On Wednesday, May 9, 2012, we will be hosting a Roundtable Webinar to discuss emerging Medicare payment issues. The Centers for Medicare and Medicaid Services (“CMS”) has lifted the bar on cost report settlements that has stalled the issuance of appealable determinations for years. Accordingly, hospitals are expecting a flood of “notices of program reimbursement,” the determinations that can be used to initiate appeals, commencing as early as mid-May. Hospitals should consider what issues they want to appeal from those cost report settlements. Among potential appeal issues are:
- Errors in the rural floor budget neutrality adjustment for hospitals that did not appeal this issue from issuance of Federal Register hospital inpatient PPS rulemakings
- Inclusion of Medicare Part C days in the SSI fraction in the Medicare DSH formula
- Treatment of “dual-eligible” patients exhausted days of coverage in the Medicare DSH formula
- Allowability of Medicaid provider taxes
In addition, we will cover CMS’s proposed hospital inpatient PPS rule for fiscal year 2013, including discussion of changes to quality reporting, the effect of immediate jeopardy findings on value-based purchasing payment, proposed penalties for readmissions, coding adjustments reflected in the update factor, and other matters.
Speakers will include Dennis Barry, Dan Hettich and Susan Banks from our Washington, D.C. office and Greg Etzel from our Houston office.
You do not have to be a client to participate, and there is no charge. You can register to participate in the Webinar by clicking the Register link at the bottom of this page. We hope you will be able to join us.
General information on our practice is available at www.kslaw.com/health and in our electronic publications Serving the Healthcare Industry and Healthcare Reform Task Force. If you would like to be included on our regular healthcare practice mailing list to receive notices of other events and written updates, you can be added by submitting your full contact information to firstname.lastname@example.org.
If you have questions concerning this Webinar, contact Marie Parks at email@example.com.