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Health Law News

Medicare Changes to the 3-Day Window Rule

[08/10/11]

Posted on August 10, 2011 in Health Law News

Published by: Hall Render

As stated in the Health Law News article, for certain types of non-IPPS hospitals the statutory payment window is only one (1) day preceding the patient’s admission.  To clarify, those non-IPPS hospitals are psychiatric hospitals and units, inpatient rehabilitation hospitals and units, long-term care hospitals, children’s hospitals and cancer hospitals.  Critical access hospitals are... READ MORE

CMS Issues FFY 2012 IRF PPS Final Rule

[08/09/11]

Posted on August 9, 2011 in Health Law News

Published by: Hall Render

The Centers for Medicare and Medicaid Services (“CMS”) published the FFY 2012 Final Rule for the Inpatient Rehabilitation Facility (“IRF”) Prospective Payment System (“PPS”) in the Federal Register on August 5, 2011. The Final Rule provides for a 2.2% increase to IRF payment rates for FFY 2012 and implements other adjustments, including updates to... READ MORE

Medicare Changes to the 3-Day Window Rule

[08/08/11]

Posted on August 8, 2011 in Health Law News

Published by: Hall Render

On August 1, 2011, the Centers for Medicare and Medicaid Services (CMS) issued its Fiscal Year (FY) 2012 Inpatient Prospective Payment System (IPPS) Final Rule clarifying which outpatient services are required to be bundled with inpatient services in submission of Medicare claims.  This billing policy is commonly known as the 3-Day Window Rule and... READ MORE

CMS Issues FFY 2012 IPPS Final Rule

[08/02/11]

Posted on August 2, 2011 in Health Law News

Published by: Hall Render

On August 1, 2011, the Centers for Medicare & Medicaid Services (CMS) published the Federal Fiscal Year (FFY) 2012 Final Rule for Inpatient Prospective Payment System (IPPS) and the Long-term Care Hospital Prospective Payment System on its website. For FFY 2012, Providers will receive a net total increase of 1% to the standardized amount.  This... READ MORE

Ask Not For Whom The Equitable Bell Tolls

[07/29/11]

Posted on July 29, 2011 in Health Law News

Published by: Hall Render

SUMMARY On June 24, 2011, the United States Court of Appeals for the District of Columbia released a decision in Auburn Regional Medical Center v. Sebelius.  The decision reversed an unfavorable district court decision ruling that statutory deadlines to file appeals with the Provider Reimbursement Review Board (PRRB) were not subject to the doctrine... READ MORE

Sweeping Proposal to Improve Rules Protecting Human Research Subjects Announced

[07/27/11]

Posted on July 27, 2011 in Health Law News

Published by: Hall Render

Late last week, a wide-ranging initiative to update federal human research protection regulations was announced by the U.S. Department of Health and Human Services (HHS) and the White House Office for Science & Technology Policy (OSTP) through issuance of an Advance Notice of Proposed Rulemaking (ANPRM), which aims to catch the regulations up to... READ MORE

UPDATE: OIG Issues First Three Reports from Onsite Audits of Hospital Error Prone Billing Issues

[07/25/11]

Posted on July 25, 2011 in Health Law News

Published by: Hall Render

On May 4, 2011, we issued a bulletin alerting hospital clients that the Office of Inspector General (“OIG”) Office of Audit Services was in the process of sending numerous Contact Letters to hospitals across the country in an effort to verify their levels of compliance with Medicare billing requirements.  As part of this audit,... READ MORE

Proposed Rule: Revised TRICARE Inpatient Payment Methodology for Sole Community Hospitals

[07/22/11]

Posted on July 22, 2011 in Health Law News

Published by: Hall Render

On July 5, 2011, the Department of Defense (“DoD”) published a Proposed Rule (“Proposed Rule”) notifying the public of DoD’s pending implementation of a revised TRICARE payment methodology for Sole Community Hospital (“SCH”) inpatients.  This revised payment methodology is an important development since, once it is fully phased in, it will likely result in... READ MORE

Wisconsin’s New Concealed Carry Law: What Are Your Rights as a Business Owner and Employer?

[07/18/11]

Posted on July 18, 2011 in Health Law News

Published by: Hall Render

The Wisconsin State Assembly recently passed a bill allowing Wisconsin residents to carry concealed weapons anywhere in the state, except as prohibited by statute or under certain other limited circumstances.  In order to lawfully carry a concealed weapon, residents must apply and be deemed eligible for a license.  A weapon, for purposes of this law,... READ MORE

FASB Takes Another Look At Lease Accounting Changes

[07/11/11]

Posted on July 11, 2011 in Health Law News

Written by: Dick, Andrew A.

In February, the Financial Accounting Standards Board (FASB) and the International Accounting Standards Board (IASB) shed additional light on their proposed rule that changes how lease agreements are treated for accounting purposes. The proposed rule, originally published in an exposure draft on August 17, 2010, treated all lease agreements as capital lease agreements for accounting purposes. The proposed... READ MORE

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