Tag: fiscal cliff

OIG reverses course on referral services discounts

Providers cannot use an online service that involves money for referrals within its network, federal regulators now say, reversing course on an advisory opinion that was first issued three years ago. The statement came from the Department of Health and Human Services Office of Inspector General. The notice of termination on OIG Advisory Opinion No. 11-18 was […]

Severe cuts to SNF reimbursements proposed for FY 2015

In the budget document released by the Office of Management and Budget, the White House’s proposed 2015 budget includes severe cuts to skilled nursing facility reimbursements. This proposal is drawing strong criticism from the nation’s largest long-term care provider group. To cut federal spending on healthcare by $402 billion over the next 10 years, the […]

Clarifying the Recovery Auditor-related provisions in the American Taxpayer Relief Act of 2012

by Ralph Wuebker, MD, MBA, Chief Medical Officer, Executive Health Resources There has been some confusion surrounding a possible Recovery Auditor-related provision in the American Taxpayer Relief Act of 2012, also known as the Fiscal Cliff deal. Specifically, the question of whether the Recovery Auditor look-back period was extended from three to five years was […]

Fiscal cliff impact: SNFs facing more Medicare cuts

Provisions contained in American Taxpayer Relief Act (ATRA), known colloquially as the fiscal cliff deal, will further reduce Medicare payments for skilled nursing facility (SNF) care, according to a press release from The Alliance for Quality Nursing Home Care (AQNHC). An analysis from Avalere Health shows that by extrapolating from the Congressional Budget Office estimate […]

President Obama Signs the American Taxpayer Relief Act of 2012

On January 2, President Obama signed into law the American Taxpayer Relief Act of 2012. This law prevents a schedule payment cut for physicians and other practitioners who treat Medicare patients from taking effect on January 1, 2013, among other things. Concerning MDS-related items, this bill extends therapy caps through January 31, 2013: $1,900 for […]