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21 Mar 2012, 5:00 am by Ray Mullman
McKnight's had an article about thenew GAO Report showing that The Centers for Medicare & Medicaid Services need to make serious improvements in the tools it uses to evaluate the quality of nursing home care. [read post]
9 Jul 2008, 12:52 am
WPS indicated that this ruling has its genesis In the final physician fee schedule regulation published in the Federal Register on November 2, 1999, where the Centers for Medicare & Medicaid Services (CMS) stated that it would implement a policy to pay only the hospital for the TC of physician pathology services furnished to hospital patients. [read post]
10 Oct 2023, 11:53 am by jeffreynewmanadmin
In addition, the Centers for Medicare & Medicaid Services, working in conjunction with the HHS-OIG, are taking steps to hold providers accountable for their involvement in health care fraud schemes. [read post]
25 Aug 2008, 5:30 pm
The Center for Medicare and Medicaid Services (CMS) is the Federal agency within the U.S. [read post]
5 Aug 2021, 5:24 am by Wachler & Associates, P.C.
The Centers for Medicare and Medicaid Services’ (CMS) FY 2022 Budget Justification request to Congress indicates a greater focus on audit activities, including a doubling of CMS’ medical review budget, and an effort to decrease the number of claim denials overturned through the Medicare appeals process. [read post]
29 May 2018, 4:55 pm by Jerri Lynn Ward, J.D.
The Centers for Medicare & Medicaid Services (CMS) is announcing  that under the new program, home health agencies (HHAs) could choose to undergo either pre-claim or post-payment reviews, or to forgo reviews but take a 25% payment reduction on all claims submitted for home health services. [read post]
12 Aug 2014, 2:53 pm by Todd Rodriguez
According to a final rule published by the Centers for Medicare and Medicaid Services on August 4, 2014, providers will be required to use  the International Classification of Diseases, 10th Revision for diagnosis coding starting on October 1, 2015. [read post]
23 May 2011, 2:51 pm by Jon L. Gelman
The Centers for Medicare and Medicaid Services (CMS) has just announced a clarification of its prior memos concerning the review of Workers Compensation proposed Set Aside Agreements and also indicates that submission is an elective process. [read post]
1 Jun 2015, 2:42 am by Jon Gelman
Its recommendations to the Centers for Medicare & Medicaid Services (CMS), the agency within the Department of Health and Human Services (HHS) that administers Medicare, though, may not be accurate due to process and data-related weaknesses. [read post]
5 Feb 2010, 10:22 am by admin
Health care spending as a share of GDP took its biggest one-year leap ever measured in 2009, and public spending will account for more than half of all health care spending in the United States by 2012, according to new National Health Expenditure (NHE) projections by the Centers for Medicare & Medicaid Services (CMS). [read post]
9 Jul 2010, 5:00 am by Victoria VanBuren
The Centers for Medicare and Medicaid Services (CMS)  states: The Medicare and Medicaid EHR incentive programs will provide incentive payments to eligible professionals and eligible hospitals as they adopt, implement, upgrade or demonstrate meaningful use of certified EHR technology. [read post]
30 Apr 2018, 2:34 am by Jon Gelman
The petitioners' attorneys shall also inform their clients, on the record, of the Centers for Medicare & Medicaid Services' requirements and their compliance options. [read post]
30 Nov 2012, 9:05 am by Lynn Sessions
Posted by Lynn SessionsCo-authored by: Cory Fox The Department of Health and Human Services Office of Inspector General (“OIG”) recently published a report, CMS Response to Breaches and Medical Identity Theft (“Report”), which referenced 14 breaches of medical information by the Centers for Medicare and Medicaid Services (CMS), including Medicare numbers, affecting nearly 14,000 beneficiaries in the past two years. [read post]
1 Jun 2020, 7:05 am by admin
The Centers for Medicare and Medicaid Services (CMS) has announced changes to Medicare enrollment periods to help seniors affected by the coro​navirus pandemic. [read post]
12 Dec 2011, 1:21 pm by fraudfighters
  Ethex was accused of failing to inform the Centers for Medicare and Medicaid Services (“CMS”) that two of its drugs were ineligible for coverage under federal healthcare programs. [read post]
6 Jan 2014, 10:11 am by Jon Gelman
The Centers for Medicare and Medicaid services (CMS) has proposed rules for the Medicare Secondary Payer (MSP) appeals process that will target the “applicable plan” as the primary responsible party for recovery. [read post]
23 Jan 2009, 2:06 am
  The federal Centers for Medicare and Medicaid Services have given the facility a February deadline to correct the problems or federal aide will be pulled and daily fines will be imposed. [read post]
8 May 2023, 12:28 am by Christin Thompson
Medicare Exclusion Risks: Employing Excluded Individuals Can Result in Significant Administrative, Civil and / or Criminal Liabilities (May 8, 2023): One of the most severe administrative sanctions available under the Social Security Act stems from the authority of the Office of the Inspector General (OIG) of the Department of Health and Human Services (HHS)[1] to “exclude” individuals and entities from participating in Federal health care… [read post]
5 Mar 2013, 11:53 am by Lisa Baird
On February 1, 2013, the Centers for Medicare & Medicaid Services (CMS) of the Department of Health and Human Services (HHS) released the long-awaited Final Rule to implement the “Sunshine” provisions of the Affordable Care Act of 2010 (ACA). [read post]