Search for: "Administrator for the Centers for Medicare and Medicaid Services"
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3 Feb 2021, 10:20 am
The Centers for Medicare & Medicaid Services (CMS) initially introduced TPE reviews as a pilot program in only a few jurisdictions. [read post]
7 Dec 2007, 7:57 am
The Centers for Medicare and Medicaid Services compiled this list and published it in an effort to pressure targeted nursing homes to improve. [read post]
2 Jun 2020, 9:02 am
Senator Pennacchio today asked the administrator of the federal Centers for Medicare & Medicaid Services to assume oversight of New Jersey’s long-term care facilities. [read post]
3 Aug 2009, 10:34 am
OCR’s administration and enforcement of the Security Rule had previously been delegated to the Centers for Medicare & Medicaid Services (CMS), and, according to the press release, this change will [read post]
3 Aug 2009, 10:34 am
OCR’s administration and enforcement of the Security Rule had previously been delegated to the Centers for Medicare & Medicaid Services (CMS), and, according to the press release, this change will [read post]
10 Apr 2020, 5:36 am
In a Coronavirus Task Force press briefing on April 7, 2020, Centers for Medicare and Medicaid Services (CMS) Administrator Seema Verma (the “Administrator”) announced that CMS will distribute $30 billion in grants from the Public Health and Social Service Emergency Fund (PHSSEF) to providers to help alleviate the burden that COVID-19 has caused to the healthcare industry. [read post]
26 Jul 2016, 7:52 pm
Medicaid fraud includes, but is not limited to: Billing for medical services that were never performed, known as phantom billing Billing for a more expensive service than was actually performed, known as upcoding Billing for multiple services that should be combined into one billing, known as unbundling Billing several time for the same medical service Dispensing generic drugs and billing for brand-name drugs Giving or accepting something in return for… [read post]
26 Jul 2016, 7:52 pm
Medicaid fraud includes, but is not limited to: Billing for medical services that were never performed, known as phantom billing Billing for a more expensive service than was actually performed, known as upcoding Billing for multiple services that should be combined into one billing, known as unbundling Billing several time for the same medical service Dispensing generic drugs and billing for brand-name drugs Giving or accepting something in return for… [read post]
26 Jul 2016, 7:52 pm
Medicaid fraud includes, but is not limited to: Billing for medical services that were never performed, known as phantom billing Billing for a more expensive service than was actually performed, known as upcoding Billing for multiple services that should be combined into one billing, known as unbundling Billing several time for the same medical service Dispensing generic drugs and billing for brand-name drugs Giving or accepting something in return for… [read post]
31 Jan 2019, 1:44 pm
The Centers for Medicare & Medicaid Services (CMS) has announced a new Medicare Part D Payment Modernization Model (Part D Model), which will be tested by the CMS Center for Medicare and Medicaid Innovation. [read post]
16 Apr 2009, 1:53 am
As The Centers for Medicare and Medicaid Services (CMS) continues to roll out reporting requirements and procedures for mandatory reporting of the Medicare Secondary Payer Act (MSP), The National Organization of Social Security Claimants Representatives (NOSSCR) will be holding a workshop at its semi-annual meeting to discuss the issues. [read post]
2 May 2019, 3:00 pm
Agency Promises More Frequent Drug/Device HCPCS Code Update Opportunities, Bars MACs from Adopting New Blanket Noncoverage Policies without Evidence Review On May 2, 2019, Centers for Medicare & Medicaid Services (CMS) Administrator Seema Verma outlined new improvements to the HCPCS coding and local coverage decision processes that are intended to “ensure safe and effective treatments are readily accessible to beneficiaries without… [read post]
15 Apr 2024, 6:43 pm
On March 9, 2024, in response to the cyberattack on UnitedHealth Group’s subsidiary, Change Healthcare/Optum, in late February 2024, the Centers for Medicare & Medicaid Services (“CMS”) made available Change Healthcare/Optum Payment Disruption (“CHOPD”) accelerated payments to Medicare Part A providers and advance payments to Medicare Part B suppliers experiencing claims disruptions as a result of the… [read post]
3 Jun 2011, 11:14 am
A report by the Centers for Medicare and Medicaid Services (CMS) found that almost one hundred Oregon patients covered by Medicare fell down or were traumatically injured while receiving hospital treatment. [read post]
19 Nov 2020, 8:08 pm
Though Medicare requires direct supervision over these cardiology services, the company billed the government for services under the owner, Dr. [read post]
9 Mar 2020, 10:26 am
(March 9, 2020): Last September, the Centers for Medicare and Medicaid Services (CMS) published a Final Rule titled “Medicare, Medicaid, and Children’s Health Insurance Programs; Program Integrity Enhancements to the Provider Enrollment Process. [read post]
18 Feb 2014, 1:42 pm
On January 15, 2014, the Centers for Medicare & Medicaid Services (CMS), issued revisions to their policy manuals, including the Medicare Benefit Policy Manual, that clarify that "Improvement Standards" are not required for determining claims for Medicare coverage involving skilled care, including skilled nursing facilities (SNF), home health (HH), and outpatient therapy (OPT) benefits. [read post]
14 Jul 2009, 5:20 pm
The Centers for Medicare and Medicaid Services (”CMS”) awarded a contract for this study to Research Triangle Institute International (”RTI”), which was previously awarded a contract in 2005 to evaluate the feasibility of developing patient and facility level characteristics for LTACHs that could distinguish LTACH patients from those treated in other acute care settings. [read post]
1 Mar 2021, 6:13 am
In other cases, the MAC forwards the information to the Centers for Medicare & Medicaid Services (CMS) and CMS makes the revocation determination. [read post]
2 Nov 2015, 7:40 am
The federal Centers for Medicare & Medicaid Services (CMS) recently received a report from an organization called Public Justice addressing the problem of mandatory arbitration agreements for nursing home patients and residents of long-term care facilities. [read post]
