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15 Aug 2017, 3:55 pm by Cynthia Marcotte Stamer
A Centers for Medicare and Medicaid Services (CMS) proposed rule released Tuesday, August 15 would reduce the number of mandatory geographic areas for the joint bundled payment program and cancel the cardiac bundled payment program model for determining reimbursement of providers for care under Medicare. [read post]
22 Mar 2011, 6:19 am by Mathew Klein
Over the next several years, the Centers for Medicare and Medicaid Services (CMS) will be implementing quality initiatives in an effort to improve care and reduce costs. [read post]
18 Mar 2021, 3:43 am by otmseo
Chicago – As the Federal Government through its various agencies, such as Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), and the States primarily through their Medicaid Fraud Control Units (MFCU) and the Office of the Attorneys General, investigations of billing irregularities and fraud are on the increase. [read post]
31 Jul 2007, 4:44 pm
Here's an excerpt:The Centers for Medicare and Medicaid Services --... [read post]
25 Mar 2022, 3:08 pm by Caitlin Lentz
Given the increased use of telehealth during the Public Health Emergency (“PHE”), the Centers for Medicare and Medicaid Services (CMS) passed a final rule modifying the rules around when Medicare will reimburse for mental health visits. [read post]
4 Mar 2013, 9:00 am
The GAO cites the inability of the Center for Medicare and Medicaid Services' (CMS) inability to reduce the rate of improper payments released by the agency as the reason for its ruling. [read post]
4 Mar 2013, 9:00 am
The GAO cites the inability of the Center for Medicare and Medicaid Services' (CMS) inability to reduce the rate of improper payments released by the agency as the reason for its ruling. [read post]
7 Aug 2012, 6:05 am
  Nonetheless, because the penalties for non-reporting are severe, it may prove prudent to report the claim in all cases and allow The Center for Medicare and Medicaid Services ("CMS") to make the determination of whether the claimant is a Medicare beneficiary. [read post]
7 Aug 2012, 6:05 am
  Nonetheless, because the penalties for non-reporting are severe, it may prove prudent to report the claim in all cases and allow The Center for Medicare and Medicaid Services ("CMS") to make the determination of whether the claimant is a Medicare beneficiary. [read post]
30 Apr 2017, 6:00 pm by Yale Hauptman
  In February, the Jimmo court approved a corrective statement which the Center for Medicare and Medicaid Services (CMS) must now use to disavow the “Improvement Standard”. [read post]
21 Jul 2013, 10:12 am
This week, the Centers for Medicare & Medicaid Services (CMS) ruled that nursing home residents may use organizations as authorized representatives in the Medicaid application and enrollment process. [read post]
24 Jan 2018, 6:30 am by Daniel Anders
On Thursday, January 18, 2018, the Centers for Medicare and Medicaid Services (CMS) held a webinar to introduce the new Commercial Repayment Center (CRC) contractor, Performant Recovery, and Performant’s management team. [read post]
28 Jul 2017, 6:30 am by Senior Editor
Medicare Set Aside Compliance – Medicare is Taking Action As the Centers for Medicare and Medicaid Services (“CMS” or “Medicare”) ratchet up their active monitoring of Medicare Set Aside (“MSA”) accounts, using a professional administrator to help make sure reporting is in order is becoming even more critical. [read post]
21 Nov 2018, 6:00 am
This was quickly discarded because, according to the Centers for Medicare and Medicaid, "it’s against the law for someone who knows that you have Medicare to sell you a Marketplace plan".And people who do choose to reject Medicare and end up buying a plan from the Exchange are ineligible to receive any subsidy.And so? [read post]
7 Jun 2022, 8:54 am by Matthew Loughran
The Centers for Medicare and Medicaid Services has published a final rule that governed the way that Medicare Advantage and Medicare Part D plans interact with third-party marketing organizations. [read post]
9 Jan 2018, 12:40 pm by Nursing Home Law Center Staff
Law Firm Representing Injured Residents of Wentworth Rehab and Health Care Center The Centers for Medicare and Medicaid Services (CMS) and the state of Illinois routinely conduct unscheduled surveys and unannounced investigations to inspect every nursing facility statewide. [read post]
4 Jun 2012, 9:45 am
The owner accepted kickbacks in return for recruiting Medicare beneficiaries for placement in the home health care center. [read post]
20 Nov 2017, 9:21 am by Edward Smith
 When a Medicare beneficiary is hurt in an accident and receives treatment, hospitals and health care providers must submit their bills to the Centers for Medicare and Medicaid Services (CMS) for payment or file a claim against the injured party’s settlement proceeds. [read post]
A national hospice company improperly cycled patients through nursing homes and hospice with a goal of making as much profit as possible from Medicare, according to a whistleblower lawsuit announced this week. [read post]