tci Medicare Compliance & Reimbursement - 2003 Issue 24

Hospitals: HOSPITALS BRACE FOR NEW OUTLIER POLICIES

Only a small number of hospitals will have to go through the onerous process of reconciling their outlier payments with their settled cost reports, the Centers for Medicare & Medicaid Services suggests in its much-anticipated final rule on outliers. That concession from CMS' original outlier proposal - an allowance much sought after by the American Hospital Association - should relieve honest facilities of some needless administrative burdens. CMS says only hospitals believed to have received excessive payments will have to go through the reconciliation process. The agency plans to issue separate instructions - in the form of program memoranda...

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