Articles and Blogs


Inpatient Admissions: The Continuing Saga


Posted on March 30, 2015 in Health Law News

Published by: Hall Render

Inpatient-Only Procedures. Earlier this month, CMS quietly revised its billing policy related to inpatient-only procedures.  In a Transmittal issued on March 13, CMS included inpatient-only procedures provided in the outpatient setting as preadmission services subject to the Three-Day (One-Day) Payment Window Rule.  Effective April 1, hospitals can bill Medicare for inpatient-only procedures provided to... READ MORE


Congress Moves to Permanently Repeal Vexatious SGR – Bill Removes Barriers to Hospital-Physician “Gainsharing” Programs


Posted on March 27, 2015 in Health Law News

Published by: Hall Render

Summary of the Bill The United States House of Representatives overwhelmingly approved a measure this week to repeal the Sustainable Grow Rate (“SGR”), which has been used to determine Medicare physician payment rates for more than a decade.  The SGR was established as part of the Balanced Budget Act of 1997 as a method... READ MORE


Permanent SGR Repeal and Replacement Still Possible as Deadline Looms


Posted on March 12, 2015 in Health Law News

Published by: Hall Render

With the last Sustainable Growth Rate (“SGR”) “patch” set to expire on March 31, 2015, lawmakers on Capitol Hill must soon decide whether to pass another “patch” or to finally tackle the issue of permanent SGR repeal and replacement. Just last week, House Majority Leader Kevin McCarthy (R-CA) and House Ways and Means Committee... READ MORE

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Obama Budget Contains Numerous Post-Acute Care Cuts


Posted on March 5, 2014 in Long-Term Care, Home Health & Hospice

Written by: Selby, Todd J.

President Obama introduced his fiscal year (“FY”) 2015 budget yesterday, and there are many proposed cuts to post-acute care providers.  Some of the highlights include a number of bundled payment initiatives, a $100 co-pay for home health patients not discharged from a hospital and re-admission penalties for skilled nursing facilities (“SNFs”) with high hospital... READ MORE

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