2014 Will Be a Very Good Whine

Details regarding the roll-out of provisions of the Affordable Care Act (ACA) have been emerging slowly and often with a sleight of hand. The proposed Federal Fiscal Year 2014 PPS … Continue Reading →

Medicare DSH – To Do List

Effective for discharges occurring on or after FY 2014, hospitals will receive 25 percent of the amount they previously would have received under the current statutory formula for Medicare DSH. … Continue Reading →

Dual Eligible Demonstration Project

According to the Medi-Cal Website, California’s Medi-Cal program and the federal Medicare program are partnering to launch a three-year demonstration beginning in 2013 that would promote coordinated health care delivery … Continue Reading →

Medi-Medi Bad Debts

Crossover bad debts will still exist even with the dual eligible demonstration projects. First, not all dual eligible beneficiaries will be moved to the demonstration project. Second, Medicare FFS patients … Continue Reading →

Crossover Bad Debts

Medicare Crossover Bad Debts There continues to be changes in Medicare reimbursement for crossover bad debts.  In previous newsletters, we discussed the new MAC requirements for documenting accounts with a … Continue Reading →