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	<title>von Briesen Health Law Blog &#187; Billing and Payment</title>
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		<title>CMS Releases its CY 2011 Proposed Rules for HOPDs and ASCs</title>
		<link>http://blog.vonbriesenhealth.com/2010/07/08/cms-releases-its-cy-2011-proposed-rules-for-hopds-and-ascs/</link>
		<comments>http://blog.vonbriesenhealth.com/2010/07/08/cms-releases-its-cy-2011-proposed-rules-for-hopds-and-ascs/#comments</comments>
		<pubDate>Thu, 08 Jul 2010 22:07:00 +0000</pubDate>
		<dc:creator>Scott Thill</dc:creator>
				<category><![CDATA[Billing and Payment]]></category>
		<category><![CDATA[Hospital and Physician Relationships]]></category>
		<category><![CDATA[Legislation Watch]]></category>
		<category><![CDATA[Medicare/Medicaid Compliance]]></category>

		<guid isPermaLink="false">http://blog.vonbriesenhealth.com/?p=853</guid>
		<description><![CDATA[CMS released its CY 2011 proposed rules for hospital outpatient departments and ambulatory surgery centers on July 2, 2010.  The proposed rules update payment policies and rates for hospital outpatient departments and ambulatory surgery centers.  Some of the proposed provisions implement portions of the health reform legislation signed into law in March.  As described by [...]]]></description>
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		<slash:comments>0</slash:comments>
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		<item>
		<title>CMS Releases its CY 2011 MPFS Proposed Rule</title>
		<link>http://blog.vonbriesenhealth.com/2010/07/08/cms-releases-its-cy-2011-mpfs-proposed-rule/</link>
		<comments>http://blog.vonbriesenhealth.com/2010/07/08/cms-releases-its-cy-2011-mpfs-proposed-rule/#comments</comments>
		<pubDate>Thu, 08 Jul 2010 22:00:40 +0000</pubDate>
		<dc:creator>Scott Thill</dc:creator>
				<category><![CDATA[Billing and Payment]]></category>
		<category><![CDATA[Hospital and Physician Relationships]]></category>
		<category><![CDATA[Legislation Watch]]></category>
		<category><![CDATA[Medicare/Medicaid Compliance]]></category>

		<guid isPermaLink="false">http://blog.vonbriesenhealth.com/?p=844</guid>
		<description><![CDATA[CMS recently released its CY 2011 Medicare Physician Fee Schedule Proposed Rule.  Among updated payment policies and rates for services paid under the Medicare Physician Fee Schedule, the proposed rule includes provisions to implement portions of the health reform legislation signed into law in March.  As described by CMS, the proposed rule includes provisions, among [...]]]></description>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>The FTC Once Again Delays Enforcement of the Red Flags Rule</title>
		<link>http://blog.vonbriesenhealth.com/2010/05/28/the-ftc-once-again-delays-enforcement-of-the-red-flags-rule/</link>
		<comments>http://blog.vonbriesenhealth.com/2010/05/28/the-ftc-once-again-delays-enforcement-of-the-red-flags-rule/#comments</comments>
		<pubDate>Fri, 28 May 2010 21:45:21 +0000</pubDate>
		<dc:creator>Scott Thill</dc:creator>
				<category><![CDATA[Billing and Payment]]></category>
		<category><![CDATA[Fraud and Abuse]]></category>

		<guid isPermaLink="false">http://blog.vonbriesenhealth.com/?p=807</guid>
		<description><![CDATA[The Federal Trade Commission announced on May 28, 2010 that it will further delay enforcement of the identity theft “Red Flags” Rule through December 31, 2010.  The Rule requires creditors and financial institutions that have certain accounts to develop and implement written identity theft prevention programs.  The delay gives Congress time to consider legislation that [...]]]></description>
		<wfw:commentRss>http://blog.vonbriesenhealth.com/2010/05/28/the-ftc-once-again-delays-enforcement-of-the-red-flags-rule/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
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		<title>CMS Releases a Supplemental Proposed Rule to Implement Several PPACA Provisions</title>
		<link>http://blog.vonbriesenhealth.com/2010/05/25/cms-releases-a-supplemental-proposed-rule-to-implement-several-ppaca-provisions/</link>
		<comments>http://blog.vonbriesenhealth.com/2010/05/25/cms-releases-a-supplemental-proposed-rule-to-implement-several-ppaca-provisions/#comments</comments>
		<pubDate>Tue, 25 May 2010 23:41:00 +0000</pubDate>
		<dc:creator>Scott Thill</dc:creator>
				<category><![CDATA[Billing and Payment]]></category>
		<category><![CDATA[Legislation Watch]]></category>
		<category><![CDATA[Medicare/Medicaid Compliance]]></category>

		<guid isPermaLink="false">http://blog.vonbriesenhealth.com/?p=800</guid>
		<description><![CDATA[CMS released a supplemental proposed rule on May 21, 2010 to implement changes in payments for inpatient services in general acute care hospitals and long term care hospitals (“LTCHS”).  The changes are required by the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 (collectively, “PPACA”).  The proposed [...]]]></description>
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		<slash:comments>0</slash:comments>
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		<title>Wisconsin’s Governor Signs a Bill to Impose an Assessment on Critical Access Hospitals.</title>
		<link>http://blog.vonbriesenhealth.com/2010/04/28/wisconsin%e2%80%99s-governor-signs-a-bill-to-impose-an-assessment-on-critical-access-hospitals/</link>
		<comments>http://blog.vonbriesenhealth.com/2010/04/28/wisconsin%e2%80%99s-governor-signs-a-bill-to-impose-an-assessment-on-critical-access-hospitals/#comments</comments>
		<pubDate>Wed, 28 Apr 2010 21:22:53 +0000</pubDate>
		<dc:creator>Scott Thill</dc:creator>
				<category><![CDATA[Billing and Payment]]></category>
		<category><![CDATA[Legislation Watch]]></category>

		<guid isPermaLink="false">http://blog.vonbriesenhealth.com/?p=761</guid>
		<description><![CDATA[Wisconsin Governor Jim Doyle signed a bill on April 19, 2010 to establish an assessment on the gross patient revenues of critical access hospitals (“CAHs”).  A portion of the revenue collected under the assessment will be used to increase payments to CAHs under the Medical Assistance Programs, including Medicaid, largely by producing additional federal matching funds.  [...]]]></description>
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		<slash:comments>0</slash:comments>
		</item>
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		<title>CMS Has Released its 2011 IPPS Proposed Rule</title>
		<link>http://blog.vonbriesenhealth.com/2010/04/22/cms-has-released-its-2011-ipps-proposed-rule/</link>
		<comments>http://blog.vonbriesenhealth.com/2010/04/22/cms-has-released-its-2011-ipps-proposed-rule/#comments</comments>
		<pubDate>Thu, 22 Apr 2010 18:25:18 +0000</pubDate>
		<dc:creator>Scott Thill</dc:creator>
				<category><![CDATA[Billing and Payment]]></category>
		<category><![CDATA[Medicare/Medicaid Compliance]]></category>

		<guid isPermaLink="false">http://blog.vonbriesenhealth.com/?p=743</guid>
		<description><![CDATA[CMS has issued a display copy of its 2011 Inpatient Prospective Payment System Proposed Rule.  CMS proposes to update payment rates to general acute care hospital by 2.4% to adjust for inflation, but apply a -2.9% Documentation and Coding Adjustment (DCA).  The DCA would continue CMS’s efforts to adjust payments to account for changes in [...]]]></description>
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		<slash:comments>0</slash:comments>
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		<title>The 21% Cut in Medicare Physician Reimbursement Has Been Delayed Through May 31, 2010</title>
		<link>http://blog.vonbriesenhealth.com/2010/04/19/the-21-cut-in-medicare-physician-reimbursement-has-been-delayed-through-may-31-2010/</link>
		<comments>http://blog.vonbriesenhealth.com/2010/04/19/the-21-cut-in-medicare-physician-reimbursement-has-been-delayed-through-may-31-2010/#comments</comments>
		<pubDate>Mon, 19 Apr 2010 16:31:35 +0000</pubDate>
		<dc:creator>Scott Thill</dc:creator>
				<category><![CDATA[Billing and Payment]]></category>
		<category><![CDATA[Legislation Watch]]></category>

		<guid isPermaLink="false">http://blog.vonbriesenhealth.com/?p=736</guid>
		<description><![CDATA[On April 15, 2010, the President signed the Continuing Extension Act of 2010 (H.R. 4851).  The Act, among other actions, delays the 21% cut in Medicare physician reimbursement through May 31, 2010.  The cut was originally set to take effect on January 1, 2010, but Congress already delayed the cut several times this year.  The [...]]]></description>
		<wfw:commentRss>http://blog.vonbriesenhealth.com/2010/04/19/the-21-cut-in-medicare-physician-reimbursement-has-been-delayed-through-may-31-2010/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>New Guidance from the Department of Health Services&#8217; Division of Quality Assurance</title>
		<link>http://blog.vonbriesenhealth.com/2010/04/16/new-guidance-from-the-department-of-health-services-division-of-quality-assurance/</link>
		<comments>http://blog.vonbriesenhealth.com/2010/04/16/new-guidance-from-the-department-of-health-services-division-of-quality-assurance/#comments</comments>
		<pubDate>Fri, 16 Apr 2010 15:00:51 +0000</pubDate>
		<dc:creator>Michelle Frazier</dc:creator>
				<category><![CDATA[Billing and Payment]]></category>
		<category><![CDATA[Medicare/Medicaid Compliance]]></category>

		<guid isPermaLink="false">http://blog.vonbriesenhealth.com/?p=733</guid>
		<description><![CDATA[The Department of Health Services’ Division of Quality Assurance released guidance today for health care providers. Specifically, the DQA issued a Quarterly Information Update which, among other things, noted that the Division is not considered a business associate of any health care provider licensed, surveyed or otherwise regulated by DQA.  Click here to access this [...]]]></description>
		<wfw:commentRss>http://blog.vonbriesenhealth.com/2010/04/16/new-guidance-from-the-department-of-health-services-division-of-quality-assurance/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>CMS Has Instructed Contractors to Hold Claims Paid Under the MPFS for Ten Business Days in April</title>
		<link>http://blog.vonbriesenhealth.com/2010/03/29/cms-has-instructed-contractors-to-hold-claims-paid-under-the-mpfs-for-ten-business-days-in-april/</link>
		<comments>http://blog.vonbriesenhealth.com/2010/03/29/cms-has-instructed-contractors-to-hold-claims-paid-under-the-mpfs-for-ten-business-days-in-april/#comments</comments>
		<pubDate>Mon, 29 Mar 2010 19:26:56 +0000</pubDate>
		<dc:creator>Scott Thill</dc:creator>
				<category><![CDATA[Billing and Payment]]></category>
		<category><![CDATA[Legislation Watch]]></category>

		<guid isPermaLink="false">http://blog.vonbriesenhealth.com/?p=719</guid>
		<description><![CDATA[Although Congress has not yet delayed the 21% reimbursement cut set to take effect April 1, 2010 for services paid under the Medicare Physician Fee Schedule, CMS believes Congress will take action.  Accordingly, CMS has instructed its contractors to hold claims for services paid under the MPFS for the first ten business days of April.  The [...]]]></description>
		<wfw:commentRss>http://blog.vonbriesenhealth.com/2010/03/29/cms-has-instructed-contractors-to-hold-claims-paid-under-the-mpfs-for-ten-business-days-in-april/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
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		<title>New Law Requires Insurers to Pay Hospitals for EMTALA Care</title>
		<link>http://blog.vonbriesenhealth.com/2010/03/24/new-law-requires-insurers-to-pay-hospitals-for-emtala-care/</link>
		<comments>http://blog.vonbriesenhealth.com/2010/03/24/new-law-requires-insurers-to-pay-hospitals-for-emtala-care/#comments</comments>
		<pubDate>Thu, 25 Mar 2010 02:58:35 +0000</pubDate>
		<dc:creator>Sally Ihlenfeld</dc:creator>
				<category><![CDATA[Billing and Payment]]></category>
		<category><![CDATA[Hospital and Physician Relationships]]></category>
		<category><![CDATA[Legislation Watch]]></category>
		<category><![CDATA[Patient Care Issues]]></category>

		<guid isPermaLink="false">http://blog.vonbriesenhealth.com/?p=713</guid>
		<description><![CDATA[As part of the Patient Protection and Affordable Care Act signed into law on March 23, 2010, insurance companies will now be barred from imposing pre-authorization requirements on EMTALA care. The Act also requires insurers to pay hospitals not under contract with them for EMTALA services on the same basis as they pay their own in-network [...]]]></description>
		<wfw:commentRss>http://blog.vonbriesenhealth.com/2010/03/24/new-law-requires-insurers-to-pay-hospitals-for-emtala-care/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
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