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29 Oct 2013, 8:25 am
An excerpt: The ACA requires an administrator to provide written notice of facility closure or termination from Medicaid or Medicare to residents and DADS 60 days before the closure date or by the date set by Centers for Medicare and Medicaid Services (CMS) or DADS when CMS or DADS terminates the facility from Medicaid or Medicare. [read post]
2 Nov 2015, 5:01 pm
On October 29, 2015, the Centers for Medicare & Medicaid Services ("CMS") released the final 2016 Medicare Physician Fee Schedule (the "Final Rule") (available here), with few changes between the proposed rule and final rule as it related to the Stark provisions. [read post]
4 May 2017, 11:03 am
Department of Health and Human Services, Office of Inspector General. [read post]
4 May 2017, 11:03 am
Department of Health and Human Services, Office of Inspector General. [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]
22 Dec 2014, 11:03 am
On December 3, 2014, the Centers for Medicare and Medicaid Services ("CMS") released a final rule that broadens its authority to deny providers or suppliers from enrolling in Medicare and revoke providers already participating. [read post]
4 Aug 2014, 10:04 am
Congress and Medicare (Centers for Medicare and Medicaid Services [CMS]), in an effort to shore up the financially ailing Medicare program has been dueling with an employer/insurance company led coalition. [read post]
3 Oct 2014, 6:30 am
Utilizing data supplied by Gould & Lamb, the research looked at a sample of proposed workers’ compensation settlements that had been reviewed by the Centers for Medicare & Medicaid Services (CMS). [read post]
4 Jun 2019, 2:38 pm
In 2003, the Centers for Medicare and Medicaid Services (“CMS”) proposed a rule that excluded Medicare Part C beneficiaries from the calculation of the Medicare fraction. [read post]
16 Oct 2007, 7:42 am
The OIG will examine the policies and procedures of the Centers for Medicare and Medicaid Services (CMS) with regard to Joint Commission accreditation of hospitals. [read post]
13 Dec 2022, 11:58 am
PCS and HHCS services subject to EVV requirements are very broad: all services requiring an in-home visit that are included in claims under the PCS or HHCS categories on the Centers for Medicare & Medicaid Services (CMS) Form-64 must comply with EVV requirements, even if they are bundled into different services or furnished through a managed care provider. [read post]
27 Mar 2017, 6:04 am
Last year, the federal Centers for Medicare and Medicaid Services (CMS) initiated a rule that prohibits nursing homes from requiring patients to sign mandatory arbitration agreements prior to disputes. [read post]
24 Jul 2020, 3:36 pm
Earlier this year, nursing homes across the country were required to close their doors to visitors at the urging of the Centers for Medicare & Medicaid Services and local governments. [read post]
14 Aug 2011, 4:06 am
My proclivity is to oppose cuts that will reduce Medicare services that my clients need. [read post]
6 Feb 2019, 6:30 am
The myriad of moving parts and high chance for error, along with getting approval from the Centers for Medicare and Medicaid Services are the reasons a specialized industry has arisen around MSAs as well as other components to Medicare Secondary Payer compliance. [read post]
17 Jul 2013, 2:10 pm
Recently, the Centers for Medicare and Medicaid Services (CMS) issued a final rule mandating that long term care (LTC) facilities and hospice providers enter into written agreements if the facility chooses to arrange hospice services through a Medicare-certified hospice provider. [read post]
4 Sep 2012, 1:05 pm
The investigation centers around a National Coverage Determination (NCD) set by the Centers for Medicare and Medicaid Services (CMS) which establishes the instances in which an implantable defibrillator is covered by Medicare. [read post]
26 Nov 2012, 7:35 am
Recently, the Centers for Medicare and Medicaid Services (CMS) released an MLN Matters article stressing the importance of providers preparing and maintaining legible medical record documentation. [read post]
12 Jul 2023, 1:09 pm
These referral arrangements are illegal when Medicare or Medicaid dollars are involved and the numbers of these relationships are blossoming as the numbers of Medicare and Medicaid patients are increasing. [read post]
30 Apr 2019, 7:10 pm
The report should include recommendations on how the Centers from Medicare & Medicaid Services can make better determinations to support the use of precision medicine. [read post]
