<?xml version="1.0" encoding="UTF-8"?>
<rss version="2.0"
	xmlns:content="http://purl.org/rss/1.0/modules/content/"
	xmlns:wfw="http://wellformedweb.org/CommentAPI/"
	xmlns:dc="http://purl.org/dc/elements/1.1/"
	xmlns:atom="http://www.w3.org/2005/Atom"
	xmlns:sy="http://purl.org/rss/1.0/modules/syndication/"
	xmlns:slash="http://purl.org/rss/1.0/modules/slash/"
	>

<channel>
	<title>von Briesen Health Law Blog &#187; Medicare/Medicaid Compliance</title>
	<atom:link href="http://blog.vonbriesenhealth.com/category/medicare-and-medicaid-compliance/feed/" rel="self" type="application/rss+xml" />
	<link>http://blog.vonbriesenhealth.com</link>
	<description></description>
	<lastBuildDate>Tue, 31 Aug 2010 23:50:11 +0000</lastBuildDate>
	<generator>http://wordpress.org/?v=2.8</generator>
	<language>en</language>
	<sy:updatePeriod>hourly</sy:updatePeriod>
	<sy:updateFrequency>1</sy:updateFrequency>
			<item>
		<title>The OIG Has Published Another Advisory Opinion on Free Pre-Authorization Services</title>
		<link>http://blog.vonbriesenhealth.com/2010/08/31/the-oig-has-published-another-advisory-opinion-on-free-pre-authorization-services/</link>
		<comments>http://blog.vonbriesenhealth.com/2010/08/31/the-oig-has-published-another-advisory-opinion-on-free-pre-authorization-services/#comments</comments>
		<pubDate>Tue, 31 Aug 2010 23:50:11 +0000</pubDate>
		<dc:creator>Scott Thill</dc:creator>
				<category><![CDATA[Fraud and Abuse]]></category>
		<category><![CDATA[Hospital and Physician Relationships]]></category>
		<category><![CDATA[Medicare/Medicaid Compliance]]></category>

		<guid isPermaLink="false">http://blog.vonbriesenhealth.com/?p=921</guid>
		<description><![CDATA[On August 31, 2010, the Office of the Inspector General (“OIG”) issued Advisory Opinion 10-13 which allows a hospital to provide free pre-authorization servicesfor all patients referred to it for imaging services.  The hospital seeking the advisory opinion indicates in its proposal that hospital personnel responsible for obtaining the pre-authorization required from insurers would contact [...]]]></description>
		<wfw:commentRss>http://blog.vonbriesenhealth.com/2010/08/31/the-oig-has-published-another-advisory-opinion-on-free-pre-authorization-services/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>HHS Releases Proposed Rule to Modify HIPAA Rules</title>
		<link>http://blog.vonbriesenhealth.com/2010/07/11/hhs-releases-proposed-rule-to-modify-hipaa-rules/</link>
		<comments>http://blog.vonbriesenhealth.com/2010/07/11/hhs-releases-proposed-rule-to-modify-hipaa-rules/#comments</comments>
		<pubDate>Mon, 12 Jul 2010 03:28:49 +0000</pubDate>
		<dc:creator>Sally Ihlenfeld</dc:creator>
				<category><![CDATA[Medicare/Medicaid Compliance]]></category>

		<guid isPermaLink="false">http://blog.vonbriesenhealth.com/?p=857</guid>
		<description><![CDATA[On July 8, the Department of Health and Human Services (HHS) released a proposed rule to modify the HIPAA privacy, security, and enforcement rules, extending HIPAA compliance requirements to subcontractors of business associates (BA) and strengthening patient rights to health information privacy.
According to the Office for Civil Rights (OCR), which enforces the HIPAA privacy and [...]]]></description>
		<wfw:commentRss>http://blog.vonbriesenhealth.com/2010/07/11/hhs-releases-proposed-rule-to-modify-hipaa-rules/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<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>
		<wfw:commentRss>http://blog.vonbriesenhealth.com/2010/07/08/cms-releases-its-cy-2011-proposed-rules-for-hopds-and-ascs/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<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>
		<wfw:commentRss>http://blog.vonbriesenhealth.com/2010/07/08/cms-releases-its-cy-2011-mpfs-proposed-rule/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>New Home Health Services and DME Restriction To Take Effect Soon</title>
		<link>http://blog.vonbriesenhealth.com/2010/06/08/new-home-health-services-and-dme-restriction-to-take-effect-soon/</link>
		<comments>http://blog.vonbriesenhealth.com/2010/06/08/new-home-health-services-and-dme-restriction-to-take-effect-soon/#comments</comments>
		<pubDate>Tue, 08 Jun 2010 18:35:34 +0000</pubDate>
		<dc:creator>Michelle Frazier</dc:creator>
				<category><![CDATA[Medicare/Medicaid Compliance]]></category>

		<guid isPermaLink="false">http://blog.vonbriesenhealth.com/?p=827</guid>
		<description><![CDATA[Effective July 6, 2010, physicians who have not enrolled in PECOS or opted out of Medicare will not be able to order or refer Medicare patients for home health services or DME.  PECOS is the electronic database of Medicare providers and suppliers.  If a physician did not file an 855I enrollment form since November 2003, [...]]]></description>
		<wfw:commentRss>http://blog.vonbriesenhealth.com/2010/06/08/new-home-health-services-and-dme-restriction-to-take-effect-soon/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>CMS Revises Anesthesia Guidelines</title>
		<link>http://blog.vonbriesenhealth.com/2010/06/03/cms-revises-anesthesia-guidelines/</link>
		<comments>http://blog.vonbriesenhealth.com/2010/06/03/cms-revises-anesthesia-guidelines/#comments</comments>
		<pubDate>Thu, 03 Jun 2010 19:26:47 +0000</pubDate>
		<dc:creator>Sally Ihlenfeld</dc:creator>
				<category><![CDATA[Medicare/Medicaid Compliance]]></category>

		<guid isPermaLink="false">http://blog.vonbriesenhealth.com/?p=817</guid>
		<description><![CDATA[The Centers for Medicare &#38; Medicaid Services (CMS) has revised the interpretive guidelines for anesthesia delivered in hospitals. The changes focus on the differences between anesthesia and analgesia services, where the patient does not lose consciousness.
The memo released by CMS provides hospitals with information on what practitioners may provide anesthesia services, what hospital policies should [...]]]></description>
		<wfw:commentRss>http://blog.vonbriesenhealth.com/2010/06/03/cms-revises-anesthesia-guidelines/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<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>
		<wfw:commentRss>http://blog.vonbriesenhealth.com/2010/05/25/cms-releases-a-supplemental-proposed-rule-to-implement-several-ppaca-provisions/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>CMS ANNOUNCES PROPOSED RULE ON TELEMEDICINE CREDENTIALING</title>
		<link>http://blog.vonbriesenhealth.com/2010/05/24/cms-announces-proposed-rule-on-telmedicine-credentialing/</link>
		<comments>http://blog.vonbriesenhealth.com/2010/05/24/cms-announces-proposed-rule-on-telmedicine-credentialing/#comments</comments>
		<pubDate>Tue, 25 May 2010 01:12:48 +0000</pubDate>
		<dc:creator>Sally Ihlenfeld</dc:creator>
				<category><![CDATA[Medical Staff]]></category>
		<category><![CDATA[Medicare/Medicaid Compliance]]></category>

		<guid isPermaLink="false">http://blog.vonbriesenhealth.com/?p=795</guid>
		<description><![CDATA[The May 25 issue of the Federal Register includes a notice of proposed changes to the Medicare and Medicaid Conditions of Participation (CoPs) regarding the credentialing and privileging of telemedicine providers.
The proposed rule would permit the governing body at a hospital where a patient is receiving telemedicine services to rely on information from a hospital [...]]]></description>
		<wfw:commentRss>http://blog.vonbriesenhealth.com/2010/05/24/cms-announces-proposed-rule-on-telmedicine-credentialing/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<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>
		<wfw:commentRss>http://blog.vonbriesenhealth.com/2010/04/22/cms-has-released-its-2011-ipps-proposed-rule/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>
	</channel>
</rss>
