Search for: "Centers for Medicare and Medicaid Services (CMS)"
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2 Dec 2010, 5:00 am
Image via Wikipedia The Centers for Medicare and Medicaid Services (CMS) has recently issued a series of Alerts for Implementation of Medicare Secondary Payer Mandatory Reporting Provisions in Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (See 42 U.S.C. 1395y(b)(7) & (8)). [read post]
24 Dec 2015, 8:20 am
Department of Health and Human Services (HHS) Centers for Medicare and Medicaid Services (CMS) suspended payments to Dynasplint based upon the allegations in the lawsuit which it found to contain credible allegations of fraud in the claims and billing. [read post]
12 May 2017, 12:15 pm
The Centers for Medicare & Medicaid Services (CMS) has waived some of these coverage restrictions in eight innovative demonstration projects and payment and delivery models. [read post]
13 Dec 2022, 11:58 am
PCS and HHCS services subject to EVV requirements are very broad: all services requiring an in-home visit that are included in claims under the PCS or HHCS categories on the Centers for Medicare & Medicaid Services (CMS) Form-64 must comply with EVV requirements, even if they are bundled into different services or furnished through a managed care provider. [read post]
21 Dec 2011, 12:43 pm
The real question is what will CMS (the Center for Medicare and Medicare Services) do to prevent these frauds from taking place in the first place. [read post]
15 Oct 2012, 3:57 am
According to DOJ’s press release: In one of the first False Claims Act settlements involving Medicare’s Prescription Drug Program, known as Part D, RxAmerica LLC. has entered into a civil settlement agreement with the United States in which it has agreed to pay the government $5.25 million to resolve allegations that it made false submissions to the Centers for Medicare & Medicaid Services (CMS), the Justice Department announced… [read post]
2 Jan 2018, 8:35 am
One example of the lesser fine’s under the Trump administration was when The Centers for Medicare and Medicaid Services fined Lincoln Manor $282,954, including $10,091 a day for 28 days, for failing to monitor and treat the wound of a patient who died as a result of neglect. [read post]
11 Dec 2017, 8:25 am
On December 6, the Office of the Actuary at the Centers for Medicare and Medicaid Services (CMS) published a report on the health spending of the United States in 2016. [read post]
1 Jan 2013, 3:53 am
In particular, it faults the federal Centers for Medicare & Medicaid Services for inadequate oversight of the programs, whose costs are shared by states and the federal government, as is the norm for Medicaid. [read post]
8 Jun 2010, 5:52 am
Determination by CMS Chief Actuary; IPAB proposal Starting no later than April 30, 2013, the IPAB’s annual review process will begin with a determination by the Chief Actuary for the Centers for Medicare and Medicaid Services (CMS) of the projected per capita growth rate under Medicare from one year (the “Determination Year”) to the next one (the “Implementation Year’). [read post]
5 Jul 2018, 2:38 am
Provide Medicare coverage of opioid use disorder treatment services furnished by an opioid treatment program. [read post]
4 Jan 2012, 6:18 am
Recently, the Centers for Medicare and Medicaid Services (“Medicare”) released guidance (the “Alert”) relevant to conditional payment reimbursement under the Medicare Secondary Payer (“MSP”) Act (42 U.S.C. [read post]
4 Jan 2012, 6:18 am
Recently, the Centers for Medicare and Medicaid Services (“Medicare”) released guidance (the “Alert”) relevant to conditional payment reimbursement under the Medicare Secondary Payer (“MSP”) Act (42 U.S.C. [read post]
20 Feb 2017, 8:00 pm
Seema Verma, Administrator of Centers for Medicare and Medicaid Services (CMS) On February 16, 2017, the Senate Finance Committee held its first hearing on the nomination of Seema Verma for CMS Administrator. [read post]
16 May 2014, 6:09 pm
Gain an understanding of coverage issues involving Workers’ Compensation insurance policies and the operation of the Uninsured Employers Fund.Acquire information of the new rules and procedures for obtaining Medicare conditional payment information, and the new regulations onhow to appeal a Medicare determination involving reimbursement /debt owed the Centers for Medicare and Medicaid Services (CMS).Click… [read post]
5 Feb 2015, 12:44 pm
According to the Centers for Medicare & Medicaid Services (CMS), “The State of Maryland and CMS expect that the All-Payer Model will be successful in improving the quality of care and reducing program expenditures for Maryland residents, including Medicare, Medicaid, and CHIP beneficiaries. [read post]
1 Sep 2011, 12:53 pm
Berwick, M.D., Administrator of the Centers for Medicare & Medicaid Services. [read post]
1 Sep 2011, 12:53 pm
Berwick, M.D., Administrator of the Centers for Medicare & Medicaid Services. [read post]
11 Nov 2011, 9:03 am
On July 19, 2011, the Centers for Medicare and Medicaid Services ("CMS") published in the Federal Register its CY 2012 Physician Fee Schedule Proposed Rule ("Proposed Rule"). [read post]
2 Jan 2012, 6:33 am
On October 27th, The Centers for Medicare and Medicaid Services (CMS) approved California’s proposed Medicaid State Plan Amendment effective retroactively to June 1, 2011. [read post]
