Center for Medicare Advocacy Articles and information on Medicare coverage
The painful new trend in Medicare
The painful new trend in Medicare Interesting article about IP vs OBS status of patients and how medicare coverage pays for each. Medicare pays hospitals far less for observation than for inpatient stays. As Medicare seeks to cut costs, a growing army of auditors use an automated screening system to second-guess admissions. A hospital that […]
FY 2013 IPPS Final Rule Home Page
Link to the home page for the FY 2013 Hospital Inpatient PPS final rule FY 2013 IPPS Final Rule Home Page
Medicare Timely Filing Limits
https://www.noridianmedicare.com/parta/claims/timely/ppaca_timely_sub_nas_summary.pdf The Patient Protection and Affordable Care Act (PPACA), Section 6404, has reduced the maximum period for timely submission of Medicare claims to not more than 12 months beginning with dates of service on or after January 1, 2010. Medicare Timely Claim Submission Defined in PPACA
Medicaid Coverage of Medicare Beneficiaries
Medicaid Coverage of Medicare Beneficiaries Four page brochure that hits the highlights of the coordination of payments between Medicare and Medicaid. Medicaid is a joint Federal and State program that helps pay medical costs for individuals with limited income and resources. Individuals with Medicare Part A and/or Part B, who have limited income and resources, […]
Medicare Learning Network
http://www.cms.gov/MLNGenInfo Web based courses to help you understand Medicare
Medicare Guide Who Pays First
Medicare Guide Who Pays First COB Coordination of Benefits information on when Medicare pays when a patient has other insurance.
MEDPac Medicare Payment Advisory Committee
MedPac report March 2012
Electronic Health Record (EHR)
EHR = Electronic Health Record Electronic Health Record (EHR) or Electronic Medical Record (EMR)? Sometimes people use the terms “Electronic Medical Record” or “EMR” when talking about Electronic Health Record (EHR) technology. Very often an Electronic Medical Record or EMR is just another way to describe an Electronic Health Record or EHR, and both providers […]
Medicare Terms
List of Medicare Terms (searchable) CMS Glossary of terms
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