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24 Mar 2022, 12:22 pm
Studies involving an IDE device qualify for Medicare coverage of the device and routine care services and items so long as the study is specifically approved by the Centers for Medicare and Medicaid Services (“CMS”). [read post]
27 Apr 2012, 1:01 pm
Sunday, July 1, 2012 - "5010 Implementation" - Recently, the Centers for Medicare & Medicaid Services (CMS) announced that it will delay for 90 days any enforcement action against any HIPAA-covered healthcare provider which has failed to complete its implementation of the Version 5010 format for electronic claims submissions. [read post]
16 Sep 2022, 1:35 pm
According to the Center for Medicare & Medicaid Services, nursing homes have an average turnover rate of 52%. [read post]
30 Dec 2011, 11:26 am
In the December 19, 2011 Federal Register, the Centers for Medicare and Medicaid Services ("CMS") issued its proposed rule for the Physician Payments Sunshine Act ("Proposed Rule"), which was promulgated as a result of Section 6002 of the Patient Protection and Affordable Care Act ("PPACA"). [read post]
6 Jan 2015, 9:30 pm
States must apply to the federal Centers for Medicare & Medicaid Services (CMS) for approval of these waiver programs, and they must reapply every three years to renew the federal government’s approval. [read post]
27 Mar 2020, 5:07 pm
(“ANTHEM”), alleging that ANTHEM falsely certified the accuracy of the diagnosis data it submitted to the Centers for Medicare and Medicaid Services (“CMS”) for risk-adjustment purposes under Medicare Part C and knowingly failed to delete inaccurate diagnosis codes. [read post]
6 Aug 2013, 6:03 pm
Report Highlights Concerns About Security Of Sensitive Personal Information Americans Will Share With HHS Exchange Portal AS HHS Invites Consumers To Set Up Personal Accounts The reported finding that the Department of Health & Human Services (HHS) has yet to complete the necessary security arrangements and testing for the web-portal Incomplete security arrangements and testing necessary to ensure the security of personal health and other information shared by consumers… [read post]
3 Oct 2023, 2:59 pm
The Centers for Medicare and Medicaid Services (CMS) pays Medicare Advantage Organizations for each beneficiary who enrolls and the payment is adjusted to account for various “risk” factors that affect expected health expenditures for the beneficiary. [read post]
2 May 2011, 5:06 am
Recently, Gould and Lamb has seen an increase in requests for submission to the Centers for Medicare/Medicaid Services CMS of “zero allocations. [read post]
3 Jan 2012, 1:40 am
But this new policy is likely to disproportionately affect hospitals that treat the most low-income patients, according to a Kaiser Health News analysis of data from the Centers for Medicare & Medicaid Services. [read post]
9 Jan 2020, 9:08 am
According to a recent article in McKnight’s Long-Term Care News, the Centers for Medicare and Medicaid Services (CMS) has plans to update its “Nursing Home Compare” information to include an “abuse icon” that will alert potential patients and their families to dangerous histories of abuse and neglect. [read post]
9 Jan 2020, 9:08 am
According to a recent article in McKnight’s Long-Term Care News, the Centers for Medicare and Medicaid Services (CMS) has plans to update its “Nursing Home Compare” information to include an “abuse icon” that will alert potential patients and their families to dangerous histories of abuse and neglect. [read post]
20 Mar 2012, 4:19 pm
Now, the Centers for Medicare and Medicaid Services has announced a campaign to stop unnecessary use of antipsychotics. [read post]
1 Apr 2011, 1:03 am
MMSEA does not change the recovery procedures under the Medicare Secondary Payer statute,1 but strengthens the statute and reinforces Medicare's status as a payer of last resort by requiring that defendants and their insurers take the lead in determining and reporting a plaintiff's potential status as a Medicare recipient to the Center for Medicare and Medicaid Services (CMS) within the Department of Health and Human… [read post]
8 Jul 2015, 9:46 am
” While the GAO observes that limiting hospitals’ Medicare Part B reimbursement for 340B discounted drugs or eliminating the 340B discount for drugs provided by hospitals to Medicare Part B beneficiaries could address such potential incentives, the Centers for Medicare & Medicaid Services (CMS) and HRSA lack the statutory authority to take such action. [read post]
15 Jul 2016, 8:43 am
Also, per Centers for Medicare & Medicaid Services (CMS) many doctors have reported feeling financial pressure to overprescribe opioids since Medicare payments to hospitals are tied to scores on the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey, therefore CMS is recommending that the pain management questions on the HCAHPS be eliminated. [read post]
24 Oct 2011, 2:05 pm
10/24/2011 Author: Deven McGraw Health Privacy HITECH/ARRA Implementation Medicare recipients now have more control over the privacy of their medical information, owing to new rules adopted last Thursday by the Centers for Medicare and Medicaid Services… [read post]
22 Oct 2019, 6:30 am
That’s what made it so unusual when the Centers for Medicare and Medicaid Services in 2017 “highly recommended that settlement recipients consider the use of a professional administrator for their funds. [read post]
3 Mar 2013, 8:54 pm
Centers for Medicare and Medicaid Services (CMS,) as prescribing anti-psychotic medications to patients and residents "At rates that are higher than Massachusetts and National averages"; sometimes "Over triple the national average." [read post]
17 Jul 2022, 7:57 pm
Those programs, comprising the Medicaid Drug Rebate Program, the 340B drug discount program, the Veterans Affairs drug discount program, the TRICARE retail refund program, and the Medicare Part D Coverage Gap Discount Program, are all implemented through agreements between the manufacturer and the government. [read post]
