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Hospitals that serve as Medicare providers must adhere to various rules and regulations for patient care and reimbursement.

The following offers guidance to hospitals to ensure their compliance with Medicare.


MHA Issue Briefs — Final PPS Regulations

The Centers for Medicare & Medicaid Services has issued final versions of its regulatory changes for Medicare’s fiscal year 2019 PPS. MHA has published issue briefs on the following rules.

MHA Quality Reporting Guides

MHA created quality reporting guides for acute care hospitals, critical access hospitals and specialty services.

External Sources

Recovery Audit Contractor Program

The Medicare Recovery Audit Contractor Program was established by the Centers for Medicare & Medicaid Services to correct Medicare fee-for-service payments made to providers. CMS awarded new FFS RAC contracts as of Oct. 31, 2016. The RAC covering Region 2, which includes the entire state of Missouri, is now Cotiviti, LLC.

Contact An Expert

Andrew Wheeler

Andrew Wheeler

Vice President of Federal Finance

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573-893-3700 | ext. 1336

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