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9 Aug 2010, 3:19 am
CMS PROPOSES CHANGES TO “36 MONTH RULE” FOR HOME HEALTH:In late July, the Centers for Medicare and Medicaid Services (CMS) published a proposed rule for the Medicare Home Health Prospective Payment System (HH PPS) Rate Update for Calendar Year 2011. [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]
6 Jan 2010, 8:29 pm
Enforcement of reimbursement rights rests with the Centers for Medicare and Medicaid Services (CMS). [read post]
28 Mar 2018, 5:58 am
Under the MSSP, an ACO’s quality and financial performance is assessed annually by the Center for Medicare and Medicaid Services (“CMS”) based on its assigned beneficiaries to determine whether the ACO has met the quality performance standards and reduced growth in expenditures compared to a historical financial benchmark. [read post]
13 Feb 2014, 12:28 pm
Payment under this model would include all related services furnished during the episode, such as practitioners’ services (e.g., anesthesia, pathology, and/or radiology), diagnostic tests, Medicare-covered prescription drugs, and if applicable, ambulatory surgical center or hospital outpatient department facility payments. [read post]
24 Feb 2012, 6:30 am
Yesterday the Centers for Medicare & Medicaid Services (CMS) announced the proposed rule for Stage 2 Meaningful Use under the the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs which is a part of the Health Information Technology for Economic and Clinical Health Act (HITECH).The incentive program is part of the national health information technology reform effort under the American Recovery and Reinvestment Act of… [read post]
26 Feb 2013, 11:43 am
Earlier this month, the Centers for Medicare and Medicaid Services (CMS) released final regulations implementing the federal Physician Payment Sunshine Act contained in the Federal Accountable Care Act. [read post]
3 Nov 2012, 7:32 pm
Centers for Medicare and Medicaid Services estimated that 14.5 million people will enroll in Medicare Advantage plans in 2013, based on insurance industry expectations. [read post]
5 Oct 2022, 4:11 am
The Centers for Medicare and Medicaid Services (CMS) initially suspended most audit activity as a result of the Public Health Emergency (PHE). [read post]
20 Jun 2015, 8:40 pm
The Department of Aging and Disability Services (DADS) seeks to inform providers that the Centers for Medicare and Medicaid Services (CMS) has revised State Operations Manual Appendix J to reflect current standards of practice. [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]
MedPAC recommends Medicare payment updates for 2021 – but all rate bets are off in light of COVID-19
24 Mar 2020, 2:51 pm
Note that the Centers for Medicare & Medicaid Services (CMS) announced on March 22, 2020 that it is granting various exceptions and extensions related to Medicare quality reporting requirements as part of its COVID-19 response. [read post]
14 Jun 2016, 6:30 am
The series explores the issue of long-term opioid use for noncancerous pain in workers’ compensation MSAs and how the Centers for Medicare and Medicaid Services are addressing it. [read post]
28 Dec 2012, 5:36 am
Dec 23, 2008 A formal process exits to obtain a waiver of an Overpayment Recovery request from The Center for Medicare and Medicaid Services [CMS]. [read post]
19 Mar 2012, 11:02 am
The Centers for Medicare & Medicaid Services (CMS) recently published proposed rules setting forth the “Stage 2” criteria that eligible providers (EPs), eligible hospitals (EHs), and critical access hospitals (CAHs) (referred to herein collectively as “providers”) would be required to meet in order to qualify for Medicare and/or Medicaid incentive payments for the use of electronic health records (EHRs) (“Stage 2… [read post]
17 Dec 2020, 12:26 pm
You can visit this page on the Centers for Medicare and Medicaid Services site to see the premiums for all the different ascending brackets. [read post]
30 Sep 2016, 12:30 pm
One of the most prevalent methods that companies employ when committing healthcare fraud is to overbill Medicare and Medicaid for the services that they provide to their patients by submitting false claims for reimbursement. [read post]
1 Sep 2023, 10:33 am
The Centers for Medicare & Medicaid Services (CMS) recently announced the Making Care Primary (MCP) Model, a new voluntary primary care model that will be tested in eight states. [read post]
30 Jun 2015, 12:20 pm
The agency that runs Medicare (the Centers for Medicare and Medicaid Services, or CMS) included advance care planning as a voluntary service when the Affordable Care Act (ACA, or Obamacare) established annual wellness visits. [read post]
26 Jan 2010, 5:30 pm
With the new emphasis on reporting all work comp claims to Centers for Medicare and Medicaid Services (CMS), the claim adjusters are much less likely to “overlook” the MSA requirements. [read post]
