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29 Oct 2012, 8:05 am
Posted by Penny HahnOn October 1, 2012, the Centers for Medicare and Medicaid Services (CMS) implemented two long-anticipated programs under the Affordable Care Act of 2010 (ACA): the Hospital Value-Based Purchasing Program (VBP), and the Hospital Readmissions Reduction Program (RRP). [read post]
17 Jan 2022, 3:30 am
The Center for Medicare and Medicaid Services healthcare COVID-19 vaccine mandate (the “CMS Rule”) requires the staff of twenty-one types of Medicare and Medicaid healthcare providers to be fully vaccinated. [read post]
7 Nov 2022, 5:00 am
On October 7, 2022, the Centers for Medicare & Medicaid Services (CMS) published a request for information (RFI) notice seeking public comment on a proposed national healthcare provider directory. [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]
8 Apr 2013, 5:56 pm
CMS issued the following statement today concerning its policy implementation on Part D Coverage of Benzodiazepines and Barbiturates "On October 2, 2012, the Centers for Medicare & Medicaid Services (CMS) issued a memorandum to Part D Sponsors concerning the transition to Part D Coverage of Benzodiazepines and Barbiturates beginning in 2013. [read post]
3 Jul 2014, 1:00 pm
The program is designed to be an alternate dispute resolution process where the appellant and the Centers for Medicare & Medicaid Services ("CMS") come together to discuss a potential mutually agreeable resolution of claims appealed at the Administrative Law Judge ("ALJ") level. [read post]
30 Sep 2016, 4:58 am
2016 Recovery Thresholds for Certain Liability Insurance, No-Fault Insurance, and Workers’ Compensation Settlements, Judgments, Awards or Other Payments As required by section 1862(b) of the Social Security Act, the Centers for Medicare and Medicaid Services (CMS) has reviewed the costs related to collecting Medicare’s conditional payments and compared this to recovery amounts. [read post]
19 Aug 2009, 6:30 am
For those following the Mandatory Insurer Reporting requirements (MIR), the Centers for Medicare & Medicaid Services (CMS) released an updated Liability and Workers Compensation Insurance User Guide Version 2 dated 8-04-09. [read post]
14 Oct 2016, 10:47 am
The Centers for Medicare and Medicaid Services (CMS) has released the 2398 page final rule implementing the Medicare Access & CHIP Reauthorization Act of 2105 (MACRA) reforms that Congress has adopted to replace the Sustainable Growth Rate (SGR) rules for determining physician and other clinician payments under Medicare with the new MACRA Quality Payment Program. [read post]
14 Oct 2016, 10:47 am
The Centers for Medicare and Medicaid Services (CMS) has released the 2398 page final rule implementing the Medicare Access & CHIP Reauthorization Act of 2105 (MACRA) reforms that Congress has adopted to replace the Sustainable Growth Rate (SGR) rules for determining physician and other clinician payments under Medicare with the new MACRA Quality Payment Program. [read post]
4 Mar 2009, 7:43 pm
"The agreement says that the federal Centers for Medicare and Medicaid suspended payments to Galichia and the medical group. [read post]
5 May 2009, 6:20 am
" That's the case for 52 nursing homes, who find themselves in the Centers for Medicare & Medicaid Services uncomfortable spotlight. [read post]
9 Feb 2024, 7:30 am
Medicare and Medicaid only pay for medically necessary laboratory testing. [read post]
20 Aug 2012, 6:42 am
A new non-profit health insurer in Kentucky has received a $58.8 million loan from the Centers for Medicare and Medicaid Services (CMS). [read post]
16 Jul 2024, 8:09 am
The Centers for Medicare & Medicaid Services (“CMS”) and the Office of the National Coordinator for Health Information Technology (“ONC”) have released a final rule establishing “disincentives” (i.e., penalties) for health care providers that participate in certain Medicare payment programs who have engaged in information blocking, as determined by the HHS Office of Inspector General (“OIG”). [read post]
28 Mar 2013, 6:11 am
On March 13, 2013, the Centers for Medicare & Medicaid Services (CMS) concurrently issued a proposed rule and Administrator’s Ruling addressing the submission of Medicare Part B inpatient claims where a Medicare Part A claim for a hospital inpatient admission is denied by a Medicare review contractor on the grounds that the inpatient admission was not reasonable and necessary. [read post]
29 Dec 2008, 9:13 am
The Centers for Medicare & Medicaid Services recently published a report analyzing approximately 16,000 nursing homes in this country and assigned each a rating - from one star to five stars - based on such criteria as health inspections and staffing. [read post]
6 Jul 2010, 9:50 pm
Berwick to be administrator of the Centers for Medicare and Medicaid Services. [read post]
29 Dec 2008, 9:13 am
The Centers for Medicare & Medicaid Services recently published a report analyzing approximately 16,000 nursing homes in this country and assigned each a rating - from one star to five stars - based on such criteria as health inspections and staffing. [read post]
6 Feb 2012, 10:19 am
The Centers for Medicare and Medicaid Services (CMS) has announced that the Prior Authorization of Power Mobility Devices (PMDs) and the Recovery Audit Prepayment Review Demonstration Programs are expected to move forward on or after June 1, 2012. [read post]
