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29 Aug 2017, 12:08 pm by Sean M. Cleary
In Miami-Dade, the Centers for Medicare & Medicaid Services rated three hospitals with the lowest rating of one star in 2016's overall hospital quality rating. [read post]
The final rule also addresses, among many other things: changes to MS-DRG classifications; new technology add-on payment applications; rate-of-increase limits for certain hospitals excluded from the IPPS that are paid on a reasonable cost basis; distribution of Medicare uncompensated care payments; electronic signature and electronic submission of the Certification and Settlement Summary page of Medicare cost reports; and elimination of newspaper notices for the Medicare… [read post]
29 Aug 2017, 4:41 am by Cynthia Marcotte Stamer
See The HHS Centers for Medicare & Medicaid Services’ (CMS) beneficiaries and their health care providers greater flexibility to provide Medicare-covered health care to meet emergency health needs under his authority in the Public Health Service Act and Social Security Act. [read post]
28 Aug 2017, 9:19 am by Dean Freeman
A $6,000-per-day penalty imposed by the Centers for Medicare and Medicaid Services on an Illinois nursing home was upheld by the U.S. [read post]
28 Aug 2017, 3:00 am
A critical protection for the elderly, according to Fair Arbitration Now Coalition (FANC), a group of more than 75 consumer, health and advocacy groups, is being stripped by the CMS (Centers for Medicare and Medicaid Services). [read post]
24 Aug 2017, 1:49 pm by Tim Curtis
Larry Hogan and the Centers for Medicare and Medicaid Services announced Thursday. [read post]
24 Aug 2017, 1:07 pm by Jerri Lynn Ward, J.D.
The Centers for Medicare & Medicaid Services (CMS) Quality Payment Program (QPP) includes the following pathways: the Merit-Based Incentive Payment System (MIPS) and the Alternative Payment Model (APM) Incentive program. [read post]
23 Aug 2017, 9:29 am by Fraud Fighters
Sightpath specializes in products and services in eye surgery centers and doctors’ offices across Canada and the U.S. that offer services that can be paid for by federal healthcare programs, such as Medicare. [read post]
23 Aug 2017, 9:29 am by Fraud Fighters
Sightpath specializes in products and services in eye surgery centers and doctors’ offices across Canada and the U.S. that offer services that can be paid for by federal healthcare programs, such as Medicare. [read post]
22 Aug 2017, 7:26 am by Michael O'Connor & Associates, LLC
Pennsylvania Attorney General Josh Shapiro is part of a coalition of 16 State Attorneys General and the Attorney General from the District of Columbia who sent a letter to the Centers for Medicare & Medicaid Services (CMS) hoping to protect nursing home patients. [read post]
22 Aug 2017, 7:26 am by Jerri Lynn Ward, J.D.
In a new press release, Centers for Medicare & Medicaid Services (CMS)  officially announced the opening of their Hospice Compare website. [read post]
22 Aug 2017, 6:13 am by Robert Kraft
Binding arbitration agreements “may be neither voluntary nor readily understandable,” and “this is especially true when consumers are making the difficult decisions regarding the long-term care of loved ones,” the attorneys general said in a recent letter to the federal Centers for Medicare and Medicaid Services. [read post]
21 Aug 2017, 11:02 am by Mark Astarita
The Securities and Exchange Commission today announced that hedge fund advisory firm Deerfield Management Company L.P. has agreed to pay more than $4.6 million to settle charges that it failed to establish, maintain, and enforce policies and procedures reasonably designed to prevent the misuse of inside information, including information about confidential government decisions.The case relates to insider trading charges that the SEC recently filed against current and former Deerfield analysts, a… [read post]
21 Aug 2017, 9:23 am by Wendy Wright (US)
On August 16, the Centers for Medicare and Medicaid Services (“CMS”) issued a proposed rule to cancel the Episode Payment Model and the Cardiac Rehabilitation incentive payment model. [read post]
20 Aug 2017, 11:12 pm by Rebecca C. Morgan Stetson Law
Here's the information from the Medicare website: The Centers for Medicare & Medicaid Services (CMS) is working diligently to make healthcare quality information more transparent and understandable for consumers in... [read post]
18 Aug 2017, 8:57 am by Wachler & Associates, P.C.
The December decision dictated certain yearly “targets” for HHS and the Center of Medicare and Medicaid Services (CMS) to meet regarding decreases to the number of backlogged appeals at the ALJ level. [read post]
16 Aug 2017, 1:23 pm by Matthew R. Arnold, Esq.
After a seeming victory last fall, when the Centers for Medicare and Medicaid Services (CMS) announced that a new rule would go into effect banning the use of arbitration agreements, there was an important setback earlier this summer. [read post]
Signals Trump Administration’s About-Face on Obama-Era Mandatory Innovation Models The Centers for Medicare & Medicaid Services (CMS) has just released a proposed rule to cancel a significant — but still-pending — Obama Administration program that would require certain hospitals to participate in Medicare episode payment models (EPMs) for acute myocardial infarction (AMI), coronary artery bypass graft (CABG), and surgical hip/femur… [read post]
15 Aug 2017, 3:55 pm by Cynthia Marcotte Stamer
A Centers for Medicare and Medicaid Services (CMS) proposed rule released Tuesday, August 15 would reduce the number of mandatory geographic areas for the joint bundled payment program and cancel the cardiac bundled payment program model for determining reimbursement of providers for care under Medicare. [read post]
15 Aug 2017, 5:31 am by Jerri Lynn Ward, J.D.
Outside of those reasons the increase in profits at hospices has received attention from regulators, prompting action from the Centers for Medicare & Medicaid Services (CMS) in a proposed rule that found that hospices were determining coverage based on reimbursement and cost instead of patient needs and preferences, according to the study. [read post]