PPT-MEDICARE COST REPORT APPEALS:

JURISDICTIONAL ISSUES TAHFA 2013 Seminar Series Keep Informed The Hospital you Save May be your Own February 8 2013 Kristin L DeGroat Esq OVERVIEW Introduction Provider Reimbursement Review Board PRRB. April 13-17, 2015. Disclaimer. National Government Services, Inc. has produced this material as an informational reference for providers furnishing services in our contract jurisdiction. National Government Services employees, agents, and staff make no representation, warranty, or guarantee that this compilation of Medicare information is error-free and will bear no responsibility or liability for the results or consequences of the use of this material. Although every reasonable effort has been made to assure the accuracy of the information within these pages at the time of publication, the Medicare Program is constantly changing, and it is the responsibility of each provider to remain abreast of the Medicare Program requirements. Any regulations, policies and/or guidelines cited in this publication are subject to change without further notice. Current Medicare regulations can be found on the Centers for Medicare & Medicaid Services (CMS) Web site at . Annual Conference 2015. Maryland Healthcare and Aging Services Intersections. Workshop Session F. Wednesday, April 22, 2015 . 2:45 – 3:45 p.m.. Rick Grindrod, CEO. National Post-Acute Healthcare. NPH. Developed by the Centers for Medicare & Medicaid Services. This training module will assist Medicare Parts C and D plan Sponsors in satisfying the Compliance training requirements of the Compliance Program regulations at 42 C.F.R. §§ 422.503(b)(4)(vi) and 423.504(b)(4)(vi) and in Section 50.3 of the Compliance Program Guidelines found in Chapter 9 of the Medicare Prescription Drug Benefit Manual and Chapter 21 of the Medicare Managed Care Manual. April, 2016. Disclaimer. National Government Services, Inc. has produced this material as an informational reference for providers furnishing services in our contract jurisdiction. National Government Services employees, agents, and staff make no representation, warranty, or guarantee that this compilation of Medicare information is error-free and will bear no responsibility or liability for the results or consequences of the use of this material. Although every reasonable effort has been made to assure the accuracy of the information within these pages at the time of publication, the Medicare Program is constantly changing, and it is the responsibility of each provider to remain abreast of the Medicare Program requirements. Any regulations, policies and/or guidelines cited in this publication are subject to change without further notice. Current Medicare regulations can be found on the Centers for Medicare & Medicaid Services (CMS) Web site at . Brigitte Sullivan. Administrative Director. The Johns Hopkins Comprehensive Transplant Center. Today. Brief History of Organ Acquisition. Audit Experience. Available Benchmarking Data. Unique Reimbursement for Transplantation. DATE: September 29, 2017 PRESENTED BY: Peter Graven, PhD. What is Cost Shifting?. Time. Price/unit. (as percentage of Medicare). Charges (300%). Private (150%). Medicare (. 100%. ). Uninsured (120%). Not Just for Accountants. 1970s. 1980s. 1990s. 1960s. 2000s. 1968 – . Uniform Anatomical Gift Act. (revised 2006). 1984 – . NOTA . (revised 1988 & 1990) Final rule 2000. 1991 – . Medicare coverage for liver. Developed by the Centers for Medicare & Medicaid Services. This training module will assist Medicare Parts C and D plan Sponsors in satisfying the Compliance training requirements of the Compliance Program regulations at 42 C.F.R. §§ 422.503(b)(4)(vi) and 423.504(b)(4)(vi) and in Section 50.3 of the Compliance Program Guidelines found in Chapter 9 of the Medicare Prescription Drug Benefit Manual and Chapter 21 of the Medicare Managed Care Manual. Reimbursement for Organ Acquisition. Robert Howey. MBA, MHA, CPA. Director, Toyon Associates. Objective. After the session, you will be able to:. Better understand three advanced areas related to organ acquisition reimbursement for Medicare. Medicare Advantage and Other Medicare Health Plans WA SHIBA Version - Updated November 2018 Contents Lesson 1 —Medicare Advantage (MA) Plan Overview……………………………. Lesson 2 —Other Medicare Health Plans……………………………………………….. Page 1 of 17Print-Friendly VersionMedicare Parts A B Appeals ProcessTable of ContentsWhat146s ChangedTransfer Appeal Rights to Non-participating Providers SuppliersFirst Appeal Level MAC Redetermina There are no Medicare credit balances to report for this quarter. (No Detail Page(s) attached) Telephone Number INSTRUCTIONS FOR COMPLETING THIS PAGE ARE IN MEDICARE CREDIT BALANCE REPORT— DEPA TRICARE T17 West RegionRequesting Reimbursement of Capital and Direct Medical Education Costs �� &#x/Att;¬he; [/;ott;&#xom ];&#x/BBo;&#xx [6;.01; 27;&#x.036;&# Julie Quinn, CPA. VP, Compliance & Cost Reporting. Health Services Associates. Southeast Regional Office. Health Services Associates. 2 East Main Street 54 Pheasant Ln. Fremont, MI 49412 Ringgold, GA.