Increase in the number of outpatient radiology procedures performed for Medicare recipients; Move of the HCFA to urge hospital leaders to re-examine their radiology resource-utilization patterns.Hfm
Medicare’s capitation plan is a three-way contract between the state, CMS, and participating health plans. With a capitation agreement, payment is made even if the patient is not seeking care. For the patients requiring care, the provider is expected to meet all the patient’s medical ne...
Rates referenced in this document do not contain Sequestration which is an automatic reduction in federal spending that will result in a 2% reduction to ALL Medicare rates through March 31, 2015. While CMS is mandated by law to reduce payment by 21.2% effective April 1, 2015, it is expected...
HLN provides expert healthcare witness and litigation support services nationwide for civil and criminal cases involving Medicare false claims, insurance fraud, reimbursement disputes, coding and billing, UCR rates, and quality of care.
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Centers for Medicare & Medicaid Services on March 1, 2002. Details on the efforts of the CMS to reduce the pass through rates for medical devices and drugs; Delay in the implementation of the 2002 outpatient PPS.EBSCO_bspNational Intelligence Report...