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Routine v. Ancillary v. Capital costs
I came across a clear distinction between these areas of costs in a 1998 Federal Register entry implementing the SNF PPS. It states: In general, routine costs are the costs of those services included by the provider in a daily service charge. Routine service costs …
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CMS Final Rule 2014
FY Final Rule for 2014 has been release here: https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/FY-2014-IPPS-Final-Rule-Home-Page-Items/FY-2014-IPPS-Final-Rule-CMS-1599-F-Regulations.html?DLPage=1&DLSort=0&DLSortDir=ascending. Looks like there are changes to the wage index, GME, IME, and more implementation of the ACA. Updates wll follow soon.
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Medicare Readmission Reduction Calculation
I came across a simple explanation of how CMS will calculate readmission reduction payments. Remember that the reduction applies to 3 categories: heart failure, acute myocardial infarction, and pneumonia. First, CMS tells us that the reductions are calculated using the excess readmission ratio, which is …
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