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27 Feb 2015, 4:16 pm
This week, the Centers for Medicare and Medicaid Services (CMS) released some important data regarding one of these value-based payment programs: the Value Modifier program. [read post]
15 Oct 2021, 9:39 am
Keeping Track of Nursing Home Facilities with Track Records of Abuse and Neglect In an effort to protect elderly residents, the Centers for Medicare & Medicaid Services (CMS) established the Special Focus Facility (SFF) program that identifies nursing homes that have very poor records of caring for residents. [read post]
2 Oct 2010, 12:20 pm
What is surprising is the degree of consensus that Medicare’s shift to auctions is fatally flawed and must be fixed for the Medicare auctions to succeed in lowering costs while maintaining quality for medical equipment and supplies.For the last ten years, the Centers for Medicare and Medicaid Services has been testing an auction approach that is incredible in the inefficiency of its flawed design. [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]
27 Oct 2010, 12:18 pm
A new report recently released shows that the Center for Medicare and Medicaid Services could save billions of dollars by making substantive changes to the way care is managed, delivered and paid for at skilled nursing and other long-term-care facilities. [read post]
11 Aug 2020, 9:24 am
The proposed rule is scheduled for publication in the Federal Register on Wednesday, August 12, 2020 and would revise the Medicare hospital OPPS and the Medicare Ambulatory Surgical Center (“ASC”) payment systems for calendar year (“CY”) 2021. [read post]
1 Oct 2012, 6:19 am
Please contact us if you would like further information about potential audits of Evaluation and Management codes or for assistance in helping to resolve other issues with any of the legion of CMS auditors that inhabit the Medicare-Medicaid Audit World. [read post]
14 May 2010, 6:24 pm
Prior to 2009, HHS divided civil enforcement responsibility for HIPAA between OCR, which enforced the HIPAA Privacy Rule, and the Centers for Medicare and Medicaid Services (“CMS”), which enforced the HIPAA Security Rule. [read post]
5 Apr 2023, 11:37 am
A 2001 study by the Centers for Medicare and Medicaid Services (CMS) promoted a 4.1 minimum hours per patient day (PPD) in order to meet federal quality standards. [read post]
20 Dec 2021, 6:44 am
The following is an excerpt: As we previously reported, the Centers for Medicare & Medicaid Services’ (CMS’s) interim final rule (the “Rule”) requiring full COVID-19 vaccination for staff and others at Medicare- and Medicaid-certified providers and suppliers (i.e., the “vaccine mandate”) was effectively stayed nationwide on November 30, 2021, by the U.S. [read post]
10 Jun 2011, 2:39 pm
CDT directed its comments to the Center for Medicare and Medicaid Services (CMS), urging CMS to retain this opt-out policy in its final rule on Medicare claims data. [read post]
8 Jul 2011, 6:07 pm
The Centers for Medicare & Medicaid Services (CMS) is currently Pilot Testing the Workers' Compensation Medicare Set-aside Portal (WCMSAP), a web-based application. [read post]
23 Sep 2009, 1:30 am
Therefore, by use of this information, Medicare will be able to properly determine when its financial responsibility is secondary so that it can reduce its payments to a beneficiary, or if payments have already been made, recoup those payments.Reporting RequirementsSection 111 of the Act requires GHP insurers, liability insurers (including self-insurers), no-fault insurers, and workers’ compensation insurers to (i) determine whether a claimant (including an individual whose claim… [read post]
11 Feb 2010, 8:47 am
Recently, the Centers for Medicare & Medicaid Services (CMS) approved the following three national accreditation organization to provide the accreditation services for suppliers of the TC of advanced diagnostic imaging procedures: (1) the American College of Radiology; (2) the Intersocietal Accreditation Commission; and (3) the Joint Commission. [read post]
29 Jun 2016, 2:46 pm
The Centers for Medicare & Medicaid Services (CMS) recently included these events as short-stay quality measures that will give skilled nursing facilities further incentives to decrease potentially preventable hospital transfers. [read post]
23 Mar 2023, 1:02 pm
In the final year of the Trump administration, just before the COVID-19 pandemic, the Centers for Medicare and Medicaid Services (CMS) sought to push the outer bounds of this question by announcing the Healthy Adult Opportunity (HAO) initiative. [read post]
30 Nov 2020, 7:02 am
It’s imperative to make sure that making changes or eliminating anything from the proposed MSA is done in a way that meets the approval of treating physicians — especially if seeking the approval from the Centers for Medicare and Medicaid Services. [read post]
10 Jan 2012, 1:37 am
Inside Health Policy reports that trial lawyers and other stakeholders are hailing recent guidance from the Centers for Medicare and Medicaid Services on a program for repaying Medicare for medical services following a third-party settlement, saying that it will help streamline the process. [read post]
18 Jul 2018, 6:30 am
The Centers for Medicare and Medicaid Services is very specific regarding what can and should be included to gain its approval. [read post]
24 Dec 2012, 9:19 am
Centers for Medicare and Medicaid Services (CMS), PublicSource found that more deficiencies were issued in Pittsburgh than in any other city in the state. [read post]
