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23 Apr 2017, 5:39 pm by Steven Boutwell
By Lyn Savoie On March 27, 2017, the Centers for Medicare and Medicaid Services (CMS) posted revisions to the Voluntary Self-Referral Disclosure Protocol (SRDP), which provides a process for the disclosure of potential or actual violations of the federal physician self-referral law (commonly known as the Stark Law). [read post]
20 Aug 2018, 5:52 pm by Jerri Lynn Ward, J.D.
In a new report by The HHS Office of Inspector General, the Centers for Medicare & Medicaid Services (CMS) was found to have wrongly funded $434.4 million in financial assistance payments to qualified health plan (QHPs) issuers for 461,127 policies. [read post]
The New Hampshire Attorney General and the federal Center for Medicare and Medicaid Services are investigating Wentworth-Douglass Hospital’s decision not to notify patients or the Attorney General of a security incident that occurred more than two years ago. [read post]
Centers for Medicare and Medicaid Services (CMS) released Open Payments data reflecting payments and transfers of value from drug and medical device companies to physicians and teaching hospitals in 2018, totaling approximately $9.35 billion in payments and more than 11.4 million payment records. [read post]
7 Dec 2018, 8:44 am by Gail L. Daubert and Debra A. McCurdy
Responding to longstanding industry criticisms, the Centers for Medicare & Medicaid Services (CMS) has announced a number of changes to the Healthcare Common Procedure Coding System (HCPCS) coding process for 2019. [read post]
2 Oct 2020, 9:11 am by Wachler & Associates, P.C.
On September 25th 2020, and in response to the 2019 Novel Coronavirus (“COVID-19”) pandemic, the Centers for Medicare & Medicaid Services (“CMS”) announced a new Quick Start Guide and expedited review process to make it easier for laboratories pursuing Clinical Laboratory Improvement Amendments (“CLIA”) certification to offer COVID testing. [read post]
25 Jan 2018, 11:03 am by Michael Cook
Veterans Administration and CMS Announce Partnership to Address Fraud Prevention (January 25, 2018): On January 23rd, the Veteran Administration (VA) and the Centers for Medicare and Medicaid Services (CMS) announced a “partnership to strengthen prevention of fraud, waste and abuse. [read post]
12 Sep 2018, 8:46 pm by Jerri Lynn Ward, J.D.
In a press release revealed today, the Centers for Medicare & Medicaid Services (CMS) announced its efforts to provides American consumers with the ability to claim a hardship exemption from the tax penalty imposed  by the ACA (Obamacare) for not maintaining health coverage for 2018 on their federal income tax returns, making it easier for taxpayers across the nation to claim their exemption. [read post]
25 Feb 2010, 12:43 pm by The Health Law Partners
On February 18, 2010, the Centers for Medicare and Medicaid Services released a transmittal addressing home health agencies ("HHAs") that have deactivated billing privileges as well as conditions on HHAs and changes in ownership (the "Revised HHA Policy"). [read post]
28 Aug 2015, 9:47 am by Law Offices of Ben Yeroushalmi
This petition has been addressed to the Centers for Medicare and Medicaid Services (CMS), urging them to cease the use of pre-dispute, forced arbitration clauses in nursing home contracts. [read post]
8 Jan 2024, 9:39 am by Julia Kourpas
Back in September of 2023, the Centers for Medicare and Medicaid Services proposed a staffing mandate that would enforce staffing requirements within nursing home facilities. [read post]
15 Apr 2013, 9:41 am by Jerri Lynn Ward, J.D.
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]
7 Mar 2012, 8:10 am
- The Center for Medicare and Medicaid Services (CMS) published draft regulations on meaningful use, set to be implemented in phases [read post]
11 Nov 2013, 1:16 pm
Tomorrow from 1:00-2:00 pm Eastern Time, the Centers for Medicare & Medicaid Services (CMS) will hold a third open door forum (ODF) to discuss the Fiscal Year (FY) 2014 Inpatient Prospective Payment System (IPPS)/Long-Term Care Hospital (LTCH) Final Rule (CMS-1599-F). [read post]
19 Feb 2014, 12:07 pm
On January 16, 2014, the Centers for Medicare & Medicaid Services ("CMS") announced that it will release a national provider Comparative Billing Report ("CBR") addressing Positive Airway Pressure ("PAP") Devices and Accessories. [read post]
24 Apr 2015, 11:32 am by Jon Gelman
The process has yet to unfold when an injured workers moves for standing to appear and participate in the process.On February 27, 2015, the Centers for Medicare & Medicaid Services (CMS) issued a final rule implementing certain provisions of the Strengthening Medicare and Repaying Taxpayers Act of 2012 (the SMART ACT). [read post]
26 Sep 2013, 10:28 am
Today from 2:00-3:00 pm Eastern Time, the Centers for Medicare & Medicaid Services (CMS) will hold a special follow-up Open Door Forum to discuss the Fiscal Year (FY) 2014 Inpatient Prospective Payment System (IPPS)/Long-Term Care Hospital (LTCH) Final Rule (CMS-1599-F) as well as the CMS guidance on physician order and certification. [read post]
30 May 2017, 8:39 am by Ken Herzinger
The alleged insider trading scheme involved tips related to three announcements by the Center for Medicare & Medicaid Services (“CMS”) regarding non-public rate changing decisions affecting the stock of issuers in the healthcare industry. [read post]
30 Nov 2012, 3:00 am by Kyle Krull
The numbers are fairly enlightening: In 2010, 40 percent of Part A appeals and 53 percent of Part B appeals were granted, according to the Centers for Medicare & Medicaid Services, which administers Medicare (CMS). [read post]
10 Jan 2012, 1:37 am by Bob Kraft
Inside Health Policy reports that trial lawyers and other stakeholders are hailing recent guidance from the Centers for Medicare and Medicaid Services on a program for repaying Medicare for medical services following a third-party settlement, saying that it will help streamline the process. [read post]