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Welcome to Global Integrated Reimbursement Services’ blog. The purpose of our blog is to allow access to a repository of issues that our company tracks regarding the reimbursement for pharmaceuticals, medical devices, diagnostics, biologics, and biosimilars. Also, it shows you how we can assist you in these areas.

Let GIRS Assist you to Analyze the Impact of the 2018 Medicare Inpatient Rehabilitation Facilities Payment and Policy Changes

Posted by on Sep 18, 2017 in News | Comments Off on Let GIRS Assist you to Analyze the Impact of the 2018 Medicare Inpatient Rehabilitation Facilities Payment and Policy Changes

On July 31, 2017, the Centers for Medicare & Medicaid Services (CMS) released its final rule for the 2018 payment and policy changes for Medicare Inpatient Rehabilitation Facilities (IRF.) The changes to be expected from this rule include updates to IRF Prospective Payment System (PPS) rates, removal of 25% payment penalties for late transmissions, adjustments to the 60% rule of presumptive methodology, technical process revisions, and the IRF Quality Reporting Program. In the following, we review each of these changes in more detail. Updates to IRF PPS rates: IRS PPS rates will reflect a 1% increase factor, in addition to an approximate 0.1% decrease to aggregate payments. Removal of 25% Payment Penalties: IRF PPS rates currently invoke a 25% payment penalty on transmissions that are not submitted in a timely manner. These penalties will no longer apply beginning FY...

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GIRS Completed the Economic Gardening Trial Program to Initiate Further Growth

Posted by on Oct 16, 2014 in News | Comments Off on GIRS Completed the Economic Gardening Trial Program to Initiate Further Growth

Due to a successful business model, intent and capacity for growth, and service to external markets outside of Memphis and Shelby County, in 2014, Global Integrated Reimbursement Services Inc., (GIRS) was acknowledged and selected this year by the City of Memphis, TN and Shelby County, TN to participate in the Economic Gardening Trial Program through the Mayor’s Innovation Delivery Team and its Economic Development Growth Engine (EDGE). The GIRS President and staff worked with the experts assigned to the project by the EDGE team to determine key business development and marketing initiatives and important markets and leads to grow the business.  Several growth initiatives are being implemented in 2014/2015 to leverage the support offered by the EDGE...

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GIRS is a Sponsor at the PharmAccess Leaders Forum in Paris, France

Posted by on Apr 7, 2014 in International, News | Comments Off on GIRS is a Sponsor at the PharmAccess Leaders Forum in Paris, France

 Important Announcement, Global Integrated Reimbursement Services, Inc. is a proud sponsor for the upcoming NextLevel Pharma’s PharmAccess Leaders Forum in Paris, France from: May 19th to 21st, 2014. We will be presenting Case Studies of Successes in Payer Advocacy, Medical Technology Hotline Services, and Coding and Payment Strategies for our drugs and biopharmaceutical / biologic clients in the...

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As HHS Moves To End Overload Of Medicare Claims Appeals, Beneficiaries Will Get Top Priority

Posted by on Jan 28, 2014 in News | Comments Off on As HHS Moves To End Overload Of Medicare Claims Appeals, Beneficiaries Will Get Top Priority

The Office of Medicare Hearings and Appeals (OMHA) has had a backlog of more than 357,000 claims.  Medicare beneficiaries who have been waiting for a long time for a hearing on their appeals are being given top priority by the OMHA in an effort to reduce the massive backlog. New requests for hearings filed by hospitals, doctors, nursing homes and other health care providers, which make up nearly 90 percent of the cases are being suspended until the beneficiary initiated appeals are handled. The OMHA expects the suspension would last about two years.  The GIRS Medical Technology Hotline Service, The GIRS InContact Reimbursement Line™ provides expert claims submission assistance to avoid denials of payment. We also provide appeals assistance to our clients to support their accounts to successfully appeal denials with a wide range of payers. Please contact us...

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Breaking News – Release of Important CMS 2014 Coding and Payment Regulation

Posted by on Nov 30, 2013 in News | Comments Off on Breaking News – Release of Important CMS 2014 Coding and Payment Regulation

The Centers for Medicare and Medicaid Services (CMS) released the CY2014 Hospital Outpatient Prospective Payment – Final Rule on Wednesday November 27th 2013.  The final rule increases overall payments for hospital outpatient departments by an estimated 1.7%.  Payment for multiple items and outpatient services were combined into a single payment.  Items include drugs, biologics, and radio-pharmaceuticals that function as supplies. GIRS is reviewing the important changes in payment for our clients’ medical technologies in the hospital outpatient and Ambulatory Surgical Center settings of care.  If you need assistance with the review of the CY 2014 Hospital Outpatient Prospective Payment – Final Rule, please contact GIRS at info@girsinc.com.  The CY2014 Final Rule Payment Rate addenda and wage index files are available on the CMS website at: http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalOutpatientPPS/index.html The Centers for Medicare and Medicaid Services (CMS) also released the 2014 HCPCS...

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