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RECENT NEWS AND EDUCATION
Most Recent AIPCA Peer Review Results UPDATE - District Court overrules CMS and redefines rural for CRNA purposes District Court overrules CMS and redefines rural for CRNA purposes. Click here to find out more. UPDATE - CMS Cancels Method II Billing Changes CMS has cancelled the implementation of its method II billing changes. CMS has instructed Medicare Intermediaries/MACs to continue to pay CAHs electing method II billing at cost plus one percent for outpatient facility services and at fee scale plus twelve percent for professional component services. This is a welcomed turn of events with no further explanation provided by CMS. We now encourage all CAHs to continue to elect method II billing until such a time CMS may issue new regulations governing method II billing. New CAH Rules - Effective October 1, 2009 CMS has finalized several new CAH rules Click here to find out more. Stimulus Bill (Update) Click here for a copy of the updated stimulus package presentation which was given out in our seminar in August. Changes have been made for cost report specific dates rather than generic dates. TRICARE Proposes Cost Plus for CAHs (Update) Click here for a copy of the Final Register (August 31, 2009) addressing final rule on TRICARE and reasonable cost based reimbursement. Click here for a copy of TRICARES CAH Reimbursement Manual. Proposed/Updated Regulations Click here for a copy of a summary of the new RHC CMS regulations and Mike's personal comments. Click here for a copy of ER availability guidlines published by Noridian Administrative Services. Click here for a updated copy of CAH lab requirements published by CMS. TRICARE Proposes Cost Plus for CAHs Click here for a copy of the proposed TriCare regulation that will change CAH reimbursement to the lesser of cost plus one percent or charges. The comment period ended June 4, 2008. We encourage all CAHs to submit a comment endorsing this change. However, we would like the new regulation to eliminate the clause that limits payment to charges. This is truly great news for all CAHs and we can thank our colleagues in Alaska for leading the way on this change. If you have any questions, please contact us. NEW Presentation - Physician Supervision Interim Rates & Cost Report Estimates- With Calculations
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