Hospitals Will Have Until Oct. 1 To Implement Outlier Cost Report Changes
This article was originally published in The Gray Sheet
Executive Summary
The $33,560 threshold needed for hospitals to qualify for outlier payments will not be lowered in FY 2004, despite pleas from the hospital and device industries, according to CMS' final rule
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CMS’ Proposed Outlier Payment Threshold Too High Again, Hospitals Warn
The proposed $35,085 threshold for hospital inpatient cases to qualify for FY 2005 Medicare outlier payments should be lowered to $27,000 or less, the American Hospital Association argues
CMS’ Proposed Outlier Payment Threshold Too High Again, Hospitals Warn
The proposed $35,085 threshold for hospital inpatient cases to qualify for FY 2005 Medicare outlier payments should be lowered to $27,000 or less, the American Hospital Association argues
Reimbursement News In Brief
MCAC still kicking: CMS likely will convene the Medicare Coverage Advisory Committee in July and September to discuss percutaneous myocardial revascularization and transmyocardial revascularization developments and bariatric surgery for obesity, respectively, Chief Medical Officer Sean Tunis stated at an AdvaMed reimbursement policy meeting May 12 in Baltimore. CMS has not scheduled an MCAC meeting since last September, giving some credence to industry concerns that the committee is underused. A new methodological subcommittee also plans to discuss changing the voting questions "towards judgments on the strength of evidence," instead of answering "yes" or "no" about whether the evidence is adequate to recommend national coverage, Tunis noted...