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8 Apr 2013, 9:30 pm
The Centers for Medicare and Medicaid Services (CMS) recently proposed a rule to implement a key provision of the Affordable Care Act (ACA) intended to protect Medicare beneficiaries. [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]
8 Apr 2013, 1:11 pm
On March 13, 2013, the Centers for Medicare & Medicaid Services (CMS) concurrently issued CMS Ruling Number CMS-1455-R (the Administrator’s Ruling) and a proposed rule, “Part B Inpatient Billing in Hospitals” (the Proposed Rule). [read post]
8 Apr 2013, 10:41 am
A frequent provider question is how to prevent MDS records from being submitted to the Centers for Medicare & Medicaid Services (CMS) when Prospective Payment System (PPS) MDS assessments are completed for private insurance and are marked A0410 = 3 due to bed certification. [read post]
3 Apr 2013, 8:34 am
– A message about MDS 3.0: The Centers for Medicare & Medicaid Services (CMS) has received several inquiries regarding coding MDS 3.0 item G0110: Activities of Daily Living (ADL) Assistance, Column 1: Self Performance. [read post]
2 Apr 2013, 4:31 pm
On April 2, 2013, the Centers for Medicare & Medicaid Services (CMS) held an Open Door Forum to discuss CMS's Administrator's Ruling (CMS-1455-R) and Proposed Rule (CMS-1455-P) that provide for significant changes to Medicare's Part B payment policy when a Part A hospital inpatient claim is denied as not medically necessary because the care was not provided in the appropriate setting. [read post]
29 Mar 2013, 2:47 pm
On Tuesday, April 2, 2013, the Centers for Medicare & Medicaid Services (CMS) will be holding an Open Door Forum for stakeholders in the healthcare community to call in and discuss the recent changes to the Medicare Part B payment policy in light of recently issued CMS Ruling. [read post]
29 Mar 2013, 1:36 pm
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]
29 Mar 2013, 12:33 pm
On March 22, 2013, the Centers for Medicare and Medicaid Services (CMS) released Change Request 8185 to implement CMS Ruling (CMS-1455-R) and provide Medicare contractors with additional guidance for accepting claims rebilled from Part A to Part B. [read post]
28 Mar 2013, 7:04 am
Note that while MedPAC’s recommendations are not binding, Congress and CMS often take into account MedPAC’s assessments when updating Medicare payment policies. [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]
28 Mar 2013, 6:03 am
The Centers for Medicare and Medicaid Services (CMS) will no longer require that a patient “improve” inorder to be entled to services. [read post]
27 Mar 2013, 5:30 am
Acute-care and critical access hospitals that had adverse complaint inspections in 2012 by the Centers for Medicare & Medicaid Services (CMS) may want to prepare to respond to press and public inquiries. [read post]
27 Mar 2013, 4:18 am
Centers for Medicare and Medicaid Services (CMS).AHCJ to make future iterations of this data more complete. [read post]
22 Mar 2013, 3:07 pm
The Office of Medicare Hearings and Appeals (OMHA) has released its instructions and recommended request form for withdrawing a Part A appeal pursuant to the Center for Medicare & Medicaid Service (CMS) Ruling 1455-R. [read post]
18 Mar 2013, 1:05 pm
On Wednesday, March 13, 2013, the Centers for Medicare and Medicaid Services (CMS) released a proposed rule that allows payment for additional hospital inpatient services under Medicare Part B. [read post]
18 Mar 2013, 1:05 pm
On Wednesday, March 13, 2013, the Centers for Medicare and Medicaid Services (CMS) released a proposed rule that allows payment for additional hospital inpatient services under Medicare Part B. [read post]
15 Mar 2013, 12:42 pm
On March 13, 2013, the Centers for Medicare & Medicaid Services ("CMS") released a Proposed Rule and Administrator's Ruling that provide for significant revisions to Medicare's Part B payment policy when a Part A hospital inpatient claim is denied as not medically necessary because the care was not provided in the appropriate setting. [read post]
15 Mar 2013, 9:27 am
On March 13, 2013, the Centers for Medicare and Medicaid Services ("CMS") concurrently issued Ruling CMS-1455-NR (the "Ruling") and a proposed rule for revising Medicare Part B billing policies in the event of Part A payment denials (the "Proposed Rule"). [read post]
12 Mar 2013, 12:25 pm
On March 8, 2013, the Centers for Medicare and Medicaid Services ("CMS") issued Transmittal 2668 (Change Request 8180) to Publication 100-04 (Medicare Claims Processing), rescinding and replacing Transmittal 2634 (January 11, 2013). [read post]
