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8 Mar 2016, 9:00 am
., Board Certified by The Florida Bar in Health Law On February 26, 2016, The Centers for Medicare & Medicaid Services (CMS) extended the deadline for eligible hospitals/professionals and critical access hospitals to apply for a hardship exception from the 2015 Medicare Electronic Health Records Incentive Program. [read post]
8 Mar 2016, 9:00 am
., Board Certified by The Florida Bar in Health Law On February 26, 2016, The Centers for Medicare & Medicaid Services (CMS) extended the deadline for eligible hospitals/professionals and critical access hospitals to apply for a hardship exception from the 2015 Medicare Electronic Health Records Incentive Program. [read post]
7 Mar 2016, 8:00 am
Of the total settlement amount paid by Olympus in conjunction with these suits, $310.8 million will be paid to the federal government and state governments to settle claims the kickbacks led to the submission of false claims to Medicare, Medicaid, and Tricare in violation of the FCA and its state equivalents. [read post]
2 Mar 2016, 1:44 pm
Last month, the Centers for Medicare and Medicaid Services issued a ruling that clarifies the requirements for an individual to receive Medicaid home health services. [read post]
29 Feb 2016, 8:40 am
On February 3, 2016, the Centers for Medicare and Medicaid Services (CMS) released a proposed rule that in addition to other changes to the Medicare Shared Savings Program, would modify the savings and quality benchmarking methodology through which ACOs' benchmarks are updated and reset at the end of each three year ACO agreement period. [read post]
29 Feb 2016, 7:47 am
The Centers for Medicare and Medicaid Services defines an LRP as: • a parent of a child under the age of 18 (natural or adopted); or • the spouse (regardless of age) of an individual receiving waiver services. [read post]
29 Feb 2016, 3:40 am
On February 3, 2016, the Centers for Medicare and Medicaid Services (CMS) released a proposed rule that in addition to other changes to the Medicare Shared Savings Program, would modify the savings and quality benchmarking methodology through which ACOs’ benchmarks are updated and reset at the end of each three year ACO agreement period. [read post]
25 Feb 2016, 4:27 pm
The Centers for Medicare and Medicaid Services (CMS) has issued a proposed rule implementing additional provisions of the Affordable Care Act designed to ensure that questionable providers and suppliers are kept out of or removed from the Medicare program. [read post]
25 Feb 2016, 3:45 pm
On February 25, 2016, the Office of Medicare Hearings and Appeals (OMHA) hosted a Medicare Appellant Forum for Part A and B providers and durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) suppliers with important updates on management of the appeals backlog within OMHA, the Centers for Medicare & Medicaid Services (CMS) and Departmental Appeals Board (DAB) launch of the Appellant Public Portal, and the Phase III rollout… [read post]
25 Feb 2016, 8:49 am
Under the SCF pilot, Medicare providers have 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]
25 Feb 2016, 3:49 am
Under the SCF pilot, Medicare providers have 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]
24 Feb 2016, 7:04 am
Department of Health and Human Services Centers for Medicare and Medicaid to assist members of the public in navigating the relatively new law and its proposed rules, the report also includes questions in each chapter designed to raise awareness about potential options and topics to consider after the rule becomes final. [read post]
24 Feb 2016, 6:59 am
On February 22, the Centers for Medicare and Medicaid Services (CMS) announced its intention to further enhance CMS’s ability to screen providers and suppliers enrolling or currently enrolled in Medicare for compliance with Medicare enrollment requirements. [read post]
OIG Advisory Opinion Examines Radiology Arrangement regarding Transcription Fees Paid to Third Party
23 Feb 2016, 8:25 am
Crucial to the OIG's finding, the Centers for Medicare & Medicaid Services' ("CMS") Medicare Claims Processing Manual provides that with regards to the professional component of a radiology service, the interpretation of the diagnostic procedure includes a written report. [read post]
23 Feb 2016, 7:12 am
The Centers for Medicare and Medicaid Services implemented the NCD based on clinical trials and the guidance and testimony of cardiologists and other health care providers, professional cardiology societies, cardiac device manufacturers and patient advocates. [read post]
OIG Advisory Opinion Examines Radiology Arrangement Regarding Transcription Fees Paid to Third Party
23 Feb 2016, 3:25 am
Crucial to the OIG’s finding, the Centers for Medicare & Medicaid Services’ (“CMS”) Medicare Claims Processing Manual provides that with regards to the professional component of a radiology service, the interpretation of the diagnostic procedure includes a written report. [read post]
19 Feb 2016, 2:15 pm
Centers for Medicare & Medicaid Services (CMS) recently provided to state Medicaid directors additional guidance on compliance with the Covered Outpatient Drugs final rule issued 2/1/16 (81 Fed. [read post]
19 Feb 2016, 1:42 pm
Juneau The Department of Health and Human Services, Centers for Medicare and Medicaid (“CMS”) issued a final rule on February 2, 2016 regarding the requirements for a face-to-face encounter for patients receiving home health services payable by Medicaid. [read post]
16 Feb 2016, 6:18 pm
The purpose of this letter is to inform Medicaid Hospice Providers of the Centers for Medicare and Medicaid Services (CMS) changes to routine home care payments. [read post]
16 Feb 2016, 12:15 pm
District Court, District of Massachusetts, alleging that HHS’s sub-agency, the Centers for Medicare and Medicaid Services (CMS) and its CMS subcontractors, have systemically violated the civil rights of blind Medicare recipients. [read post]
