Hospital Center

Spotlights

• CMS-1448-P: Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2014 (Publication Date: May 8, 2013)

• National Provider Call: National Physician Payment Transparency Program (Open Payments) - What You Need To Know — Registration Now Open - Target Audience:  Physicians & Teaching Hospitals

  Date: Wednesday, May 22; 2:30-4pm ET

  The National Physician Payment Transparency Program (Open Payments) requires manufacturers of pharmaceuticals or medical devices to publically report payments made to physicians and teaching hospitals, creating greater transparency around the financial relationships that occur among them.

  Registration Information:  In order to receive call-in information, you must register for the call on the CMS Upcoming National Provider Calls registration website. 

• CMS-1599-P:  Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long Term Care Hospital Prospective Payment System and Proposed Fiscal Year 2014 Rates; Quality Reporting Requirements for Specific Providers; Hospital Conditions of Participation.  (Display Date: April 26, 2013; Publication Date: May 10, 2013)
• On March 13, 2013, the Centers for Medicare & Medicaid Services (CMS) issued Ruling 1455-R which establishes an interim process for hospitals to bill Medicare for Part B services following a denial of a claim for an inpatient admission as not reasonable and necessary. CMS has issued temporary billing instructions for affected providers to follow for both the Part B Types of Bills (TOB), TOB 12x and TOB 13x.
• Information for people who refer Medicare beneficiaries for durable medical equipment, prosthetics, orthotics and supplies (DMEPOS). The DMEPOS Competitive Bidding Program is how some Medicare patients get covered supplies. Be sure to give your Medicare patients the correct information.
  
• Revised Fact Sheet for Referral Agents - Where are the Round 2 areas?  What if a beneficiary travels? What do you need to know before prescribing a DMEPOS item or referring the beneficiary to a DMEPOS supplier? Want more information on the national mail-order program for diabetic testing supplies?
• For answers to these questions and more, see the revised “Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program: Referral Agents” Fact Sheet (ICN 900927), which is now available in downloadable format. 
• CMS-1589-FC: Proposed Changes to Hospital Outpatient Prospective Payment System and CY 2013 Payment Rates (Display Date: November 1, 2012)
• CMS-1442-N - Changes to Wage Indices and Hospital Reclassifications Impacting Certain OPPS Hospitals.  
• Blood Clotting Factor Furnishing Fee

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