Thursday, December 24, 2009

CMS Releases Emergency Update to 2010 Medicare Physician Fee

Conversion factor for 2010 is 36.0846.

http://www.cms.hhs.gov/transmittals/downloads/R1886CP.pdf

CMS 2010 Physician Fee Cuts Delayed

The U.S. Senate approved a $636 billion military appropriations bill on Dec. 19, 2010 delaying the cuts in the Medicare physician fees until March 2010. The bill includes a provision that delayed the Centers for Medicare & Medicaid Services (CMS) plans to reduce Medicare physician payments by 21.2 percent. Physician payments are frozen at 2009 levels through Feb. 28, 2010.

Monday, December 7, 2009

RAC Region C Issues DRG Validations

Connolly Healthcare, the Recovery Audit Contractor for Region C, posted new approved issues for DRG validations. These issues will be part of the complex medical review process that is being rolled out to Medicare providers.

http://www.connollyhealthcare.com/RAC/pages/approved_issues.aspx

Friday, December 4, 2009

Recent Updates Recovery Audit Contractor

Recent Updates Recovery Audit Contractor: "12/02/09: CMS Announces RAC DRG Validation ADR limits for FY 2010. These limits will apply to DRG Validation only. CMS will post the limits for all other reviews at a later date."

http://www.cms.hhs.gov/RAC/Downloads/DRGvalidationADRlimitforFY2010.pdf