Understanding U.S. Health Care Spending [08-24-11]

Filed under: Industry Updates — Editor @ 1:48 pm

In July, the National Institute for Health Care Management released its report on Understanding U.S. Health Care Spending. The Key Points of the report included: (more…)

11th Circuit Court of Appeals Finds Part of the Affordable Care Act Unconstitutional [08-13-11]

Filed under: Industry Updates — Editor @ 11:05 am

On August 12, 2011, a three judge panel of the 11th Circuit Court of Appeals ruled in the Florida multi-state challenge to health care reform and found the mandatory requirement to purchase health insurance unconstitutional. Unlike the lower court, however, the Appeals Court did not invalidate the entire law and held that the Act’s other provisions remain legally operative after the mandate’s excision. The decision was 2-1 with one judge dissenting. (more…)

Medicare Providers Must Begin to Revalidate Enrollment By March 2013 [08-13-11]

Filed under: Industry Updates — Editor @ 10:58 am

All providers and suppliers who enrolled in the Medicare program prior to Friday, March 25, 2011, will be required to revalidate their enrollment under new risk screening criteria required by the Affordable Care Act (section 6401a). (Providers/suppliers who enrolled on or after Friday, March 25, 2011 have already been subject to this screening, and need not revalidate at this time.) (more…)

CMS Issues SNF PPS Final Rule for FY 2012 [08-02-11]

Filed under: Industry Updates — Editor @ 2:42 pm

On July 29, 2011 the Centers for Medicare and Medicaid Services (CMS) released the Skilled Nursing Facility Prospective Payment System (SNF PPS) final rule for Fiscal Year (FY) 2012. The final rule will be published on August 8, 2011 and will be effective October 1, 2011.  The final rule had very few changes from the proposed rule.  A summary of the final rule is provided below: (more…)

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