Search for: "Medicare, Medicaid & Medical Suppliers" Results 121 - 140 of 467
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5 Nov 2018, 3:06 pm by Debra A. McCurdy
The Centers for Medicare & Medicaid Services’ (CMS) final calendar year 2019 Medicare home health prospective payment system (HH PPS) rule boosts rates by 2.2% next year and ushers in broader case-mix methodology reforms for 2020. [read post]
19 Feb 2016, 1:42 pm by Steven Boutwell
  Because the term “DME” is used differently under the Medicare and Medicaid programs, CMS uses the term “medical supplies, equipment, and appliances” or, alternatively, “medical equipment” in the final rule. [read post]
1 Nov 2016, 10:30 am by Debra A. McCurdy
As discussed in a separate post, the final rule also adopts a number of provisions impacting Medicare suppliers of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS), including changes to competitive bidding program (CBP) requirements and adjustments to DMEPOS fee schedules based on CBP pricing. [read post]
8 Sep 2014, 7:36 am by Debra A. McCurdy
For the latest news on health policy issues involving Medicare, Medicaid, HIPAA, OIG, FDA, and more, follow us at @ReedSmithHealth. [read post]
16 Apr 2015, 2:42 pm by Debra A. McCurdy
This Client Alert summarizes the major Medicare and Medicaid provisions of MACRA, focusing on those provisions we believe to be of most interest to our clients. [read post]
3 Nov 2015, 11:40 am
The newest additions to the work plan are: • Medical device credits for replaced medical devices • Medicare payments during Medicare Severity Diagnosis Related Groups (MS-DRG) payment window • Content Management System (CMS) validation of hospital-submitted quality reporting data • Skilled nursing facility prospective payment system requirements • Orthotic braces-reasonableness of Medicare payments compared to amounts paid by… [read post]
12 Jan 2008, 9:44 am
This week, the Centers for Medicare & Medicaid Services (CMS) announced an initiative designed to improve care, save $1 billion annually, and lower Medicare beneficiaries' out-of-pocket costs--by promoting competition in the sale of durable medical equipment. [read post]
20 Apr 2016, 8:21 pm by Green and Associates
 The Anti-Kickback Statute prohibits the knowing and willful payment of any remuneration to induce the referral of services or items that are paid for by a federal healthcare program, such as Medicare, Medicaid or TRICARE. [read post]
22 Jan 2007, 7:03 am
Just before Christmas I read an article about a case in Texas where a doctor was sentenced to a lengthy prison term for a scheme to defraud Medicare and Medicaid in excess of $25 million. [read post]
3 Feb 2015, 5:36 am by Debra A. McCurdy
CMS has extended its moratoria on enrollment of home health agencies and ambulance suppliers in designated areas, and the Agency has announced its intention to issue regulations to modify the Medicare and Medicaid Electronic Health Record Incentive Program meaningful use requirements. [read post]
28 Sep 2020, 8:58 am by Robert Liles
”[1]Among its many changes, the Final Rule significantly expanded the reasons that may be asserted by the Centers for Medicare and Medicaid Services (CMS) when revoking a health care provider’s enrollment and Medicare billing privileges. [read post]
14 Nov 2019, 11:00 am by Debra A. McCurdy
The Centers for Medicare & Medicaid Services (CMS) is seeking public input on surveys that are intended to “further strengthen the monitoring, outreach, and enforcement functions” of the Medicare durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) competitive bidding program – even though the agency has asserted that the program “has maintained beneficiary access to quality products from accredited… [read post]
10 Feb 2022, 11:17 am by Caitlin Lentz
 This post outlines what actions the Centers for Medicare and Medicaid (CMS) or one of its Medicare Administrative Contractors (MAC) may take in response to a provider surrendering their state licensure. [read post]
23 Apr 2009, 1:58 pm
However, after a large number of indictments related to DME companies and with Medicare moving toward a bidding process for DME suppliers, the focus has been turning to the physicians who prescribe DME and the often expensive medications associated with respiratory illness. [read post]
15 Jan 2015, 12:18 pm by Ben Vernia
* * * Medicare and Medicaid require suppliers of respiratory therapy equipment and services to comply with state licensing standards. [read post]
19 Jan 2021, 8:43 pm by Robert Liles
 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]
8 Nov 2010, 1:01 pm by William Maruca
So the Centers for Medicare and Medicaid Services is aggressively moving forward with a program that establishes competitive bidding among medical equipment suppliers. [read post]
9 Dec 2015, 12:12 pm
In fiscal year 2014, the Centers for Medicare & Medicaid Services (CMS), conducted audits of more than one billion claims in an effort to curb approximately $60 billion in improper Medicare payments. [read post]
9 Dec 2015, 12:12 pm
In fiscal year 2014, the Centers for Medicare & Medicaid Services (CMS), conducted audits of more than one billion claims in an effort to curb approximately $60 billion in improper Medicare payments. [read post]
21 Dec 2010, 5:03 pm by Steven Boutwell
Section 6401(a) of the ACA requires a provider of medical or other items or services or a supplier, as a condition of enrollment in Medicare, Medicaid or the Children’s Health Insurance Program (“CHIP”), to establish a compliance program that contains certain core elements. [read post]