Author Archives: Kendall Quisenberry

Celebrating 20 Years!

Reimbursement Counselors, Inc. is celebrating our 20th anniversary today!  Special thanks to each and every client that has ever trusted us with your business, to our former and current employees, to those that have helped me as a consultant or … Continue reading

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D.C. Circuit Says PRRB Appeals Are Not Subject to Predicate Fact Rule

Providers and their representatives received some good news recently in the courts! The U.S. Court of Appeals for the District of Columbia Circuit has invalidated CMS’s prohibition on appeals of so-called predicate facts. A predicate fact is a specific determination … Continue reading

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CMS Proposes Cuts to 340B Hospital Reimbursement

CMS has recently issued a proposed rule for the OPPS Payment System that included a proposal to significantly scale back reimbursement for Part B drugs to hospitals participating in the federal 340B Drug Discount Program.  CMS believes hospitals are being … Continue reading

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CMS Publishes Final FY 2016 Wage Index PUF

CMS published the final FY 2016 wage index Public Use File (PUF) on May 1, 2015. CMS indicated that hospitals will have approximately 1 month to verify their data and submit correction requests to both CMS and their MAC to … Continue reading

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Frequently Asked Question

Question:   Bill Super (named changed) at Bill Super and Associates, CPA firm is the best and the brightest!  We hire him to prepare our cost reports!  How can we have any errors on our Medicare cost reports that you could … Continue reading

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A Cost Report Reopening and Appeal Renaissance

Welcome to this entry into my Reimbursement Blog! If you are a new reader, I invite you to take a moment and subscribe to the blog  through the link at the bottom of this page. Throughout the history of the Medicare … Continue reading

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Underutilized Exception – Waiver of RHC Productivity Standard

Welcome to this new entry into my Reimbursement Blog! If you are a new reader, I invite you to take a moment and subscribe to the blog through the link at the bottom of this page. This entry is important … Continue reading

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Cost Report Workpapers – Get Them Up Front!

Welcome to this new entry into my Reimbursement Blog! If you are a new reader, I invite you to take a moment and subscribe to the blog through the link at the bottom of this page. This entry is important … Continue reading

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Geographic Service Area Expansion

After serving mostly the Hospitals of our home State of Texas for nine years, we decided to expand our geographic service area in 2009. The expansion has proved to be a great success. In 2009, we recovered a cumulative total … Continue reading

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Updated FFY ‘05 SSI Ratios Available

Welcome to this new entry into my Reimbursement Blog! We invite you to take a moment and subscribe to the blog through the link at the bottom of this page. This entry is important to any hospital receiving Disproportionate Share … Continue reading

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