Search for: "Center for Medicare and Medicaid Services"
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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]
27 May 2022, 4:01 pm
The Report is another example of the OIG fanning the fire of criticism of MAOs by ignoring the overwhelming evidence that MAOs provide access to medically necessary services and also minimized the program requirements and guidance from the Centers for Medicare and Medicaid Services (“CMS”), with which MAOs must comply. [read post]
5 Jul 2022, 12:05 pm
The federal Centers for Medicare and Medicaid Services (CMS) has ordered parties that act as health payers to make public a wealth of economic information that previously had been closely held, NPR and the Kaiser Health News service reported: “[H]ealth insurers and self-insured employers must post on websites just about every price they’ve negotiated with providers for health care services, item by item. [read post]
3 May 2012, 12:20 pm
Additionally, the Centers for Medicare and Medicaid Services launched a $77 million computer system to do the same thing, but the program has provided few results since it was implemented last summer. [read post]
31 Jan 2023, 4:05 am
The Center for Medicare and Medicaid Services issued a press release explaining the proposed rules, and CNN reports on the proposals. [read post]
22 Nov 2021, 8:30 am
The Centers for Medicare and Medicaid Services (CMS) is proposing significant and important modifications to its National Coverage Determination (NCD): Screening for Lung Cancer with Low Dose Computed Tomography (LDCT). [read post]
30 Jul 2019, 12:17 pm
On July 29, the Centers for Medicare & Medicaid Services (CMS) published three proposed rules for Calendar Year (CY) 2020: Medicare Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System Proposed Rule; Proposed Policy, Payment, and Quality Provisions Changes to the Medicare Physician Fee Schedule (MPFS); and End State Renal Disease (ESRD) and Durable Medical Equipment Prosthetics,… [read post]
2 Dec 2020, 11:19 am
On November 20, 2020, the Centers for Medicare & Medicaid Services (CMS) released the final rules amending the Stark Law and Anti-Kickback Statutes (AKS). [read post]
30 Jan 2013, 8:19 am
On January 22, 2013, the Centers for Medicare & Medicaid Services (CMS) published a proposed rule designed to provide states with additional flexibility in administering their Medicaid, Children’s Health Insurance Program (CHIP), and Affordable Care Act (ACA) Exchange programs. [read post]
6 Apr 2010, 8:14 am
And, similar to last month, the Centers for Medicare and Medicaid Services (”CMS”) instructed its contractors to hold payment of claims submitted for services delivered after April 1 for ten business days. [read post]
13 Jan 2022, 12:33 pm
Missouri, the Court agreed to stay lower court injunctions against the Center for Medicare and Medicaid Services vaccine mandate for Medicare and Medicaid service providers. [read post]
27 Feb 2014, 11:23 am
To the contrary, Omnicare pointed out, the Centers for Medicare and Medicaid Services (“CMS”) themselves have stated clearly that the “definition of a [Medicare] Part D drug is not based on the final form of the drug as dispensed to the beneficiary…. [read post]
16 Dec 2014, 8:00 am
CDHS submitted false statements pertaining to the reviews to the Center for Medicaid and Medicare Services (“CMS”) through a computer system (the PERM Eligibility Tracking Tool) designed to track and measure Medicaid payment error rates. [read post]
4 Aug 2008, 6:55 pm
An Ortho Supersite article excerpted from the journal Spine states CMS proposes to issue a national non-coverage determination for thermal intradiscal procedures (TIPs). [read post]
17 Jun 2016, 1:43 pm
Deny payment by Medicare or Medicaid for designated health services performed in violation of Stark Law regulations. [read post]
2 Nov 2018, 1:03 pm
Earlier this summer the Centers for Medicare & Medicaid Services (CMS) published its Calendar Year (CY) 2019 home health agency (HHA) and home infusion therapy supplier payment updates proposed rule. [read post]
20 Feb 2008, 7:06 am
As a result of its findings, OIG recommended (not ordered) that the Centers for Medicare & Medicaid Services instruct payment contractors to "re-examine" records for overpayments and then move to recover them where appropriate. [read post]
31 Jul 2012, 2:59 am
CMS concurred with the OIG’s recommendations and described its corrective actions in the OIG report, “The Centers for Medicare & Medicaid Services Did Not Reconcile Medicare Outlier Payments in Accordance With Federal Regulations and Guidance. [read post]
CMS Releases Proposed Rule to Revise Provider Enrollment Provisions and the Incentive Reward Program
3 May 2013, 11:45 am
On April 24, 2013, the Centers for Medicare and Medicaid Services (CMS) issued a proposed rule that increases CMS' ability prevent fraudulent Medicare providers from enrolling, or remaining enrolled in the Medicare program. [read post]
16 Jan 2010, 6:00 am
Key terms Overall rating One (worst) to five (best) stars, determined by the federal Centers for Medicare and Medicaid Services based on data in three elements: health inspections, nurse staffing, and measures of quality of care. [read post]
