Articles and Blogs

In a recent decision, the D.C. District Court determined that a Medicare contractor erroneously computed the nursing and allied health pass-through reimbursement in violation of the regulation at 42 C.F.R 413.85(d)(2)(i). The regulation requires that the net cost of approved educational activities be determined by deducting the revenues that a provider receives from tuition and... READ MORE

Recently, hospitals operating nursing and other allied health (“N&AH”) education programs have experienced increased scrutiny during Medicare Administrative Contractor (“MAC”) audits concerning their receipt of pass-through cost reimbursement. In many instances, MACs have begun disallowing or reclassifying costs that N&AH education programs received without issue for many years. Oftentimes the MACs are citing new... READ MORE