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13 Nov 2012, 2:05 pm
On November 1, 2012, the Centers for Medicare and Medicaid Services (CMS) published its final rule detailing the durable medical equipment (DME) face-to-face encounter requirements. [read post]
13 Nov 2012, 1:49 pm
The Centers for Medicare and Medicaid Services (CMS) has extended the December 7 deadline for Medicare Open Enrollment. [read post]
6 Nov 2012, 6:12 am
CMS RELEASES FIVE RULES AFFECTING PROVIDER PAYMENTSOn November 1 and 2, the Centers for Medicare & Medicaid Services (CMS) released a flurry of rules dealing with healthcare provider payments for fiscal year 2013 and other matters. [read post]
5 Nov 2012, 11:34 am
RxAmerica, a subsidiary of CVS Caremark, entered a civil settlement agreement with the federal government and agreed to pay $5.25 million to resolve allegations that the company misrepresented prescription drug costs to seniors and submitted false claims to the Centers for Medicare & Medicaid Services (CMS). [read post]
5 Nov 2012, 6:13 am
On Thursday the Centers for Medicare and Medicaid Services (CMS) issued a final rule implementing a provision of the Affordable Care Act (ACA) that provides higher payments to primary care physicians that serve Medicaid beneficiaries. [read post]
5 Nov 2012, 6:13 am
On Thursday the Centers for Medicare and Medicaid Services (CMS) issued a final rule implementing a provision of the Affordable Care Act (ACA) that provides higher payments to primary care physicians that serve Medicaid beneficiaries. [read post]
5 Nov 2012, 5:51 am
The Medicare Payment Advisory Commission (MedPAC) has taken notice of the discrepancy and recopmmended last month that the Centers for Medicare and Medicaid (CMS) consider adopting a policy of site neutrality when setting payment for outpatient services. [read post]
4 Nov 2012, 7:12 pm
The CMS (Centers for Medicare and Medicaid Services) is highlighting this issue as part of its mission to get nursing homes to limit the use of these medicines in dementia patients. [read post]
2 Nov 2012, 4:04 pm
In an almost ironic turn of events, in a July 13, 2012 memorandum that our firm obtained from a MAC, the Centers for Medicare & Medicaid Services (CMS), while professing that it still believed that hospitals were not entitled to full Part B reimbursement in these situations, directed all MACs and other fiscal intermediary contractors to effectuate ALJ orders for full Part B reimbursement. [read post]
1 Nov 2012, 3:31 pm
The American Hospital Association ("AHA") and four hospitals (collectively, the "Plaintiffs") have filed a lawsuit against the Department of Health and Human Services ("HHS"), alleging that the Centers for Medicare and Medicaid Services ("CMS", a sub-agency of HHS), through its Medicare RAC Program, has inappropriately refused to pay for Medicare Part B services that it… [read post]
1 Nov 2012, 12:13 pm
In order to help them steer through all of the various choices and find the best Part D plan for their specific needs, the Centers for Medicare & Medicaid Services (CMS) has created a Plan Finder tool for participants. [read post]
Proposed Settlement Agreement Filed in Federal Court Which Could Change SNF and Home Health Coverage
31 Oct 2012, 11:41 am
During the two review periods, 21 and 14 days respectively, Plaintiffs would be allowed to provide comments and suggestions which the Centers for Medicare and Medicaid Services (CMS) must make a good faith effort to utilize. [read post]
31 Oct 2012, 7:46 am
The Centers for Medicare & Medicaid Services (CMS) has sent several final Medicare calendar year 2013 payment rules to the White House Office of Management and Budget (OMB) for final regulatory clearance. [read post]
30 Oct 2012, 6:57 am
According to the RACTrac survey, more than half of the respondents indicated that they have received no education from the Centers for Medicare and Medicaid Services (CMS) on avoiding payment errors. [read post]
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]
26 Oct 2012, 2:42 pm
The Centers for Medicare and Medicaid Services (CMS) has announced the 2014 clinical quality measures (CQMs) for the Electronic Health Record (EHR) Incentive Programs. [read post]
26 Oct 2012, 2:42 pm
The Centers for Medicare and Medicaid Services (CMS) has announced the 2014 clinical quality measures (CQMs) for the Electronic Health Record (EHR) Incentive Programs. [read post]
25 Oct 2012, 12:02 pm
This mean that the Centers for Medicare and Medicaid Services (CMS) could not require providers in the demonstration project to waive their right to the appeals process for inpatient claim denials which, under the demonstration, could then be re-billed under Medicare Part B for 90 percent of the Part B payment. [read post]
22 Oct 2012, 7:12 am
Under the Sustainable Growth Rate (SGR) formula used for Medicare Fee Schedule payments, doctors’ reimbursements for services are scheduled to be cut by 27% as of January 1, 2013.The Centers for Medicare & Medicaid Services (CMS) is required to follow the SGR formula, which was adopted in the Balanced Budget Act of 1997. [read post]
19 Oct 2012, 10:00 am
In October of 2012, the Centers for Medicare and Medicaid Services (CMS) announced it has discovered errors in its initial calculations. [read post]
