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13 Feb 2017, 12:01 pm
Attorney Brit Featherson commented: The law prohibits paying kickbacks, such as those alleged in this lawsuit, in order to gain access to Medicare and Medicaid funds…Kickback schemes are anti-competitive, undermine the integrity of our nation’s health care programs, and wrongly prioritize profits over patient care. [read post]
13 Feb 2017, 10:19 am
Also at risk will be access to Medicare and Medicaid funding, which is the primary means by which most patients can afford to receive care. [read post]
CMS Provides Sneak Preview of Future DMEPOS Competitive Bidding Plans Before Retracting Announcement
13 Feb 2017, 5:00 am
One week after unveiling the next round of Medicare durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) competitive bidding, the Centers for Medicare & Medicaid Services (CMS) has announced a “temporary delay” in order “to allow the new administration further opportunity to review the program. [read post]
12 Feb 2017, 9:00 am
On January 9, 2017, the Centers for Medicare & Medicaid Services (“CMS”) issued final rules that establish minimum standards for home health agencies (the “Rules”). [read post]
9 Feb 2017, 9:47 am
Following a journalistic investigation by Central Pennsylvania news outlet PennLive, which revealed numerous deficiencies in the state’s current system for categorizing and addressing violations, the Centers for Medicare and Medicaid Services issued new guidance to the Pennsylvania Department of Health. [read post]
9 Feb 2017, 9:28 am
Leapfrog found, “After analyzing July 1, 2013 to June 30, 2015 Centers for Medicare and Medicaid Services data plus results from a Leapfrog 2016 survey of hospitals vis-a-vis 30 national performance measures [that] 43 percent of the 2,633 hospitals studied received a C, D or F safety grade. [read post]
7 Feb 2017, 6:30 am
If the latter, the MSA should be submitted to the Centers for Medicare and Medicaid Services (CMS) for approval. [read post]
30 Jan 2017, 12:00 pm
Recently, the Centers for Medicare and Medicaid Services issued a broad revision of nursing home regulations, which began taking effect in late November 2016, and will continue to be phased in this year through 2019, making them the first updates... [read post]
30 Jan 2017, 5:00 am
In the face of growing scrutiny and now judicial pressure, the Centers for Medicare & Medicaid Services (CMS) published a final rule on January 17, 2017 implementing certain administrative and procedural actions in an effort to reduce the significant Medicare appeals backlog. [read post]
26 Jan 2017, 8:50 am
They unsuccessfully argued that regulation by the Center for Medicare and Medicaid Services, an office within the Department of Health and Human Services, would prevent the merged firm from increasing its prices or reducing benefits. [read post]
25 Jan 2017, 10:20 am
The rule being avoided was that as of July 1, 2007, Centers for Medicare/Medicaid Services revised nationwide policy regarding compounded inhalation solutions. [read post]
25 Jan 2017, 10:20 am
The rule being avoided was that as of July 1, 2007, Centers for Medicare/Medicaid Services revised nationwide policy regarding compounded inhalation solutions. [read post]
25 Jan 2017, 4:25 am
A major Centers for Medicare & Medicaid Services final rule published January 3, 2017 establishes mandatory Medicare episode payment models (EPM) for acute myocardial infarction, coronary artery bypass graft, and surgical hip/femur fracture treatment procedures furnished in designated geographic areas. [read post]
20 Jan 2017, 12:17 pm
This week, the Centers for Medicare and Medicaid Services (CMS) published a refresh of its Open Payments dataset, which includes new data to account for the result of disputes and other data corrections since the last refresh in June 2016. [read post]
18 Jan 2017, 10:25 am
CMS has finalized extensive changes to the conditions of participation (CoPs) that home health agencies (HHAs) must meet to participate in the Medicare and Medicaid programs. [read post]
18 Jan 2017, 7:36 am
In September, 2016, in response to a rising number of forced binding arbitration agreements at nursing homes and long-term care (LTC) facilities, the Centers for Medicare & Medicaid Services (CMS)... [read post]
18 Jan 2017, 7:06 am
In its recently released Request for Proposal for the Workers Compensation Review Contractor (WCRC), the Centers for Medicare and Medicaid Services (CMS) includes an option allowing CMS to expand the responsibilities of the WCRC to review of Liability Medicare Set-Asides (LMSAs) and No-Fault Medicare Set-Asides (NFMSAs) effective July 1, 2018. [read post]
17 Jan 2017, 2:50 pm
Most nursing home costs are mostly covered by Medicaid and Medicare programs, doling out an estimated $75 million a year. [read post]
17 Jan 2017, 1:26 pm
On January 17, 2017, the Centers for Medicare & Medicaid Services (“CMS”) finalized certain changes to the Medicare appeals process, with the intent to provide increased transparency and efficiency to cure the current backlog in pending appeals. [read post]
15 Jan 2017, 12:43 pm
The Centers for Medicare & Medicaid Services runs the site, and we recommended four ways CMS can improve it and make it a better tool for consumers, including adding consumer satisfaction scores. [read post]
