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Medicare Disproportionate Share Hospital Adjustment

November 19, 2005 06:16 PM
As a general rule Medicaid and section 1115 Waiver Days secondary payer days may be included in the Medicaid fraction (ratio of Title XIX days to total patient days) of the disproportionate share percentage formula if the primary insurance is not Medicare. Hospitals may not include dual eligible Medicare/Medicaid days in the Medicaid fraction even if the Medicare patient has exhausted Part A coverage. Hospitals may not include dual eligible Medicare HMO/Medicaid days in the Medicaid fraction either. CMS indicates... [Read More...]

2006 Medicare Premiums, Deductibles and Coinsurance

November 15, 2005 09:06 AM
The Department of Health and Human Services (HHS) has announced the Medicare premium, deductible and coinsurance amounts to be paid by Medicare beneficiaries in 2006. For Medicare Part A, that pays for inpatient hospital, skilled nursing facility, and some home health care, the deductible paid by the beneficiary will be $952 per benefit period effective January 1, 2006, an increase of $40 from this year's $912 deductible. The Part A deductible is the beneficiary's only cost for up to 60... [Read More...]

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