New CMS Appeal Process Proposal Expected to Have Low Impact (Health & Beauty - Health Services)

Item ID 2504180 in Category: Health & Beauty - Health Services

New CMS Appeal Process Proposal Expected to Have Low Impact
As a result of their hospital stays that exceeded three days – all of which were outpatient Part B stays – a group of Medicare beneficiaries filed a class action lawsuit in 2010 to recover their costs from stays in skilled nursing facilities (SNFs) for rehabilitation following an illness. It was probably the height of the Recovery Audit Contractor (RAC) program in 2010, when denials of inpatient admissions were an easy prey for the Recovery Audit Contractors. Prior, the inpatient admission regulations were vague, which led many hospitals to struggle in enforcing them effectively. Observation stays were also paid for on a fee-for-service basis by the Centers for Medicare & Medicaid Services (CMS), without limitations of Diagnosis Related Groups (DRGs).
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Target State: California Target City : Glendale Last Update : Jan 10, 2024 8:34 AM Number of Views: 36	Item Owner : Brian Thomas Contact Email: Contact Phone: +1 08668542714

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2024-04-28 (0.389 sec)