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28 Jan 2016, 11:24 am
Pediatrician Robert Dannenhoffer, MD, the former CEO of a joint venture between a hospital and physicians’ group, alleges that he was fired after he reported to the Centers for Medicare & Medicaid Services some $10 million in improper Medicare payments. [read post]
28 Jan 2016, 8:02 am
Pediatrician Robert Dannenhoffer, MD, the former CEO of a joint venture between a hospital and physicians’ group, alleges that he was fired after he reported to the Centers for Medicare & Medicaid Services some $10 million in improper Medicare payments. [read post]
28 Jan 2016, 8:02 am
Pediatrician Robert Dannenhoffer, MD, the former CEO of a joint venture between a hospital and physicians’ group, alleges that he was fired after he reported to the Centers for Medicare & Medicaid Services some $10 million in improper Medicare payments. [read post]
26 Jan 2016, 11:02 am
Well, that would be the lovely and talented Marilyn Tavenner, who came to AHIP directly from her previous gig as Administrator of the Centers for Medicare and Medicaid Services, which is part of the bureaucracy tasked with implementing ObamaCare.So, government bureauweenie to lobbyist for the very industry she was previously responsible for policing.Are we beginning to see a pattern here? [read post]
26 Jan 2016, 9:00 am
As part of the continuing transition toward a physician payment system based more on quality than quantity, the Centers for Medicare & Medicaid Services (“CMS”) recently released a draft Quality Measure Development Plan (the “Plan”). [read post]
26 Jan 2016, 7:00 am
Coupled with recent comments by the Centers for Medicare and Medicaid Services (CMS), it appears that the entire program will undergo substantive changes in […] [read post]
21 Jan 2016, 9:23 am
A federal anti-kickback statute prohibits exchanging anything of value for the referral of Medicare or Medicaid (called Medi-Cal in California) patients. [read post]
17 Jan 2016, 8:27 am
Efforts by Attorneys General from 15 states including Illinois and the District of Columbia urging the Centers for Medicare and Medicaid Services (CMS) to prohibit binding arbitrary agreement clauses affecting long-term care contracts appear to be successful. [read post]
17 Jan 2016, 8:27 am
Efforts by Attorneys General from 15 states including Illinois and the District of Columbia urging the Centers for Medicare and Medicaid Services (CMS) to prohibit binding arbitrary agreement clauses affecting long-term care contracts appear to be successful. [read post]
15 Jan 2016, 2:08 pm
The National Acadmies of Sciences, Engineering, and Medicine: “The Centers for Medicare & Medicaid Services (CMS) announced a ruling in July 2015 to pay doctors to counsel patients about end-of-life care or “advance care planning,” a term meant to reflect that people should make their end-of-life wishes known as early as when they get a driver’s license and should reevaluate their decisions at different stages of life. [read post]
13 Jan 2016, 12:06 pm
Dep’t of Human Services. v. [read post]
13 Jan 2016, 12:06 pm
Dep’t of Human Services. v. [read post]
11 Jan 2016, 3:00 am
The Centers for Medicare & Medicaid Services (CMS) has issued a final rule to require Medicare prior authorization (PA) for certain durable medical equipment (DME), prosthetics, orthotics, and supplies (DMEPOS) items that the agency characterizes as “frequently subject to unnecessary utilization. [read post]
5 Jan 2016, 3:00 am
For example, the Centers for Medicare and Medicaid Services (CMS), which has particular billing requirements specific to telemedicine, defines telemedicine to include real-time, two-way interactive communication between a patient and a physician located at a different site. [read post]
4 Jan 2016, 9:06 am
The Centers for Medicare and Medicaid Services (CMS) mandates that all skilled nursing facilities have an infection prevention and control (IPC) program. [read post]
31 Dec 2015, 1:11 pm
Centers for Medicare and Medicaid Services (CMS) issued a Final Rule earlier this week, which created prior authorization rules applicable to particular durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS). [read post]
31 Dec 2015, 10:22 am
Earlier this month, the Centers for Medicare and Medicaid Services released a new tool designed to give providers and consumers insight into Medicare drug spending. [read post]
31 Dec 2015, 10:22 am
Earlier this month, the Centers for Medicare and Medicaid Services released a new tool designed to give providers and consumers insight into Medicare drug spending. [read post]
30 Dec 2015, 6:58 am
However, according to the OIG, the Centers for Medicare and Medicaid Services takes the position that when the technical and professional components of a test are performed by different parties, the parties may determine who will pay the transcription costs. [read post]
28 Dec 2015, 8:10 am
The Centers for Medicare & Medicaid Services (CMS) has stated its intention to move at least 50% of Medicare payments from fee for service to alternative payment systems based on quality and/or value by 2018. [read post]
