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22 Aug 2018, 1:41 pm
The $8.6 million in State Flexibility Grants announced by the Centers for Medicare & Medicaid Services (CMS) that would be allocated to 30 states and the District of Columbia comes with the Trump Administration’ approval despite recent attempts to disassemble the ACA. [read post]
22 Aug 2018, 1:14 pm
The Centers for Medicare & Medicaid Services has selected Maxim Healthcare Services as a care transformation organization for the Maryland Primary Care Program beginning in January. [read post]
21 Aug 2018, 7:45 am
The benefits this bill would provide include: Loan repayment and training programs to medical professionals providing care to people with I/DD in HSRA’s Workforce Development and Training Programs including the National Health Service Corps Scholarships; Financial incentives for medical providers to treat people with IDD in the form of higher Medicare and Medicaid reimbursement rates; Incentivize new research; … [read post]
21 Aug 2018, 7:45 am
The benefits this bill would provide include: Loan repayment and training programs to medical professionals providing care to people with I/DD in HSRA’s Workforce Development and Training Programs including the National Health Service Corps Scholarships; Financial incentives for medical providers to treat people with IDD in the form of higher Medicare and Medicaid reimbursement rates; Incentivize new research; … [read post]
20 Aug 2018, 5:52 pm
In a new report by The HHS Office of Inspector General, the Centers for Medicare & Medicaid Services (CMS) was found to have wrongly funded $434.4 million in financial assistance payments to qualified health plan (QHPs) issuers for 461,127 policies. [read post]
19 Aug 2018, 10:10 am
“Deadly Deliveries” Cause Maternal and Infant Mortality While Centers for Medicare & Medicaid Services has taken steps to protect seniors, it has not implemented reporting requirements for injuries involving pregnant women, despite paying for about 2 million of the nation’s births each year. [read post]
19 Aug 2018, 5:51 am
Adult children making the difficult choice to place their elderly parents in a Florida nursing home often turn to the Centers for Medicare & Medicaid Services (CMS) when it comes to deciding on a facility. [read post]
15 Aug 2018, 1:20 pm
The Centers for Medicare & Medicaid Services (“CMS”) recently released a proposal that would alter the Medicare Physician Fee Schedule (“MPFS”) and significantly change evaluation and management (“E/M”) code payment rates. [read post]
15 Aug 2018, 6:30 am
These activities and their due dates can include: Reevaluation of the file reserves Evaluation of the need for a nurse case manager on the claim, if one is not already assigned Coordination of return to work full duty or restricted duty Obtaining and evaluating medical reports of the on-going medical treatment Regular and on-going follow-ups with the employee, employer and medical provider Obtaining and evaluating the disability rating … [read post]
14 Aug 2018, 12:35 pm
The Centers for Medicare & Medicaid Services (CMS) has released its final rule updating the Medicare inpatient prospective payment system (IPPS) and long-term care hospital (LTCH) prospective payment system (PPS) for fiscal year (FY) 2019. [read post]
13 Aug 2018, 9:18 am
A new Centers for Medicare & Medicaid Services (CMS) Press release details the proposed additional rule to address risk adjustment program for the 2018 benefit year. [read post]
13 Aug 2018, 5:42 am
The Centers for Medicare and Medicaid Services (“CMS”) recently released a final rule that is meant to empower patients and reduce administrative burdens by advancing the MyHealthData and the CMS Patients Over Paperwork initiatives. [read post]
FY 2019 Medicare Inpatient Rehabilitation Facility Payments to Rise by $105 Million under Final Rule
10 Aug 2018, 10:06 am
The Centers for Medicare & Medicaid Services (CMS) expects Medicare payments to inpatient rehabilitation facilities (IRFs) to increase by 1.3% ($105 million) in fiscal year (FY) 2019 under the final IRF prospective payment system (PPS) rule. [read post]
10 Aug 2018, 10:00 am
., Board Certified by The Florida Bar in Health Law On July 12, 2018, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule to update payment policies, payment rates, and quality provisions for services rendered under the Medicare Physician Fee Schedule (PFS). [read post]
9 Aug 2018, 12:19 pm
The Centers for Medicare & Medicaid Services (CMS) has finalized its annual update to Medicare skilled nursing facility (SNF) PPS rates and policies for fiscal year (FY) 2019, without significant changes to the rule as proposed. [read post]
8 Aug 2018, 8:08 am
The Centers for Medicare & Medicaid Services (CMS) has finalized its FY 2019 update to Medicare hospice rates and policies. [read post]
8 Aug 2018, 7:10 am
The Centers for Medicare & Medicaid Services (CMS) has determined that it should extend for an additional six months its current moratoria on the Medicare, Medicaid, and Children’s Health Insurance Program (CHIP) enrollment of new home health agencies (HHAs) and Part B nonemergency ground ambulance suppliers in selected states. [read post]
6 Aug 2018, 6:26 am
The Centers for Medicare and Medicaid Services’ (CMS) plan, part of a complex 500-page proposed rule, could halt the public disclosure of the “super bug” MRSA, post-operative sepsis and surgical site infections, as well as accidents and injuries ranging from bedsores to respiratory failure after surgery.More than 600,000 hospital patients a year contract an infection and sepsis alone kills about 270,000 people a year. [read post]
3 Aug 2018, 12:46 pm
On Thursday, August 2, 2018, the Centers for Medicare & Medicaid Services (“CMS”) released its 2019 Inpatient Prospective Payment System and Long-Term Care Hospital Prospective Payment System Final Rule (the “2019 IPPS Final Rule”).[1] With the goal to reduce unnecessary administrative burden on physicians and other qualified practitioners, the 2019 IPPS Final Rule revises the requirement that an inpatient hospital admission… [read post]
3 Aug 2018, 6:51 am
CMS has issued its proposed rule to update Medicare Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System rates and policies for calendar year (CY) 2019. [read post]
