Search for: "Centers for Medicare and Medicaid Services (CMS)"
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28 Feb 2014, 2:32 pm
On Tuesday, the Centers for Medicare and Medicaid Services (CMS) ordered its Medicare Administrative Contractors (MACs) to take a second look at all of the claims that the MAC denied under the Probe and Educate review process. [read post]
2 Jan 2007, 10:05 am
The Centers for Medicare & Medicaid Services ("CMS") will host a briefing about the requirement mandated by the Deficit Reduction Act of 2005 that certain employers educate their employees about the False Claims Act. [read post]
14 Aug 2008, 11:00 pm
From the outset, the Stark law has been touted by the Centers for Medicare and Medicaid Services ("CMS") as a vehicle for providing "bright line" rules governing physician referrals to hospitals and other entities with which the physicians have financial relationships. [read post]
14 Aug 2008, 11:00 pm
From the outset, the Stark law has been touted by the Centers for Medicare and Medicaid Services ("CMS") as a vehicle for providing "bright line" rules governing physician referrals to hospitals and other entities with which the physicians have financial relationships. [read post]
3 Oct 2022, 5:00 am
On Friday, August 26, 2022, the Department of Health and Human Services (HHS) Centers for Medicare and Medicaid Services (CMS), Department of Labor, and Department of Treasury (collectively, the Departments) issued a new Final Rule updating key regulations pertaining to the No Surprises Act. [read post]
3 Jul 2014, 4:36 pm
Today the Centers for Medicare & Medicaid Services (CMS) issued an advance copy of the CY 2015 Medicare Physician Fee Schedule (PFS) proposed rule, which includes certain changes to the regulations implementing the Physician Payment Sunshine Act, also known as the Open Payments program. [read post]
9 Oct 2013, 12:59 pm
The Office of Inspector General (OIG) of the Department of Health and Human Services (HHS) is continuing Medicare and Medicaid oversight and enforcement activities, including maintaining its fraud and abuse hotline, while most other OIG activities will be suspended during this period. [read post]
24 Jan 2024, 5:00 am
The Food and Drug Administration (FDA) and the Centers for Medicare and Medicaid Services (CMS) recently released a joint statement suggesting that the FDA is about to end its decades-long policy of declining to regulate lab-developed tests (LDTs). [read post]
3 Jul 2013, 7:11 am
” – McKnight’s – “The American Health Care Association (AHCA) today submitted comments to the Centers for Medicare and Medicaid Services (CMS) in response to the agency’s proposed rule for the Skilled Nursing Facility Prospective Payment System (SNF PPS) for FY2014. [read post]
5 Mar 2014, 5:04 am
Expand the authority of the Centers for Medicare & Medicaid Services (CMS) to require prior authorization for all Medicare fee-for-service items, and mandate prior authorization of advance imaging services and power mobility devices ($90 million). [read post]
21 Oct 2014, 9:00 am
ACOs emerged in 2011 as a result of an initiative by the Centers for Medicare & Medicaid Services (CMS), as we documented in our blog articles ACO Regulations Finally Released, Braving the New Frontier of Accountable Care Organizations, and Final ACO Regulations are Released - Is this the Beginning of a New Era for Health Care? [read post]
24 Sep 2015, 9:00 am
ACOs are still a relatively new concept in the healthcare world, as they emerged in 2011 as a result of an initiative by the Centers for Medicare & Medicaid Services (CMS). [read post]
7 Jul 2009, 1:28 pm
Currently, the Centers for Medicare and Medicaid Services (“CMS”) interprets the term “entity” to include only those entities which actually bill for services provided. [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]
16 Apr 2014, 6:24 am
More than three years after publication of final regulations to implement Affordable Care Act (ACA) provisions that strengthen provider and supplier enrollment screening provisions under federal health care programs, the Centers for Medicare & Medicaid Services (CMS) has selected a Fingerprint-Based Background Check Contractor (FBBC) and intends to phase in fingerprint-based background checks beginning in 2014. [read post]
2 Jan 2009, 12:02 pm
The federal government through the CMS (The Centers for Medicare & Medicaid Services) has placed hundreds of nursing homes on a list of long-term care facilities that it wants to improve systemic issues or face expulsion from the Medicaid program. [read post]
3 Jun 2021, 7:35 am
To know how Chiquita Brooks-LaSure will lead the Centers for Medicare and Medicaid Services, we sat down with Matthew Hittle, a former senior adviser to Seema Verma, who led the agency under the former president. [read post]
25 Feb 2011, 11:20 am
Throwing administrative caution to the wind, Kentucky has followed Maryland's lead and recently proposed legislation that would require MSAs be approved by the Centers for Medicare and Medicaid Services prior to approving a workers' compensation settlement involving future medicals. [read post]
1 Dec 2019, 5:00 pm
The “Improvement Standard” had become so ingrained in the system that part of the settlement included a rewrite of Medicare manuals by the Center for Medicare and Medicaid Services (CMS). [read post]
23 Aug 2011, 3:00 am
On July 29, The Centers for Medicare and Medicaid Services (CMS) decided and announced that they would be compensating for last year's $4 billion shortfall by cutting reimbursement rates to nursing homes by 11.1%. [read post]
