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31 Jan 2019, 1:44 pm
The Centers for Medicare & Medicaid Services (CMS) has announced a new Medicare Part D Payment Modernization Model (Part D Model), which will be tested by the CMS Center for Medicare and Medicaid Innovation. [read post]
2 May 2016, 1:31 pm
” In addition, CMS provides information regarding the previously-announced Medicare Care Choices Model (MCCM), which allows Medicare and dual eligible beneficiaries with certain medical conditions to receive palliative care services from selected hospice providers without forgoing curative care services. [read post]
5 Jul 2023, 5:46 am
Durable medical equipment, such as high-flow oxygen used for respiratory treatments. [read post]
19 Aug 2019, 4:00 am
The Centers for Medicare & Medicaid Services (CMS) has proposed updating Medicare end-stage renal disease (ESRD) prospective payment system (PPS) rates by 1.7% for calendar year 2020. [read post]
24 Mar 2020, 7:29 pm
In a recent guidance, the Centers for Medicare & Medicaid Services (CMS) encouraged health care providers (HCPs) to limit elective surgeries and nonessential procedures during the 2019 novel coronavirus (COVID-19) outbreak. [read post]
14 Jan 2020, 1:28 pm
The American Hospital Association and the Association of American Medical Colleges sued CMS over a planned $800 million reduction in payments for hospital outpatient services in 2020. [read post]
28 Jun 2017, 6:30 am
Case Study (Provided by Tower MSA Partners): 60% MSA Savings From CMS Re-Review Process CMS may increase prescription medication allocation in a WCMSA if there are inconsistencies in the medical records or the prescription histories, variances in pricing based upon the fluid movement of Redbook medication pricing, or prescription medications are left open-ended in the medical treatment records. [read post]
28 Jun 2017, 6:30 am
Case Study (Provided by Tower MSA Partners): 60% MSA Savings From CMS Re-Review Process CMS may increase prescription medication allocation in a WCMSA if there are inconsistencies in the medical records or the prescription histories, variances in pricing based upon the fluid movement of Redbook medication pricing, or prescription medications are left open-ended in the medical treatment records. [read post]
30 Sep 2011, 7:11 am
My how CMS has been secretly busy. [read post]
25 Jul 2014, 1:41 pm
CMS proposes to continue to calculate which the OPPS relative payment weights using distinct cost-to-charge ratios for cardiac catheterization, CT scan, MRI, and implantable medical devices. [read post]
16 Jul 2018, 4:12 am
” CMS requests comments on whether larger CBAs should be split into smaller CBAs “to create more manageable service areas for suppliers. [read post]
2 Aug 2010, 8:33 am
Accordingly CMS specifically would like the proposals from conveners to involve a diverse mix of physician practice sizes and types, medical specialties, and geographic areas. [read post]
5 Apr 2018, 12:13 pm
CMS is removing the Medicare prior authorization (PA) requirement for several types of medical equipment because the items no longer meet the standard set forth in a 2015 final rule. [read post]
27 Jul 2017, 1:21 pm
With regard to Part B drugs, CMS proposes to implement average sales price-based reimbursement for drugs furnished through an item of durable medical equipment, in conformance with the 21st Century Cures Act. [read post]
7 Dec 2015, 4:12 am
The Centers for Medicare & Medicaid Services (“CMS”) recently announced a proposed rule primarily aimed at discharge planning requirements for hospitals and other service providers, including home health agencies (HHAs). [read post]
5 Jul 2023, 5:00 am
The Centers for Medicare & Medicaid Services (CMS) recently announced the start of a new skilled nursing facility (SNF) 5 Claim Probe & Educate Review Program (SNF P&E Program). [read post]
1 Mar 2023, 9:29 am
CMS will not apply a Fee-For-Service (“FFS”) Adjuster in RADV audits. [read post]
28 Sep 2020, 5:20 am
These types of ambulance services are covered under Medicare Part B, provided that the services are deemed medically necessary. [read post]
9 Aug 2018, 8:56 am
CMS and the Trump Administration is further encouraging individual states to tackle price transparency via legislation which would allow prospective patients to shop around for the best pricing for future medical services. [read post]
26 Jan 2010, 5:30 pm
The CMS Consultant identifies those files where you are exposed to paying the future medical care again. [read post]
