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Adobe PDFProposed Changes to Medicare Hospital Inpatient Prospective Payment System (IPPS) for Federal Fiscal Year (FFY) 2015
Powers Pyles Sutter Verville PC;
Legal Alert/Article
June 11, 2014, previously published on May 16, 2014
The following outlines the changes to the acute-care hospital IPPS proposed by the Centers for Medicare and Medicaid Services (CMS) for FFY 2015. The proposed rule was published in the Federal Register on May 15. Comments are due June 30. The tables and data files for the proposed FFY 2015 IPPS...


Adobe PDFSignificant Disclosure of Medicare Physician Payment Data; Separating Fact from Fiction
Powers Pyles Sutter Verville PC;
Legal Alert/Article
April 25, 2014, previously published on April 11, 2014
A remarkable amount of data on Medicare physician billing was released for the first time to the public on Wednesday, April 9. The information, contained in over nine million records, reveals what the government insurance program paid physicians in 2012. Released to foster transparency in the...


HTMLMedicare Delays Provider ALJ Hearings for 2 Years
Powers Pyles Sutter Verville PC;
Legal Alert/Article
February 13, 2014, previously published on February 7, 2014
The Office of Medicare Hearings and Appeals (OMHA) recently issued a letter suspending most ALJ appeals for at least 24 months. The administrative appeals process for Medicare claims has been groaning under the number of appeals passing through the system for quite some time. In the past year or...