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2008 Master Medicare GuideThe 2008 Master Medicare Guide features explanatory material related to Medicare reimbursement and compliance. Topics discussed include Medicare Part A, Part B, Part C and Part D Coverage, Program Agreements, Exclusions from Coverage, Medicare Reimbursements, Appeals, Compliance and Cost Reports.

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Topic Spotlight

CMS proposes changes to Medicare Part B payment policy

CMS has proposed changes to the Medicare Part B payment policy to ensure that payment systems are updated to reflect changes in medical practice and the relative value of services delivered by physicians to beneficiaries under the 2009 Medicare Physician Fee Schedule (MPFS). Under Medicare law, CMS is required to reduce 2009 Physician Fee Schedule by 5.4 percent. The CMS proposed rule would provide for additional improvements to the Physician Quality Reporting Initiative (PQRI), including: (1) a final set of quality measures to be selected from 175 measures that fall into four broad categories; (2) increasing the number of conditions covered by measures groups to nine; (3) two new reporting periods to provide eligible professions with additional options for reporting PQRI data; and (4) accepting PQRI data via clinical registries and electronic health records systems. CMS Proposed Rule, 73 FR 38501, July 7, 2008.

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In Focus

Health Care Compliance Letter

Experts advise on community benefit, Form 990 challenges
by Larry Perlman, C.P.A., J.D., LL.M., Contributing Editor

Journal of Healthcare Compliance

What Would Compliance Professionals Find if They Were Dropped into a "Man vs. Wild" Situation?
by Roy Snell, Chief Executive Officer/Executive Director of the Health Care Compliance Association

Institutional Review Boards: Current Compliance Trends and Emerging Models
by Winifred Ann Meeker-O’Connell

Greg Luce Talks about the Relationship between Legal Counsel and Compliance
by Roy Snell, Chief Executive Officer/Executive Director of the Health Care Compliance Association

Health Care Compliance Professional’s Manual

Interacting with Pharmaceutical Representatives
by Teresa Bivens, CPC, CHC

CMS Program Integrity Group’s Compliance Initiatives
by Lisa Eggleston

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