Special Report on Part B Inpatient Rebill Rules

CMS posted guidance for hospitals recently, in an attempt to provide a path for Part B Inpatient Billing, when a Part A Inpatient claim is denied by a CMS review contractor.

CMS-1455 ReportOur complete report is available now, at THIS PAGE

I will be presenting a review of the report on this coming Finally Friday!, May 10, 2013. The recording of the presentation will also be freely available, shortly thereafter, usually by the next Monday, anyway.

Academy Members
You can use my presentation or use it to create your own version. My PowerPoint slides, the handouts and an outline of the slide show (a Word doc, for import into your own PPT presentation) are all available for free, HERE NOW.

Meanwhile, here are some links about the ruling that I have found from various blogs on the web:


CMS Proposes Changes to Part B Inpatient Billing Policy

http://regulatorypractice.blogspot.com5/3/13

You may mail written comments to the following address ONLY: Centers for Medicare & Medicaid Services, Department of Health and Human Services, Attention: CMS1455-P, P.O. Box 8013, Baltimore, MD 21244-8013.


AHA Presses CMS to Revise Rebilling Limitation | Hospital Finance

http://www.beckershospitalreview.com4/19/13

AHA Presses CMS to Revise Rebilling Limitation. Written by Helen Gregg | April 19, 2013. Social Sharing. AHA President and CEO Richard J. Umbdenstock has called on HHS Secretary Kathleen Sebelius to revise a March 13 limiting


Healthcare: A Pyrrhic Victory: CMS Agreement to Pay Part B When

http://healthcare.scglegal.com3/20/13

The CMS ruling, CMS1455-R, follows numerous Medicare Appeals Council and Administrative Law Judge decisions allowing Part B payments in this circumstance. In addition, the ruling comes in the wake of a lawsuit filed by


And here is the post from the Federal Register, with instructions on how to comment on the Proposed Rule:

Federal Register | Medicare Program; Part B Inpatient Billing in

https://www.federalregister.gov3/16/13

In commenting, please refer to file code CMS1455-P. Because of staff and resource limitations, we cannot accept comments by facsimile (FAX) transmission. You may submit comments in one of four ways (please choose only


Finally Friday!
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