Search for: "CMS Medical Service"
Results 261 - 280
of 2,543
Sorted by Relevance
|
Sort by Date
22 Jul 2018, 5:43 pm
Most workers' compensation fee medical fee schedules are linked either directly and indirectly the to Federal Medicare model and a proposed Rule published last week in the Federal Register proposes a single fee for all office visits.Valuing medical services at one rate in workers' compensation would eliminate litigating medical fee disputes and would also establish a more uniform fee payment system and certainty for insurance companies to anticipate… [read post]
23 Aug 2018, 6:18 am
CMS proposes numerous other changes to ACO program policies, including implementation of Bipartisan Budget Act of 2018 provisions that promote telehealth services and allow certain ACOs to provide incentive payments of up to $20 to assigned beneficiaries who receive qualifying primary care services. [read post]
15 Apr 2011, 5:59 am
Centers for Medicare and Medicaid Services (CMS) nearly stopped funding care at the University of Chicago Medical Center. [read post]
17 Jan 2023, 11:09 am
Part D Medication Therapy Management Program CMS proposes several changes to its medical therapy management (“MTM”) program to reduce eligibility gaps so that more Part D enrollees with complex drug regimens at increased risk of medication therapy problems would be eligible for MTM services. [read post]
3 May 2021, 2:13 pm
”[1] According to the Centers for Medicare & Medicaid Services (CMS), the COVID-19 PHE was determined to exist nationwide as of January 27, 2020.[2] Code 99072 became effective on September 8, 2020. [read post]
29 Aug 2017, 6:14 am
That is, CMS will work with Medicare Administrative Contractors “to confirm whether they are requesting such information when claims are selected for medical review and, if not, whether such information should be included in any additional documentation requests. [read post]
1 Nov 2019, 3:47 pm
The Centers for Medicare & Medicaid Services (CMS) has adopted — with limited changes — its controversial plan to rewrite Medicare pricing rules for new items of durable medical equipment (DME), prosthetics, orthotics and supplies (DMEPOS) as part of its annual DMEPOS policy update for calendar year (CY) 2020. [read post]
20 Nov 2014, 4:34 am
CMS intends to begin with revaluing the 10-day global services in CY 2017, and follow with the 90-day global services in CY 2018. [read post]
9 Nov 2015, 8:26 pm
The Centers for Medicare and Medicare Services (CMS) has invoked the element of time to encourage workers' compensation settlements to be finalized. [read post]
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]
9 Dec 2014, 6:36 am
In a letter dated December 3, 2014, the American Medical Association ("AMA") urged the Centers for Medicare and Medicaid Services ("CMS") to resolve the two-year backlog of Medicare and Medicaid appeals. [read post]
1 Aug 2018, 1:07 pm
Further, PDPM adjusts Medicare payments based on each aspect of a resident’s care, most notably for Non-Therapy Ancillaries (NTAs), which are items and services not related to the provision of therapy such as drugs and medical supplies, thereby more accurately addressing costs associated with medically complex patients. [read post]
2 Jul 2019, 2:11 pm
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]
27 May 2022, 3:51 pm
CMS clarified that a disruption of access occurs when the interruption or interference to accessing healthcare services occurs in the service area under § 422.112(a), including interruptions limited to a specific area such as a county. [read post]
17 Jan 2018, 5:00 am
CMS recently provided guidance to the states on the scope of the FFP limitation, noting that it only applies to DME covered by a state’s Medicaid program on a fee-for-service (FFS) basis that is also covered by Medicare. [read post]
25 Aug 2012, 5:56 am
We wanted to share American Association for Justice’s comments to Center for Medicare Services (CMS), on the potential review of 42 CFR 483 Subpart B. [read post]
12 Jun 2010, 6:00 am
In October 2008, the Center for Medicare & Medicaid Services (CMS) began requiring hospitals that receive federal funding from Medicare and Medicaid to begin disclosing "never events. [read post]
24 Aug 2018, 10:42 am
The Centers for Medicare and Medicaid Services (“CMS”) recently announced that, starting next year, Medicare Advantage (“MA”) plans will be allowed to require step therapy on Part B drugs and other physician-administered drugs. [read post]
12 Nov 2013, 9:01 am
Once activated, MACs will deny claims for Medicare Part B services (including lab services and the technical component of imaging services), durable medical equipment, and Part A home health agency (HHA) services if the ordering/referring physician or other professional is not identified, is not in Medicare's enrollment records, or is not of a specialty type that may order/refer the service/item being billed. [read post]
5 May 2021, 10:24 am
On May 3, 2021, the Centers for Medicare & Medicaid Services (CMS) published an 81-page final rule to both extend and change the Comprehensive Care for Joint Replacement (CJR) model. [read post]
