Search for: "Centers for Medicare and Medicaid Services (CMS)"
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31 Mar 2011, 12:58 pm
The Centers for Medicare/Medicaid Services (CMS) requires their interests be protected prior to any settlement of the medical portion of a claim for qualified individuals. [read post]
7 Aug 2012, 1:45 pm
., Board Certified by The Florida Bar in Health Law On July 31, 2012, the Centers for Medicare and Medicaid Services (CMS) announced on its website that hospitals should brace themselves for prepayment … Continue reading ? [read post]
8 Aug 2012, 10:03 pm
This staggering sum—calculated by Avalere Health—is a result of several different federal budgetary actions and regulatory changes made by Congress and the Centers for Medicare and Medicaid Services since 2009. [read post]
Proposed Settlement Agreement Filed in Federal Court Which Could Change SNF and Home Health Coverage
31 Oct 2012, 11:41 am
During the two review periods, 21 and 14 days respectively, Plaintiffs would be allowed to provide comments and suggestions which the Centers for Medicare and Medicaid Services (CMS) must make a good faith effort to utilize. [read post]
26 Sep 2011, 4:48 am
A new rule issued by the Centers for Medicareand Medicaid Services (CMS) for skilled nursing facility Medicare reimbursementtakes effect on October 1st. [read post]
17 Oct 2012, 9:39 pm
Per the Qui Tam lawsuits, RxAmerica did not accurately represent prescription drug prices on the Medicare Prescription Drug Plan Finder, which is an online tool of the Centers for Medicare & Medicaid Services. [read post]
11 Jan 2010, 9:46 am
The Centers for Medicare and Medicare Services (CMS) and the Office of the National Coordinator for Health Information Technology (ONC) issued two proposed regulations December 30, 2009 outlining the terms of the EHR incentive programs, and identifying how providers can make “meaningful use” of EHR and the standards and specifications that will be used to develop “certified” EHR technology. [read post]
20 Nov 2014, 11:30 am
” By prohibiting case managers from being involved in and reviewing decisions regarding inpatient admissions, Prime was allegedly in direct violation of The Centers for Medicare and Medicaid Services (“CMS”) requirements that hospitals must have utilization review plans in place. [read post]
23 Aug 2011, 8:52 am
Background On July 29, The Centers for Medicare and Medicaid Services (CMS) decided and announced that they would be compensating for last year's $4 billion shortfall by cutting reimbursement rates to nursing homes by 11.1%. [read post]
18 Oct 2010, 12:35 pm
Centers for Medicare & Medicaid Services (CMS) improperly denied Medicare benefits to a patient in a skilled nursing facility. [read post]
20 Sep 2006, 6:57 am
This can happen when the physician who bills Part B bills for radiology services as “global” billing (for both the professional component and the technical component), as opposed to only for the professional component.The OIG made three recommendations as a result of its findings: (1) that the Centers for Medicare and Medicaid Services (“CMS”) should instruct Part B carriers to recover the overpayments; (2) that… [read post]
5 Jun 2017, 6:25 am
The Centers for Medicare & Medicaid Services (CMS) is readying a fraud prevention initiative that removes Social Security Numbers (SSN) from Medicare cards to help combat identity theft and safeguard taxpayer dollars. [read post]
11 Apr 2023, 11:05 am
Under traditional Medicare, health care providers are paid on a fee-for-service basis. [read post]
9 Dec 2011, 7:37 am
Forbes Magazine reports that the Centers for Medicare & Medicaid Services (CMS) will be conducting a preventative audit in 2012, before it pays out any tax-payer money for cardiology and orthopedic procedures. [read post]
26 Sep 2015, 6:14 pm
Public Summary Report: The Centers for Medicare & Medicaid Services’ Implementation of Security Controls Over the Multidimensional Insurance Data Analytics System Needs Improvement (A-06-14-00067). [read post]
30 Jun 2008, 2:15 pm
Countryman The Centers for Medicare and Medicaid Services (“CMS”) recently issued on June 8, 2008 an advisory opinion in which CMS addressed whether a proposed physician ownership in a diagnostic center complies with the rural provider exception to the Stark Law. [read post]
26 Jan 2022, 9:03 pm
But the administrator of MIPS—the Centers for Medicare & Medicaid Services (CMS)—projects that future developments of the program might address these challenges. [read post]
14 Sep 2020, 5:07 am
The Department of Health and Human Services (“HHS”) stated that this expansion would go on for no more than four months, and that the Centers for Medicare and Medicaid Services (“CMS”) would seek recoupment of these accelerated payments after 120-days from issuance of the accelerated payment has passed. [read post]
26 Mar 2008, 12:05 pm
" The plaintiffs, after the adoption of the statute, filed an "administrative appeal" with the "Centers for Medicare and Medicaid Services ("CMS"), the agency that administers Medicare on behalf of the Secretary [of Health and Human Services]. [read post]
22 Aug 2023, 7:50 am
The Centers for Medicare and Medicaid Services (CMS), which oversees the Medicare program, adjusts the payments to MA Plans based on demographic information and the diagnoses of each plan beneficiary. [read post]
