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20 Feb 2023, 5:00 am
CMS, the Centers for Medicare and Medicaid Services, issued a downloadable guidance on this topic. [read post]
8 Jun 2023, 4:30 am
[fn3] The panel also directed that the applicant should establish his competency to manage his affairs and to comply with the Center for Medicare and Medicaid Services (CMS) requirements for self-administration. [read post]
1 Oct 2015, 4:22 am
Under the SCF pilot program, Medicare providers had the opportunity to enter into open settlement discussions with the Centers for Medicare & Medicaid Service (CMS) with the goal of coming to a mutually agreed upon resolution for the pending ALJ claims. [read post]
9 Oct 2007, 6:35 am
CountrymanThe Centers for Medicare & Medicaid Services (CMS) issued an advisory opinion on October 5, 2007 regarding the Physician Recruitment Exception to the federal physician self-referral prohibition, otherwise known as the Stark Law. [read post]
4 Oct 2017, 8:53 am
The documents also contain inter-agency agreements between the IRS and the Centers for Medicare and Medicaid Services (CMS) devised to circumvent potential legal prohibitions on unauthorized disclosure or inspection of taxpayer information collected by the IRS. [read post]
1 Apr 2011, 5:34 am
Louis Post-Dispatch reports that on Thursday, March 31, the Centers for Medicare and Medicaid Services (CMS) "released data...that for the first time show how often patients are injured by certain medical errors in hospitals. [read post]
5 Apr 2012, 12:03 pm
Redetermination by Fiscal Intermediaries, Carriers or Medicare Administrative Contractors The Centers for Medicare & Medicaid Services (CMS) contracts with private insurance companies (called “carriers” for Part B, “fiscal intermediaries” for Part A, or “Medicare administrative contractors”) to perform many processing functions on behalf of Medicare, including local claims processing… [read post]
9 Jul 2013, 4:13 am
Texas is getting a lesson in state independence.Like many workers' compensation systems, Texas has tied its medical treatment reimbursement schedule to Medicare's schedule.The Texas Division of Workers' Compensation issued a memo on June 17 that its medical fee guidelines require the use of Medicare billing policies and it was legally required to implement the Centers for Medicare and Medicaid Services' new rule requiring physical therapists,… [read post]
22 Nov 2011, 4:50 am
The 6th Circuit Court of Appeals has ruled that The Center for Medicare and Medicaid Services (CMS) is entitle to complete reimbursement of Medicare payments under the Medicare Secondary Payer Act (MSP) from a liability claim even though the beneficiary claimed that the settlement required allocation due to the law allocating liability. [read post]
22 Aug 2011, 10:15 am
Background On July 29, The Centers for Medicare and Medicaid Services (CMS) decided and announced that they would be compensating for last year’s $4 billion shortfall by cutting reimbursement rates to nursing homes by 11.1%. [read post]
17 May 2019, 6:17 am
The hospitals — Christus Santa Rosa Medical Center, Southwest General Hospital, University Hospital — ranked in the federal government’s bottom 25 percent of medical centers this year, along with 800 others nationally, in an annual survey by the Centers for Medicare and Medicaid Services (CMS). [read post]
21 Jul 2009, 5:41 am
Rather, over the last few years, the Centers for Medicare and Medicaid Services (CMS) has introduced several significant proposals targeting the provision of diagnostic imaging (and other ancillary services) in the physician office setting, through proposed changes to the Stark regulations, independent diagnostic testing facility (IDTF) regulations, and other Medicare reimbursement regulations (such as the Medicare Anti-Markup… [read post]
27 Mar 2011, 12:32 pm
Meanwhile, the Medicare, Medicaid and SCHIP Extension Act of 2007 (MMSEA) requires liability insurers to determine the Medicare status for all claimants and to report all claims involving a Medicare beneficiary to CMS when those claims are resolved - or face a civil penalty of $1000 per day per unreported claim. [read post]
24 Oct 2011, 9:06 am
Today's post was authored by FWH attorney Sue Nolan The final rule implementing provisions of the Medicare Shared Savings Program for Accountable Care Organizations (“Final Rule”) was released by the Centers for Medicare and Medicaid Services ("CMS") on October 20, 2011. [read post]
13 Apr 2011, 3:23 am
" At CMS, we are "working together with the hospital and consumer community to bring hospital-acquired conditions into the forefront and do all we can to eliminate harm from the very healthcare system intended to heal us," said Centers for Medicare and Medicaid Services Administrator Donald Berwick in a statement. [read post]
6 Dec 2010, 2:54 am
The legislation – H.R. 5712 – passed by voice vote with no opposition on November 29, and had already been approved unanimously by the Senate before the holiday.H.R. 5712 would avert the 23 percent reduction in Medicare reimbursements for one month, and would be paid for by a new Centers for Medicare and Medicaid Services (CMS) policy that reduces payments for multiple therapy services provided to Medicare patients… [read post]
12 Feb 2011, 12:50 pm
§ 405.1010, both representatives from the Centers for Medicare and Medicaid Services (CMS) and its contractors may participate in an ALJ hearing. [read post]
24 Oct 2011, 7:38 am
By: JM Megail Gaumer More benefits, better choices and lower costs, the Centers for Medicare & Medicaid Services (CMS) is encouraging people with Medicare and their families to begin reviewing drug and health plan coverage options for 2012. [read post]
12 Oct 2011, 11:33 am
On Friday, October 7, 2011, the Centers for Medicare & Medicaid Services ("CMS") and the Food and Drug Administration ("FDA") (collectively, the "Agencies") announced they were soliciting nominations from sponsors of medical devices to participate in the Agencies’ parallel review pilot program. [read post]
20 Mar 2020, 12:23 pm
On March 16, 2020, Florida was the first state to have an 1135 waiver approved by the Centers for Medicare and Medicaid Services (“CMS”). [read post]
