Search for: "Medicare, Medicaid & Medical Suppliers"
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1 Nov 2019, 3:47 pm
The Centers for Medicare & Medicaid Services (CMS) has adopted — with limited changes — its controversial plan to rewrite Medicare pricing rules for new items of durable medical equipment (DME), prosthetics, orthotics and supplies (DMEPOS) as part of its annual DMEPOS policy update for calendar year (CY) 2020. [read post]
9 Mar 2020, 10:26 am
(March 9, 2020): Last September, the Centers for Medicare and Medicaid Services (CMS) published a Final Rule titled “Medicare, Medicaid, and Children’s Health Insurance Programs; Program Integrity Enhancements to the Provider Enrollment Process. [read post]
16 Apr 2014, 6:24 am
This announcement marks the latest steps in seemingly ever-escalating CMS efforts to clamp down on fraud and abuse in the Medicare and Medicaid programs. [read post]
18 Feb 2014, 1:42 pm
The agreement also sets forth an educational campaign, in which CMS agreed to disseminate written materials to contractors, adjudicators, providers, and suppliers, and conduct national conference calls with providers and suppliers as well as Medicare contractors, Administrative Law Judges, medical reviewers, and agency staff, to communicate the policy clarifications and answer questions. [read post]
19 Aug 2019, 4:09 am
The Centers for Medicare & Medicaid Services (CMS) is planning a potentially-significant overhaul of Medicare pricing rules for new items of durable medical equipment (DME), prosthetics, orthotics and supplies (DMEPOS) as part of its proposed annual DMEPOS policy update for calendar year (CY) 2020. [read post]
4 Sep 2013, 12:08 pm
Health care fraud — fake billing to Medicare or Medicaid — can be very profitable for doctors, dentists, hospitals, care facilities, home health care providers, equipment suppliers: really, it’s a big temptation for anyone who is in a position to file a payment request to either federal government health care program. [read post]
CMS Announces Temporary Fee Schedule Increase for Certain Medical Equipment Furnished in Rural Areas
11 May 2018, 1:09 pm
Today the Centers for Medicare & Medicaid Services (CMS) published an interim final rule with comment period that will provide a temporary Medicare rate hike for certain durable medical equipment (DME) and enteral nutrition furnished in rural and non-contiguous areas of the country (Alaska, Hawaii, and U.S. territories) that are not included in competitive bidding. [read post]
12 Jul 2011, 1:53 pm
" As a result of the findings, the OIG proposed that the Centers for Medicare & Medicaid Services ("CMS") follows the following recommendations: 1) Raise reenrollment screening standards for currently enrolled DMEPOS suppliers; 2) Review multiple sources to determine if the requested power wheelchairs fulfill medical necessity guidelines; 3) Further educate prescribing physicians and suppliers to ensure compliance; 4) Review the… [read post]
18 Mar 2014, 5:46 pm
CMS has launched a new Medicare Care Choices Model (Model) to allow Medicare beneficiaries with certain medical conditions to receive palliative care services from selected hospice providers without forgoing curative care services. [read post]
21 Feb 2019, 4:22 am
The Centers for Medicare & Medicaid Services (CMS) plans to test a new voluntary emergency ambulance service innovation model that seeks promote “the most appropriate level of care at the right time and place. [read post]
8 May 2019, 2:12 pm
Medical equipment suppliers can submit bids for Round 2021 of the Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CBP) from July 16 through September 18, 2019, the Centers for Medicare & Medicaid Services (CMS) has just announced. [read post]
30 Nov 2021, 8:24 am
Schelp applies only to Medicare and Medicaid certified providers and suppliers in Alaska, Arkansas, Iowa, Kansas, Missouri, Nebraska, New Hampshire, North Dakota, South Dakota and Wyoming. [read post]
1 Dec 2021, 11:37 am
In a preliminary injunction issued on Tuesday, November 30, 2021, a federal judge in Louisiana temporarily blocked the implementation and enforcement of an interim final rule by the Centers for Medicare & Medicaid Services (CMS) that would require employees of Medicare and Medicaid certified health care providers and suppliers to have an initial COVID vaccine by December 6, 2021 and be fully vaccinated by January 4, 2022. [read post]
17 Jun 2013, 3:06 pm
As of July 1, 2013, 799 suppliers will participate in Round 2 of the Competitive Bidding Program (CBP) for Medicare Durable Medical Equipment Prosthetics, Orthotics, and Supplies (DMEPOS), offering medical equipment and supplies to Medicare beneficiaries in the United States. [read post]
19 Jan 2021, 8:43 pm
Legislative Background: With the passage of the Medicare and Medicaid programs in 1965, the Centers for Medicare and Medicaid Services (CMS)[1] became authorized to perform a myriad of Medicare program functions, either directly or by contract. [read post]
18 Aug 2009, 7:05 am
Centers for Medicare and Medicaid Services (CMS) noted that consignment closets (also known as stock and bill arrangements) have not complied with durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) supplier standards. [read post]
12 Oct 2016, 7:09 am
According to the allegations made against each of the defendants, the clinics would purchase osteoarthritis medications from these overseas suppliers and prescribe these medications to patients who had Medicare or Medicaid. [read post]
12 Feb 2015, 1:07 pm
The latest report highlights five areas of particular concern to the GAO: Payments and provider incentives in original Medicare (specifically referencing physician feedback reports, physician self-referral policy, high-expenditure Part B drugs, end stage renal disease (ESRD) bundled payments, and low-volume payment adjustments for dialysis facilities); Medicare Advantage (MA) and other Medicare health plans (including concerns about MA plan payment adjustments… [read post]
10 Jul 2012, 4:05 pm
Magdison stated as many as 90 percent of the 25,000 Medicare and Medicaid claims filed by RGV DME for durable medical equipment such as mattresses, electric wheelchairs, and other supplies between 2004 and 2010 were fraudulent. [read post]
14 Aug 2023, 7:13 am
[2] Centers for Medicare & Medicaid Services, Spotlight: Physician-Owned Hospital Expansion Exception Requests – Changes Effective October 1, 2023, available at https://www.cms.gov/medicare/fraud-and-abuse/physicianselfreferral/spotlight (last accessed August 2, 2023) [read post]
