Physicians Avoid Medicare Payment Cuts
February 21, 2012 by Jerri Lynn Ward, J.D.
Filed under Medicare, Physicans
Last Friday, Congress voted to prevent a 27 percent cut in Medicare payments for physicians for 2012. The Kaiser Health Network’s Jackie Judd interviewed colleague Mary Agnes Carey about the agreement. An excerpt: JACKIE JUDD: Good Day, this is Health on the Hill. I’m Jackie Judd. Breaking news from Capitol Hill where Senate and House negotiators [...]
TX Register Updates: 2/28 Hearing, Reimbursement Changes
February 10, 2012 by Jerri Lynn Ward, J.D.
Filed under Medicaid, Physicans
The following information was obtained from the February 10 issue of the Texas Register: Public Hearing and Notices HHSC will hold a public hearing on Tuesday, February 28, 2012, at 1 p.m. to receive comment on proposed rates for Community Living Supports – Bachelor’s Level, Community Living Supports – Master’s Level, and Family Supports Services [...]
TX Register Updates: Feb. 15 Hearing, Emergency Rules
January 23, 2012 by Jerri Lynn Ward, J.D.
Filed under Medicaid, Physicans
The following information was obtained from the January 20 issue of the Texas Register. Public Notices HHSC will hold a public hearing on February 15, 2012, at 1:30 p.m., to receive comment on proposed Medicaid payment rates for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies; payment rates for annual Healthcare Common Procedure Coding System; and [...]
TX Register Updates: Military Spouses, Denying Licenses
January 17, 2012 by Jerri Lynn Ward, J.D.
Filed under Assisted Living, Licensed Health Providers, Licensure Issues, Nurses, Physicans, Texas Medical Board
The following information appeared in the January 13 issue of the Texas Register. Public Notices HHSC adopted a new per diem payment rate for the Tyler state-owned veterans nursing facility: $237.00. HHSC intends to submit to CMS a request to amend the Youth Empowerment Services waiver to expand the geographical area of the waiver to [...]
TX Register Updates: Medical and Nursing Board Changes
January 10, 2012 by Jerri Lynn Ward, J.D.
Filed under Medicaid, Nurses, Physicans
The following information was obtained from the January 6 issue of the Texas Register: Public Hearing HHSC will hold a public hearing on January 18, 2012, at 9 a.m. to receive comment on proposed payment rates for the Medicaid Biennial Calendar Fee Review – Therapy Services provided by CORF/ORF. The hearing will be held in [...]
Medicaid Cuts in Texas
January 4, 2012 by Jerri Lynn Ward, J.D.
Filed under Medicaid, Medicare, Physicans
If you treat a patient who receives both Medicare and Medicaid, your reimbursement will be limited. Earlier this year, lawmakers eliminated the Medicaid co-pay to save money in the state budget. As a result, providers might turn away more Medicaid and Medicare patients. An excerpt from the Dallas Morning News: “Doctors have to make the [...]
Former Houston Physician Sentenced to Federal Prison for Mail Fraud Related to Private Insurance Billing
December 29, 2011 by Jerri Lynn Ward, J.D.
Filed under Licensed Health Providers, Physicans
On November 14, 2011, the U.S. Attorney’s Office for the Southern District of Texas announced that a physician was sentenced for fraud regarding private insurance, Medicare and Medicaid. Armando Chavez, a former physician and owner of the Chavez Medical Group in East Houston, was sentenced to 60 months for conspiracy and 70 months for each of three mail fraud charges, [...]
TX Register: Medical Board Updates
December 16, 2011 by Jerri Lynn Ward, J.D.
Filed under Licensure Issues, Medicaid, Physicans, Texas Medical Board
The following information was obtained from the December 16 issue of the Texas Register. Public Notice HHSC intends to submit an amendment to the Texas State Plan for Medical Assistance to update the current plan with recent fee schedule updates, including fees for new services and modified fees for existing services. See the Texas Register [...]
TX Register Updates: Texas Medical Board Changes
December 12, 2011 by Jerri Lynn Ward, J.D.
Filed under Physicans, Texas Medical Board
The following information was obtained from the December 9 issue of the Texas Register. Public Notice HHSC announced the renewal of a contract with Software Contract Solutions, Inc. to provide a resource for investigating all facets of information technology software issues that impact price, cost savings measures, risk exposure, and overall total cost of ownership. [...]
Medicare/Medicaid News
December 8, 2011 by Jerri Lynn Ward, J.D.
Filed under Medicaid, Medicare, Physicans
CMS expands competitive bidding in Medicare. “The first phase of the program was successfully implemented for nine product categories in nine areas of the country on Jan. 1, 2011. To date, CMS monitoring data have shown a successful implementation with no changes in beneficiary health status. Today, CMS released the detailed schedule for Round [...]
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