Medicare - Legislation & jurisprudence
Research News and Information

Sunday, November 22, 2009

Medicare program; limitation on recoupment of provider and supplier overpayments. Final rule.

14 Sep 2009 This final rule implements a provision of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) which prohibits recouping Medicare overpayments from a provider or supplier that seeks a reconsideration from a Qualified ... Read more...

Medical necessity: is current documentation practice and payment denial limiting access to inpatient rehabilitation?

30 Aug 2009 Medical necessity is a legal, not medical, term. Depending on the stakeholder's point of view, it may seem less about human need and dispensing medical care and more about a web of rules, rulings, regulations, and manuals, especially for Medicare ... Read more...

Medicare program; changes to the hospital inpatient prospective payment system for acute care hospitals and fiscal year 2010 rates; and changes to the long-term care hospital prospective payment system and rate years 2010 and 2009 rates. Final rules and interim final rule with comment period.

25 Aug 2009 We are revising the Medicare hospital inpatient prospective payment systems (IPPS) for operating and capital-related costs of acute care hospitals to implement changes arising from our continuing experience with these systems, and to implement ... Read more...

Latest indexed articles for 'Medicare - Legislation & jurisprudence'

These are the very latest articles for this heading:

• Devices and drugs for stroke: why do regulations differ? 30 Oct 2009
• Medicare's new regulations for deep vein thrombosis as a "never event": wise or worrisome? 30 Oct 2009
• Four health care reforms for 2009. 5 Oct 2009
• Putting U.S. health care on the right track. 21 Sep 2009
• The case for killing granny. Rethinking end-of-life care. 19 Sep 2009
• Medicare program; limitation on recoupment of provider and supplier overpayments. Final rule. 14 Sep 2009
• Whistle-blower tactic. Lawsuits shouldn't use public sources: groups. 12 Sep 2009
• Stark law covers a narrow corridor of actions. 2 Sep 2009
• Medical necessity: is current documentation practice and payment denial limiting access to inpatient rehabilitation? 30 Aug 2009
• Medicare program; changes to the hospital inpatient prospective payment system for acute care hospitals and fiscal year 2010 rates; and changes to the long-term care hospital prospective payment system and rate years 2010 and 2009 rates. Final rules and interim final rule with comment period. 25 Aug 2009
• Medicare program; prospective payment system and consolidated billing for skilled nursing facilities for FY 2010; minimum data set, version 3.0 for skilled nursing facilities and Medicaid nursing facilities. Final rule. 9 Aug 2009
• Medicare program; inpatient rehabilitation facility prospective payment system for federal fiscal year 2010. Final rule. 5 Aug 2009
• Medicare program; hospice wage index for fiscal year 2010. Final rule. 4 Aug 2009
• Stark Law changes are on the horizon. 30 Jul 2009
• Prepare today to receive your electronic medical records stimulus bill dollars. 30 Jul 2009
• To bundle or not to bundle: lawmakers explore the question. 30 Jul 2009
• More checks than balances in the struggle for health care reform. 13 Jul 2009
• Coding, reimbursement, and managed care. 29 Jun 2009
• ASCP pushes for bill promoting coordination of care for elders at home. 29 Jun 2009
• One nation under Medicare. Obama must make insurers compete. 27 Jun 2009

See a longer list of these articles.

Technical information about 'Medicare'

Definition: Federal program, created by Public Law 89-97, Title XVIII-Health Insurance for the Aged, a 1965 amendment to the Social Security Act, that provides health insurance benefits to persons over the age of 65 and others eligible for Social Security benefits. It consists of two separate but coordinated programs: hospital insurance (MEDICARE PART A) and supplementary medical insurance (MEDICARE PART B). (Hospital Administration Terminology, AHA, 2d ed and A Discursive Dictionary of Health Care, US House of Representatives, 1976)

Descriptor UI: D006278

Alternative terms: Medicare; Health Insurance for Aged, Disabled, Title 18; Health Insurance for Aged and Disabled, Title 18; Health Insurance for Aged, Title 18; Insurance, Health, for Aged and Disabled;

Related Mesh Headings: Insurance, Medigap;

Allowable Qualifiers: classification; economics; history; legislation & jurisprudence; organization & administration; standards; trends; utilization; statistics & numerical data; ethics;

Tree Number: N03.219.521.346.506.564.663; N03.219.521.576.343.840;

Online Note: use MEDICARE to search HEALTH INSURANCE FOR AGED AND DISABLED, TITLE 18 1979-90; HEALTH INSURANCE FOR AGED, TITLE l8 1966-78 (as Prov 1966)

History Note: 91; was HEALTH INSURANCE FOR AGED AND DISABLED, TITLE 18 1979-90, was HEALTH INSURANCE FOR AGED, TITLE 18 1966-78 (PROV 1966); MEDICARE was see HEALTH INSURANCE FOR AGED AND DISABLED, TITLE 18 1979-90, & HEALTH INSURANCE FOR AGED, TITLE 18 1975-78 1966-78 (Prov 1966)

Technical Notes: U.S. only: for Canada & Australia index under NATIONAL HEALTH PROGRAMS + country; specify geog; Public Law 89-97