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Monthly Archive for: ‘August, 2011’

THE INDEPENDENT PAYMENT ADVISORY BOARD (BAD IDEA WITH POTENTIALLY SIGNIFICANT CONSEQUENCES)

The Independent Payment Advisory Board (“IPAB”) was established by the Patient Protection and Affordable Care Act (“PPACA”).  The IPAB will be comprised of 15 individuals appointed by the President.  The responsibility of the IPAB is to make recommendations to Congress that must be acted on within a designated time frame or the recommendations become law.  Bad idea; think about it: …

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Medicare Revalidation Alert

MEDICARE REVALIDATION ALERT Section 6401(a) of the Affordable Care Act (“ACT”) established a requirement for all enrolled providers and suppliers to revalidate their enrollment information under new enrollment screening criteria.  This revalidation effort applies to those providers and suppliers that were enrolled prior to March 25, 2011.  Newly enrolled providers and suppliers that submitted their enrollment applications to CMS on …

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Hospice CAP Update

Assistance in Managing Your Hospice CAP Annual payments by the Medicare program to a hospice for services to Medicare program beneficiaries are subject to a cap on aggregate payments (“CAP”), which is prescribed by law.  Each year (November 1st through October 31st) payments made by the Medicare program are compared against the CAP and, to the extent payments exceed the …

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