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7 Jul 2016, 11:30 pm
According to the press release, the Centers for Medicare & Medicaid Services (CMS) also revoked the CLIA certificate for the company's Newark, California lab. [read post]
7 Jul 2016, 12:22 pm
Proposed State Plan Amendment for Therapy Services The Health and Human Services Commission has submitted to the Centers for Medicare and Medicaid Services the state plan amendment to update Medicaid payments and fee schedules for physical, occupational and speech therapy services. [read post]
6 Jul 2016, 3:57 pm
On July 6, 2016, the Centers for Medicare & Medicaid Services (CMS) published its Calendar Year (CY) 2017 Outpatient Prospective Payment System Proposed Rule. [read post]
6 Jul 2016, 3:30 am
Further, the Centers for Medicare and Medicaid Services recently issued changes to the 2016 Medicare physician fee schedule to allow for end of life care planning payments, highlighting the critical importance of this issue. [read post]
5 Jul 2016, 8:34 pm
"The move stems from an order, made Thursday, [June 30] that the company pay $13.4 million to the federal Centers for Medicare & Medicaid Services as part of the Affordable Care Act’s Risk Adjustment Program. [read post]
5 Jul 2016, 10:21 am
The Centers for Medicare & Medicaid Services (“CMS”) has also stepped up its own efforts to combat health care fraud. [read post]
4 Jul 2016, 8:30 am
The Centers for Medicare & Medicaid Services (CMS) has published its proposed rule to update the Medicare end-stage renal disease (ESRD) prospective payment system (PPS) for calendar year (CY) 2017. [read post]
30 Jun 2016, 8:25 am
The Centers for Medicare & Medicaid Services (“CMS”) published the long-awaited final rule February 12, 2016, clarifying the specific procedures applicable to the statutory requirement under the Affordable Care Act (“ACA”) for providers and suppliers to report and return overpayments within 60 days. [read post]
29 Jun 2016, 2:46 pm
The Centers for Medicare & Medicaid Services (CMS) recently included these events as short-stay quality measures that will give skilled nursing facilities further incentives to decrease potentially preventable hospital transfers. [read post]
29 Jun 2016, 10:04 am
The Centers for Medicare and Medicaid Services (CMS) has promulgated a proposed rule that makes numerous revisions to the appeals process for Medicare claims. [read post]
23 Jun 2016, 7:03 am
In addition, the HHS Centers for Medicare & Medicaid Services (CMS) is suspending payment to a number of providers using its suspension authority provided in the Affordable Care Act. [read post]
22 Jun 2016, 10:59 am
On June 23, 2016, the Centers for Medicare & Medicaid Services (CMS) is publishing a major final rule to base Medicare clinical laboratory fee schedule (CLFS) reimbursement on private insurance payment amounts, as required by the Protecting Access to Medicare Act of 2014 (PAMA). [read post]
21 Jun 2016, 1:15 pm
Health care reform and new rules and protocols by CMS (Centers for Medicare and Medicaid Services) have made many nursing facilities take a different approach at their bottom line. [read post]
17 Jun 2016, 1:43 pm
Deny payment by Medicare or Medicaid for designated health services performed in violation of Stark Law regulations. [read post]
17 Jun 2016, 1:37 pm
The OIG reviewed oversight by the Centers for Medicare & Medicaid Services (CMS) of compliance by hospitals with the Medicare provider-based status regulations (42 CFR 413.65) to ensure that outpatient departments that were billing and receiving Medicare facility fees met the requirements. [read post]
16 Jun 2016, 7:17 am
* * * The Anti-Kickback Statute prohibits the knowing and willful payment of any remuneration to induce the referral of services or items that are paid for by a federal healthcare program, such as Medicare, Medicaid or TRICARE. [read post]
15 Jun 2016, 8:08 am
” The SEC further alleges that Valvani in turn tipped fellow hedge fund manager Christopher Plaford, who is charged in a separate complaint with insider trading on this nonpublic information as well as other material he received confidentially from a former Centers for Medicare and Medicaid Services official about an impending cut to Medicare reimbursement rates for certain home health services. [read post]
14 Jun 2016, 6:30 am
The series explores the issue of long-term opioid use for noncancerous pain in workers’ compensation MSAs and how the Centers for Medicare and Medicaid Services are addressing it. [read post]
9 Jun 2016, 11:42 am
In accordance with the Improper Payments Elimination and Recovery Improvement Act of 2012 (IPERIA), the Centers for Medicare & Medicaid Services (CMS) conducted a Payment Error Rate Measurement (PERM) review for FY 2014 claims from NFs and ICFs/IID. [read post]
8 Jun 2016, 8:58 am
On June 1, 2016, the US Food and Drug Administration (FDA) published in the Federal Register (81 Federal Register 35032) a draft guidance for sponsors, clinical investigators, industry, IRBs, and FDA staff regarding categorization of Investigational Device Exemption (IDE) devices as either a Category A or Category B device to assist the Centers for Medicare and Medicaid Services (CMS) with making Medicare coverage decisions for such devices. [read post]
