tci Medicare Compliance & Reimbursement - 2008 Issue 21

Part B Payment: Demo Program Bundles Physician's Pay With Hospital's

Certain cardiac, orthopedic services targeted first in the 4 participating states If you think consolidated billing has been difficult to keep up with, just wait for Medicare's latest plan. CMS announced on May 16 that it plans to launch a new demonstration project that bundles payment for hospitals and physicians' services into one lump sum. As part of the Acute Care Episode (ACE) demonstration, CMS will assign a global payment amount that combines reimbursement for the Part A and Part B Medicare services that providers deliver during an inpatient hospital stay. One of the benefits of the plan, CMS...

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