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15 Jul 2013, 7:19 am
The Centers for Medicare and Medicaid Services (CMS) have recently announced a tally of 29 settlements under the Voluntary Self-Referral Disclosure Protocol (SRDP). [read post]
11 Jul 2013, 11:00 pm by Christina Reichert
Department of Health and Human Services’ (HHS) Centers for Medicare and Medicaid Services (CMS) issued a rule on Medicaid eligibility and Medicaid & Children’s Health Insurance.The National Oceanic and Atmospheric Administration (NOAA) extended the comment period for the shark finning rule. [read post]
9 Jul 2013, 4:13 am by David DePaolo
Texas is getting a lesson in state independence.Like many workers' compensation systems, Texas has tied its medical treatment reimbursement schedule to Medicare's schedule.The Texas Division of Workers' Compensation issued a memo on June 17 that its medical fee guidelines require the use of Medicare billing policies and it was legally required to implement the Centers for Medicare and Medicaid Services' new rule requiring physical therapists,… [read post]
8 Jul 2013, 2:06 pm by Elizabeth Litten
  Approved MSSPs must sign a Data Use Agreement with the Centers for Medicare & Medicaid Services (CMS) before it can obtain data from CMS that contains Medicare beneficiaries’ PHI. [read post]
8 Jul 2013, 10:47 am by Cynthia Marcotte Stamer
Most health care providers recognize the significant exposure they incur from overbilling Medicare or other federal programs as a result of the highly publicized, heavy-handed audit and enforcement activities of the Centers for Medicare & Medicaid Services (CMS), the Department of Health & Human Services Office of Inspector General (OIG) and Department of Justice (DOJ). [read post]
3 Jul 2013, 7:11 am by Jerri Lynn Ward, J.D.
” – McKnight’s –  “The American Health Care Association (AHCA) today submitted comments to the Centers for Medicare and Medicaid Services (CMS) in response to the agency’s proposed rule for the Skilled Nursing Facility Prospective Payment System (SNF PPS) for FY2014. [read post]
2 Jul 2013, 12:08 pm by Cynthia Marcotte Stamer
The Department of Health & Human Services (HHS) Office of Inspector General (OIG) is recommending that the Centers for Medicare & Medicaid Services (CMS) step-up efforts to collect Medicare overpayments to providers currently considered uncollectable because the provider has failed to repay overpayments identified and demanded by CMS six or more months after CMS demands repayment. [read post]
2 Jul 2013, 9:56 am
According to the report, the Centers for Medicare and Medicaid Services (CMS) agreed to the OIG's urge to heighten monitoring over Part D prescribers. [read post]
1 Jul 2013, 2:41 pm
On June 27, 2013, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule which would cut payments to home health agencies (HHA) by 1.5 percent, or $290 million, in calendar year (CY) 2014. [read post]
27 Jun 2013, 2:52 pm
In 2010, the Center for Medicare and Medicaid Services (CMS) reported that nearly 17 percent of nursing home residents were receiving antipsychotic medications that exceeded recommended levels on a daily basis. [read post]
27 Jun 2013, 2:32 pm
The Centers for Medicare & Medicaid Services (CMS) has updated the Appeals of Claims Decisions chapter of the Medicare Claims Processing Manual. [read post]
27 Jun 2013, 4:39 am by Jon Gelman
http://workers-compensation.blogspot.com/ Workers' Compensation: CMS Publishes WCMSA Operating Rules Dec 19, 2008 The Centers for Medicare and Medicaid Services (CMS) has now published a copy of its Operating Rules regarding the evaluation of set-aside proposals. [read post]
27 Jun 2013, 12:11 am
While the credit card industry uses data mining techniques to flag fraud within minutes, CMS [Center for Medicaid and Medicare Services] has allowed the most obvious cons to run for years, rarely the wiser. [read post]
25 Jun 2013, 1:04 pm
The Centers for Medicare & Medicaid Services (CMS) contract RACs to detect and recuperate improper Medicare program payments. [read post]
20 Jun 2013, 11:00 pm by Christina Reichert
Supreme Court decided that the Federal Trade Commission (FTC) can continue its antitrust suit against drug companies for their pay-for-delay agreements.The Securities Exchange Commission (SEC) reviewed its neither-admit-nor-deny policy and decided that it may seek admissions of guilt in certain settlements.The Environmental Protection Agency (EPA) proposed amendments to the agency’s emissions reporting requirements for local, state, and tribal entities.The White House and the European Union… [read post]
20 Jun 2013, 12:41 pm
The Centers for Medicare and Medicaid Services (CMS) contracts with sponsors that provide drug coverage to beneficiaries enrolled in Medicare Part D. [read post]
17 Jun 2013, 9:30 pm by Bianca Nunes
The Centers for Medicare and Medicaid Services (CMS) recently proposed a rule that would substantially increase the potential reward for individuals who report Medicare fraud. [read post]
17 Jun 2013, 3:06 pm
The CBP has been in effect for one year in nine areas, and, according to the Centers for Medicare & Medicaid Services ("CMS"), has already resulted in $202 million in savings. [read post]
17 Jun 2013, 2:01 am by Jon Gelman
http://workers-compensation.blogspot.com/ CMS Publishes Brand New Reference Guide for Medicare Set-Aside Mar 29, 2013 A new Workers' Compensation Medicare Set-Aside Arrangement (WCMSA) Reference Guide has been posted and is available to be downloaded on the CMS (Centers for Medicare & Medicad Services) website. [read post]
13 Jun 2013, 6:54 am by Jerri Lynn Ward, J.D.
The reform act says that every Medicare- or Medicaid-certified nursing facility must be directly overseen by a governing body that appoints an administrator, and the administrator must be ‘directed by and answerable to’ the governing body alone. [read post]