Report and Return Statute for Medicare Parts A and B Significantly Broadens the Scope of Overpayments and the Duty of Providers to Identify Them. View full article here.

In its search for savings to pay for increased defense and non-defense discretionary spending caps and to reduce a 50% increase in Part B premiums on some beneficiaries, Congress once again looked to Medicare payments to hospitals.  In addition to another extension of Medicare sequester, now through fiscal year 2025, Congress is establishing new policy to reduce reimbursement at certain off-campus hospital outpatient facilities.  Section 603 of the Bipartisan Budget Act of 2015 (BBA 2015), adds 42 U.S.C. § 1395l(t)(21) to the Medicare Act, and is projected to reduce payments by $9 billion over the ten-year budget window. Read More ›

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