Search for: "Centers for Medicare and Medicaid Services (CMS)"
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22 Nov 2011, 6:16 am
The Centers for Medicare and Medicaid Services ("CMS") defines an overpayment as a payment to a provider or supplier that exceeds the amounts payable under Medicare statutes and regulations. [read post]
13 Nov 2017, 3:50 pm
Eugene Freund will serve as the Center for Medicare and Medicaid Services (CMS) Provider Ombudsman, CMS announced today. [read post]
10 Jul 2018, 3:07 pm
The Centers for Medicare & Medicaid Services (CMS) is proposing to rescind the authority of states to make Medicaid payments to a third party on behalf of an individual provider, rather than directly to the provider, “for benefits such as health insurance, skills training, and other benefits customary for employees,” under certain circumstances. [read post]
17 Oct 2018, 1:39 pm
The Centers for Medicare & Medicaid Services (CMS) has proposed revising its rules governing the process Medicare beneficiaries, providers, and suppliers use to appeal adverse determinations regarding claims for Medicare Part A and Part B benefits or determinations for Part D prescription drug coverage. [read post]
15 Oct 2019, 2:06 pm
The Centers for Medicare & Medicaid Services (CMS) is increasing the amount in controversy (AIC) threshold amounts for Administrative Law Judge (ALJ) hearings and judicial review under the Medicare appeals process for 2020. [read post]
9 May 2019, 2:35 pm
The Centers for Medicare & Medicaid Services (CMS) has issued a final rule streamlining the process for Medicare Parts A and B claims appeals and for Medicare Part D coverage determination appeals in order to “reduce associated burden on providers, beneficiaries, and appeals adjudicators. [read post]
8 Mar 2017, 4:47 am
The Center for Medicare and Medicaid Services (CMS) is part of the Department of Health and Human Services and oversees two of the largest medical programs in the country, covering millions of Americans. [read post]
30 Jan 2017, 5:00 am
In the face of growing scrutiny and now judicial pressure, the Centers for Medicare & Medicaid Services (CMS) published a final rule on January 17, 2017 implementing certain administrative and procedural actions in an effort to reduce the significant Medicare appeals backlog. [read post]
17 Jun 2011, 2:21 pm
The Centers for Medicare & Medicaid Services (CMS) announced today that it will begin using predictive modeling technology to identify and fight Medicare fraud.Northrop Grumman, through a partnership with National Government Services and Federal Network Systems (a Verizon company), will develop the predictive modeling technology. [read post]
17 Jun 2011, 2:21 pm
The Centers for Medicare & Medicaid Services (CMS) announced today that it will begin using predictive modeling technology to identify and fight Medicare fraud.Northrop Grumman, through a partnership with National Government Services and Federal Network Systems (a Verizon company), will develop the predictive modeling technology. [read post]
15 Aug 2019, 10:21 am
The Centers for Medicare & Medicaid Services (CMS) has published its final rule updating the Medicare skilled nursing facility (SNF) prospective payment system (PPS) for fiscal year (FY) 2020, which begins October 1, 2019. [read post]
26 Sep 2019, 9:49 am
The Centers for Medicare & Medicaid Services (CMS) has issued an “omnibus burden reduction” rule that finalizes a September 20, 2018 proposed rule intended to streamline various Medicare and Medicaid regulatory requirements, in alignment with the Administration’s “Patients over Paperwork” initiative. [read post]
23 Jun 2011, 1:02 pm
Via the Center for Medicare Advocacy In a continuation of the Obama Administration's effort to extend rights to same sex couples, the Centers for Medicare & Medicaid Services (CMS) issued a new State Medicaid Director Letter 11-006 (SMDL). [read post]
10 Sep 2020, 10:00 pm
In a stunning move, the Centers for Medicare and Medicaid Services (CMS) has linked reporting and tracking of the incidence and impact of the coronavirus (COVID-19) disease to satisfaction of the Medicare Conditions of Participation (CoPs) for hospitals and critical access hospitals, in spite of the federal about-face that has caused confusion concerning that same reporting since the inception of the pandemic. [read post]
10 Sep 2020, 10:00 pm
In a stunning move, the Centers for Medicare and Medicaid Services (CMS) has linked reporting and tracking of the incidence and impact of the coronavirus (COVID-19) disease to satisfaction of the Medicare Conditions of Participation (CoPs) for hospitals and critical access hospitals, in spite of the federal about-face that has caused confusion concerning that same reporting since the inception of the pandemic. [read post]
10 Sep 2020, 10:00 pm
In a stunning move, the Centers for Medicare and Medicaid Services (CMS) has linked reporting and tracking of the incidence and impact of the coronavirus (COVID-19) disease to satisfaction of the Medicare Conditions of Participation (CoPs) for hospitals and critical access hospitals, in spite of the federal about-face that has caused confusion concerning that same reporting since the inception of the pandemic. [read post]
10 Sep 2020, 10:00 pm
In a stunning move, the Centers for Medicare and Medicaid Services (CMS) has linked reporting and tracking of the incidence and impact of the coronavirus (COVID-19) disease to satisfaction of the Medicare Conditions of Participation (CoPs) for hospitals and critical access hospitals, in spite of the federal about-face that has caused confusion concerning that same reporting since the inception of the pandemic. [read post]
10 Sep 2020, 10:00 pm
In a stunning move, the Centers for Medicare and Medicaid Services (CMS) has linked reporting and tracking of the incidence and impact of the coronavirus (COVID-19) disease to satisfaction of the Medicare Conditions of Participation (CoPs) for hospitals and critical access hospitals, in spite of the federal about-face that has caused confusion concerning that same reporting since the inception of the pandemic. [read post]
10 Sep 2020, 10:00 pm
In a stunning move, the Centers for Medicare and Medicaid Services (CMS) has linked reporting and tracking of the incidence and impact of the coronavirus (COVID-19) disease to satisfaction of the Medicare Conditions of Participation (CoPs) for hospitals and critical access hospitals, in spite of the federal about-face that has caused confusion concerning that same reporting since the inception of the pandemic. [read post]
1 Oct 2014, 4:12 pm
The open-data play by the Centers for Medicare and Medicaid Services was mandated under provisions of the 2010 health care overhaul. [read post]
