Search for: "Centers for Medicare and Medicaid Services (CMS)"
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11 Nov 2021, 10:00 pm
The Centers for Medicare & Medicaid Services released its CY 2022 Physician Fee Schedule final rule on November 2 reflecting the Biden-Harris administration’s goal of increasing access to and quality of care and reducing health disparities. [read post]
29 Nov 2012, 3:46 am
For example, as discussed in a recent Albany Times Union editorial, the federal Centers for Medicare and Medicaid (CMS) is making a one-time offer to states of 90% matching funds for "modernization" efforts. [read post]
23 Jan 2009, 11:48 am
The Centers for Medicare and Medicaid Services (CMS) recently released a new five-star rating system to rank every nursing facility in the country. [read post]
5 Feb 2008, 7:48 pm
From last week's Premier press release:Hospital quality continues to improve while patient mortality rates and hospital costs are declining among participants in a Centers for Medicare and Medicaid Services (CMS) pay-for-performance (P4P) demonstration project, according to a recent analysis by the Premier healthcare alliance.According to the analysis, the broadest of its kind, of 1.1 million patient records from participating Hospital Quality… [read post]
20 Jul 2010, 5:47 am
(July 20, 2010): In recent years, we have seen agents for the Centers for Medicare & Medicaid Services (CMS) increasingly rely on statistical extrapolation estimates when assessing claims overpayments. [read post]
6 Jun 2011, 6:17 am
KEY STAKEHOLDERS CONTINUE TO EXPRESS ACO CONCERNSAs the comment period for the Centers for Medicare and Medicaid Services’ (CMS’) proposed rule to create Accountable Care Organizations (ACOs) draws to a close, major stakeholders continue to express serious concerns and doubts with the proposal as currently written.Last week, the American Hospital Association (AHA) submitted a 24-page comment letter to the agency, found here, stating that… [read post]
4 Jan 2016, 9:06 am
The Centers for Medicare and Medicaid Services (CMS) mandates that all skilled nursing facilities have an infection prevention and control (IPC) program. [read post]
28 May 2014, 12:00 am
The Centers for Medicare & Medicaid Services recently announced new guidelines concerning the use of certain types of reprocessed medical devices in nursing homes. [read post]
12 Jun 2024, 9:00 am
According to data from the Centers for Medicare and Medicaid Services (CMS), about 1.2 million Americans reside in nursing homes. [read post]
3 Jan 2018, 9:33 am
Law Firm Represents Injured Victims of Good Samaritan Society – Alliance The Centers for Medicare and Medicaid Services (CMS) and the state of Nebraska routinely conduct investigations and surveys at every nursing facility statewide. [read post]
12 Jul 2018, 6:45 am
On Saturday, July 7, 2018, the Centers for Medicare & Medicaid Services (CMS) announced the suspension of risk adjustment payments for the 2017 benefit year until the resolution of risk adjustment litigation following the decision in New Mexico Health Connections v. [read post]
3 Oct 2018, 6:39 pm
The Centers for Medicare & Medicaid Services (“CMS”) recently announced a review of Inpatient Rehabilitation Facilities (“IRFs”) that will focus on the “reasonable and necessary” requirement that IRFs are required to meet. [read post]
20 Feb 2014, 2:12 pm
Recently, the Centers for Medicare and Medicaid Services (CMS) announced that, effective February 22, Recovery Audit Contractors (RACs) may no longer send additional documentation requests (ADRs) to providers for post-payment audits. [read post]
25 Feb 2010, 12:43 pm
On February 18, 2010, the Centers for Medicare and Medicaid Services released a transmittal addressing home health agencies ("HHAs") that have deactivated billing privileges as well as conditions on HHAs and changes in ownership (the "Revised HHA Policy"). [read post]
12 Dec 2018, 10:00 am
So as Open Enrollment v6.0 winds down (with Saturday being the deadline for most of us), those of us certified to sell on the Federal Marketplace (aka "Exchange" or "HIX") received this email from the Centers for Medicare & Medicaid Services (CMS) this morning:"As with previous years, some consumers who call the Marketplace Call Center during high-volume periods may be asked to leave their contact information to… [read post]
21 May 2014, 1:00 pm
The Program for Evaluating Payment Patterns Electronic Report ("PEPPER") is an electronic data report under contract with the Centers for Medicare & Medicaid Services ("CMS") that helps guide hospital's auditing and monitoring services. [read post]
15 Nov 2023, 8:32 am
DOJ alleged that the MAO received more than $53 million in overpayments from the Centers for Medicare & Medicaid Services (“CMS”) due to false diagnoses submitted on reimbursement claims for beneficiaries enrolled in the MAO’s plans. [read post]
10 Apr 2014, 1:33 am
In what it called an effort to increase transparency on government spending on health care, the Centers for Medicaid and Medicare Services released for the first-time a breakdown on Medicare spending by physician. [read post]
30 Jul 2012, 7:49 am
On May 16, 2012, the Centers for Medicare and Medicaid Services of the Department of Health and Human Services (“CMS”) published regulations announcing various changes to the Medicare Conditions of Participation (“CoP”) applicable to hospitals. [read post]
8 Dec 2014, 6:22 am
The Centers for Medicare and Medicaid Services recently posted its 2015 limits on non-monetary compensation and medical staff incidental benefits. [read post]
