Inpatient Providers Settle Payment Dispute with CMS over Medicare Claims

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The Centers for Medicare & Medicaid Services (CMS) has ended a two-year dispute settling appeals from inpatient rehabilitation facilities (IRF) over Medicare claims that were denied. The agency has agreed to pay 69 percent of the net payable amount for most claims that are pending appeal before the Medicare Administrative Contractor (MAC), the Qualified Independent…

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CMS Issues Proposed Rules for Rehab and Skilled Nursing Facilities

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On April 17, the Centers for Medicare & Medicaid Services (CMS) proposed a rule that would update Medicare payment policies for Medicare Inpatient Rehabilitation Facilities (IRF). Two days later, on April 19, CMS issued another proposed rule, this one updates the Medicare payment rates and the quality programs for skilled nursing facilities (SNFs). Let’s start…

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