To say it’s been a rough couple of weeks for providers is an understatement and to write, “perfect storm” is too much of a cliché.
But let’s face it: the stories we’ve been reporting are generating concern, angst, and a degree of “whatever…”
First, we reported on the CMS proposed rule (CMS-1455-P) addressing Part B inpatient rebilling in hospitals, and Ruling CMS‐1455‐NR, which is meant to serve as an interim measure until a final rule can be adopted.
Next, we uncovered the story on the recovery auditor procurement process that will produce five, not four RAC zones with a national RAC responsible for identifying overpayments among home health hospice facilities and durable medical equipment (DME) suppliers.
Late last week, CMS proposed new criteria for inpatient admission while, at the same time, we reported on story uncovered by Obsidian Research Group that CMS told the RACs to stop work on all new auditing activity, effective May 31. A representative of the agency denied that any such move was made.
Oh, and by the way, AHA filed a second amended complaint against HHS in their lawsuit against the agency.
Where I live, on the West Coast, yachting folks are getting ready for a new sailing season, especially with the longer days. All of which reminds me of the haunting saying the sailors mumble under their breath: “Red sky at night, sailor’s delight; red sky in the morning, sailor’s take warning.”
You have been warned.