Search for: "Centers for Medicare and Medicaid Services (CMS)"
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14 Apr 2023, 5:05 am
The Centers for Medicare & Medicaid Services (CMS) recently proposed a rule aimed at “ownership transparency,” or as the article describes it, “a rule requiring more ownership disclosures and floating definitions of private equity and real estate investment trusts. [read post]
13 Apr 2023, 10:29 am
Shockingly, neither the Centers for Medicare and Medicaid Services (CMS) nor the New Jersey Department of Health tracks cumulative numbers of nursing home abuse complaints specific to resident-to-resident assaults. [read post]
13 Apr 2023, 8:41 am
The Medicare Act does not expressly provide for judicial review of overpayment determinations made by the Centers for Medicare & Medicaid Services (CMS) under the agency’s controversial Risk Adjustment Data Validation (RADV) program for Medicare Advantage (MA) organizations. [read post]
13 Apr 2023, 8:33 am
Note that OIG cautions that Centers for Medicare & Medicaid Services (CMS) may have their own take on these terms. [read post]
11 Apr 2023, 11:05 am
Under traditional Medicare, health care providers are paid on a fee-for-service basis. [read post]
10 Apr 2023, 8:01 am
Preventive Services Task Force (“USPSTF”) as a recommended preventive care service in the current USPSTF’s Guide to Clinical Preventive Services; (ii) the Visa or MasterCard gift card valued at up to $75 was not disproportionately large in relationship to the value of the preventive care service; and (iii) the Test would not be tied, directly or indirectly, to the provision of additional services (such as a colonoscopy) reimbursable by… [read post]
5 Apr 2023, 11:37 am
A 2001 study by the Centers for Medicare and Medicaid Services (CMS) promoted a 4.1 minimum hours per patient day (PPD) in order to meet federal quality standards. [read post]
4 Apr 2023, 12:58 pm
On March 15, the Centers for Medicare and Medicaid Services (CMS) released guidance on the drug price negotiations provisions of the Inflation Reduction Act (IRA). [read post]
3 Apr 2023, 5:00 am
The Centers for Medicare & Medicaid Services (CMS) recently issued a proposed rule that would require disclosure of private equity (PE) or real estate investment trusts (REITs) ownership, managerial, and other disclosable information for Medicare skilled nursing facilities (SNFs). [read post]
31 Mar 2023, 1:22 pm
Of note, starting in 2024 and going forward, the No UPCODE Act would require Center for Medicare & Medicaid Services (“CMS”) to: Use two years of diagnostic data in in calculating the risk-adjusted payment rates, rather than the one year reviewed currently; Not consider diagnoses collected from a chart review or health risk assessment when making risk adjustments for health status, a common risk adjustment approach of plans; … [read post]
30 Mar 2023, 7:30 pm
Audits’ Purpose Under the Medicare Advantage (MA) program, the Centers for Medicare & Medicaid Services (CMS) makes […] [read post]
30 Mar 2023, 7:10 am
Further, there are several statements and rules from the Center for Medicaid and Medicare (CMS) which will be changing to accommodate the IRA’s provisions. [read post]
30 Mar 2023, 7:10 am
Further, there are several statements and rules from the Center for Medicaid and Medicare (CMS) which will be changing to accommodate the IRA’s provisions. [read post]
27 Mar 2023, 5:00 am
As part of the Inflation Reduction Act (IRA) of 2022, the Centers for Medicare & Medicaid Services (CMS) is required to establish the Medicare Drug Price Negotiation Program (Negotiation Program) to negotiate maximum fair prices (MFPs) for certain high expenditure, single source drugs and biologicals. [read post]
23 Mar 2023, 1:02 pm
In the final year of the Trump administration, just before the COVID-19 pandemic, the Centers for Medicare and Medicaid Services (CMS) sought to push the outer bounds of this question by announcing the Healthy Adult Opportunity (HAO) initiative. [read post]
21 Mar 2023, 6:30 am
The information related to upcoming announcements by CMS adjusting the reimbursement rates for Medicare and Medicaid services. [read post]
21 Mar 2023, 6:30 am
The information related to upcoming announcements by CMS adjusting the reimbursement rates for Medicare and Medicaid services. [read post]
21 Mar 2023, 6:07 am
Check with Medicare.gov: The Centers for Medicare & Medicaid Services (CMS) maintains a database of nursing homes that participate in Medicare and Medicaid. [read post]
20 Mar 2023, 5:00 am
The Centers for Medicare & Medicaid Services (CMS) recently announced updates to the voluntary self-referral disclosure protocol (SRDP), including revisions to streamline SRDP submissions. [read post]
17 Mar 2023, 2:51 pm
On February 28, 2023, six of the seven Medicare Administrative Contractors (MACs), who administer Medicare reimbursement on behalf of the Centers for Medicare and Medicaid Services (CMS), came together for a multijurisdictional contractor advisory committee (CAC) meeting. [read post]
