Entries from HEALTH LAW SECTION BLOG tagged with 'reimbursement'

DOH Revises Hospital Inpatient Reimbursement Regulations

The New York State Department of Health filed an emergency regulation on December 4, 2009 that makes significant changes to the hospital inpatient reimbursement regulations. The rulemaking notice was published in the December 23, 2009 New York State Register. According...

Medicaid to Cease Paying for "Never Events"

New York's Medicaid program has announced that beginning in October 2008, it will deny reimbursement for 14 "never events." If a patient suffers one of these adverse events while admitted to the hospital, Medicaid will not pay the hospital to...

Cuomo to Sue UnitedHealth and Ingenix For "Manipulating Reimbursement Rates," Calls Ingenix a "Conduit For Rigged Data"

From the AG's website: Attorney General Andrew M. Cuomo today announced that he is conducting an industry-wide investigation into a scheme by health insurers to defraud consumers by manipulating reimbursement rates. At the center of the scheme is Ingenix, Inc.,...

New York Medicaid Is the Slowest Payor in the Nation

According to a survey conducted by Physicians Practice magazine and athenahealth, Inc., New York Medicaid's claim processing speed is at the bottom of the barrel: * New York-Medicaid was the slowest payer to medical providers averaging over 111 days to...

CMS Proposes Modifications to Home Health Payment System

CMS has submitted a proposed rule regarding home health reimbursement for publication in an upcoming Federal Register. The pre-published draft of the proposed rule is available on the CMS website. Here is an excerpt from the summary: This proposed rule...

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