News & Important Deadlines.
The Rybar Group is pleased to introduce the Critical Access Hospital Resource Center.
This is our newest service designed to provide you with the support needed to ensure your reimbursement and revenue cycle success.
If you are a CAH Resource Center subscriber you can log in at www.cahresource.com.
To learn more about the resources available through the CAH Resource Center view our Information Sheet.
In the recent weeks, several regulatory changes have been announced that can have a direct impact on your facility’s revenue cycle. Some of the key changes include:
The Centers for Medicare & Medicaid Services (CMS) announced that the delayed “PREPAYMENT” Review Demonstration, originally scheduled for January, began August 27th 2012. The RACs will focus on seven states with high populations of fraud- and error-prone providers (FL, CA, MI, TX, NY, LA, IL) and four states with high claims volumes of short inpatient hospital stays (PA, OH, NC, MO) for a total of 11 states. The current focus will be on MS-DRG 312 Syncope & Collapse. The demonstration will expand to seven additional MS-DRGs. The exact date is still yet to be determined.
Look Back Period Update:
President Obama signed into law the American Taxpayer Relief Act of 2012 on Wednesday, January 2, 2013 which extends provisions of the Affordable Care Act.
Included in this new legislation is Section 638 - Removing Obstacles to Collection of Overpayments. RAC's will have "five years" to collect overpayments. Prior to the passage of this Act, Medicare Recovery Audit Contractors (RACs) were given a three year look-back period to collect overpayments.
JOIN OUR RURAL HOSPITAL REIMBURSEMENT LINKEDIN GROUP
The Rybar Group is committed to providing Sole Community (SCH) and Medicare Dependent (MDH)
Hospitals with up to date information on regulatory changes and industry news.
Recently, we have created the Rural Hospital Reimbursement Linkedin group, designed to provide its
members the latest information important to SCH and MDH providers, as well as offer a forum for
other providers to discuss challenges their facility may face.
Please join our Rural Hospital Reimbursement Linkedin group to connect with other Rural Hospitals, such as yourself.
CLICK HERE TO JOIN - Rural Hospital Reimbursement Linkedin Group
Medicare DSH/SSI Rates
Recently, CMS published the long-awaited SSI rates for use when computing Medicare DSH payments for FYs 2006, 2007, 2008 and 2009. What this means for providers is that a flood of NPR dates are being released for open cost reports, dating back to FY 2007 and earlier. Some providers have waited nearly four years for this NPR.
Now is the time to look at your Low Volume/Volume Decrease Payment Adjustments opportunities for the years that qualify to ensure that accurate documentation is submitted within the 180 day deadline from receiving your NPR.
Our consultants are available to assist you in submitting this request for additional Medicare reimbursement.
Contact us today to discuss your opportunities.