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CodeMap Compliance Briefing: 2/17/2006


 

 

Editor's Welcome:

Most Medicare payment amounts may only be adjusted according to established statutes and regulations or by special Congressional action. However, CMS now has the authority to make changes on its own by using the principle of "inherent reasonableness".  Today we will discuss the final rule defining inherent reasonableness and the complicated process which must be followed in order to actually change an existing Medicare payment.

Sincerely,

Charles Root, Ph.D.

 


 

Inherent Reasonableness

by: Charles Root, Ph.D. (charlesroot@codemap.com)


What is Inherent Reasonableness Policy?

Congress mandated the inherent reasonableness concept in the Balanced Budget Act of 1997 based on their finding that the HHS Secretary lacked adequate authority to make adjustments to en....

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