News and Updates

Archive for the ‘Hospitals’ Category

Reminder: Interest on Medicare Overpayments

Posted on: September 7th, 2012 by Michael Freeman

As several of our providers have established extended repayment plans due to SSI adjustments or outlier reconcilliations, we feel it necessary to remind providers how the interest related to the overpayments needs to be treated in the general ledger so that the Medicare Cost Report can be properly prepared.

In accordance with PRM I Section 202.1, interest related to Medicare Overpayments is not allowable.  Hence, if you have incurred such interest it needs to be recorded in a seperate general ledger account so that the amount can be identified during Mediare cost report preparation and maintain an adequate audit trail from the cost report to the trial balance. (more…)

Update: Useful Contact Information for Novitas

Posted on: September 7th, 2012 by Michael Freeman

We encourage all of our providers that have recently transitioned from Pinnacle to Novitas to spend a little time on the Novitas website  There is an abundance of usual information and downloads available to the provider.   While we usually recommend that our provider’s contact us with any reimbursement related issues that require intermediary contact, we thought it would be good to provide you with this link for Novitas contact information.

If you have recently transitioned from Pinnacle, you are in MAC Jurisdiction H.  (more…)

Update: EHR Incentive Program: Stage 2 Final Rule

Posted on: August 30th, 2012 by Michael Freeman

CMS announced a final rule to govern Stage 2 of the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs.  The rule specifies the Stage 2 criteria that must be met in order to continue to participate in the EHR Incentive Programs. (more…)

Update: IPF PPS-Update for Fiscal Yr Beg. 10/1/12 (FY 2013)

Posted on: August 27th, 2012 by Michael Freeman

The linked notice (published 8/7/12) updates the PPS rates for Medicare inpatient services provided by inpatient psychiatric facilities (IPF’s).  These changes affect discharges occurring during the FY 2013 (10/1/12-9/30/13).  Major provisions in this update include: (more…)

Update: LA Medicaid DRG Validation due 8/31/12 – Extended 9/7/12

Posted on: August 26th, 2012 by Michael Freeman

Around August 22, 2012, all Louisiana hospitals should have received a Medicaid DRG Validation request from the Louisiana Hospital Association or LA DHH.  There is a 8/31/12 deadline for response.  If not responded to by that date, Burns Health Policy will accept their data as reported to establish hospital specific base year cost.  It is critical that we get the files forwarded to our office for our review as soon as possible.  We have a very short time period to review and identify inaccuracies that will affect the base year Medicaid Rate that is being established. (more…)