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19 Sep 2018, 8:23 am by Daily Record Staff
An Ellicott City computing company has a contract worth up to $44.7 million with the Centers for Medicare and Medicaid Services. [read post]
20 May 2019, 9:00 pm
The Centers for Medicare and Medicaid Services (CMS) issued proposed regulations in February targeting manufacturer arrangements with pharmacy benefit managers (PBMs). [read post]
4 Jun 2020, 9:00 pm by Webmaster
On April 30, 2020, the Centers for Medicare and Medicaid Services (“CMS) issued a Second […] Source [read post]
25 Jan 2018, 11:04 am by Erin McCarthy Holliday
Three organizations representing 15 Kentucky Medicaid recipients filed a federal lawsuit [complaint, PDF] Thursday against the Trump administration, Department of Health and Human Services [official website], Seema Verma, Administrator of the Centers for Medicare and Medicaid Services, and others over approval of numerous section 1115 waivers in Kentucky to change the way that Medicaid functions in the state. [read post]
10 Aug 2018, 10:06 am by Debra A. McCurdy
The Centers for Medicare & Medicaid Services (CMS) expects Medicare payments to inpatient rehabilitation facilities (IRFs) to increase by 1.3% ($105 million) in fiscal year (FY) 2019 under the final IRF prospective payment system (PPS) rule. [read post]
19 Aug 2019, 10:40 am by Debra A. McCurdy
The Centers for Medicare & Medicaid Services (CMS) has published its final rule to update the Medicare inpatient rehabilitation facility (IRF) prospective payment system (PPS) for fiscal year (FY) 2020. [read post]
13 May 2014, 8:04 am
Department of Health and Human Services' Centers for Medicare & Medicaid Services (CMS) rendered a Final Rule that, among other things, implements methodology and payment rates for a prospective payment system (PPS) for federally qualified health centers (FQHC), effective October 1, 2014. [read post]
Making good on its promises to enhance oversight of Medicare Advantage (MA) and Medicare Part D plans, the Centers for Medicare and Medicaid Services (CMS) has submitted for public inspection its Contract Year 2025 Final Rule. [read post]
12 Sep 2011, 9:00 am by Jennifer Kildea Dewane
  According to a statement issued by the Department of Health and Human Services' Centers for Medicare and Medicaid Services ("CMS"), intermediaries will begin contacting providers and suppliers to do the following: Read More › Tags: Billing/Payment, Health Care Reform, Hospitals, Medicare/Medicaid, Physicians [read post]
29 Sep 2015, 2:00 pm by Gerry W. Beyer
The Centers for Medicare & Medicaid Services have put out a statement on Monday that people with Medicare Advantage plans will not see an increase in their premiums next year. [read post]
6 Jan 2008, 3:11 pm
The Centers for Medicare and Medicaid Services (CMS) has announced officially that beginning in October 2008 expenses incurred from medical mistakes made by health care providers will no longer be eligible for reimbursement. [read post]
11 Mar 2015, 12:30 pm by Greene LLP
(“Century Ambulance”) of Jacksonville, Florida allegedly defrauded Medicare and Medicaid out of $5 million by submitting claims for ambulance services that were unnecessary or inflated. [read post]
13 Apr 2023, 8:41 am by James Segroves
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]
8 Jan 2019, 5:51 am by Gail L. Daubert and Debra A. McCurdy
The Centers for Medicare & Medicaid Services (CMS) has finalized a major restructuring of the Medicare Shared Savings Program, dubbed “Pathways to Success. [read post]
9 Oct 2017, 1:43 pm by Debra A. McCurdy
  Specifically: The Centers for Medicare & Medicaid Services (CMS) has withdrawn its proposed Part B Drug Payment Model, published March 11, 2016, that would test whether alternative drug payment designs would lead to a reduction in Medicare expenditures while preserving/enhancing access and quality of care to Medicare beneficiaries. [read post]
12 Nov 2015, 8:52 am by Debra A. McCurdy
On November 13, 2015, the Centers for Medicare & Medicaid Services (CMS) is publishing its final rule updating the Medicare Hospital Outpatient Prospective Payment System (OPPS) and the Ambulatory Surgical Center (ASC) Payment System rates and policies for calendar year (CY) 2016. [read post]
The Centers for Medicare & Medicaid Services (CMS) have recently released updated guidance regarding hospital co-locations arrangements. [read post]
The Centers for Medicare & Medicaid Services (CMS) has published its final Medicare physician fee schedule (PFS) rule for calendar year (CY) 2020. [read post]
17 Dec 2013, 3:17 am by Robert Kraft
The New York Times reported that VNSNY Choice, a part of the Visiting Nurse Service of New York that is “the largest managed long-term care agency” in the state, “has agreed in principle to repay $33.6 million to the state’s Medicaid program for improper billings linked to the use of social adult day care centers,” New York Attorney General Eric Schneiderman announced. [read post]