tci Medicare Compliance & Reimbursement - 2005 Issue 45

HOSPITALS: Facilities Must Consider Post-Merger Provider Numbers

CCR depends on new facility's number.Hospitals that have recently undergone a merger with another facility can control which cost-to-charge ratio their Medicare fiscal intermediary uses--to a degree.Whether or not a merged facility gets a new provider number will affect the CCR its FI uses, according to the Centers for Medicare and Medicaid Services. On one hand: If one hospital merges with another hospital, the Medicare FI will continue to use the operating and capital CCR from the hospital with the "surviving" provider number, CMS reports in an Oct. 13 Medlearn Matters article.On the other hand:...

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