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19 Dec 2011, 9:30 am
12/19/2011 Author: Harley Geiger Health Privacy Privacy Framework The Affordable Care Act of 2010 directed the Center for Medicare and Medicaid Services (CMS) to establish an insurance risk adjustment program. [read post]
19 Dec 2011, 9:30 am
12/19/2011 Author: Harley Geiger Health Privacy Privacy Framework The Affordable Care Act of 2010 directed the Center for Medicare and Medicaid Services (CMS) to establish an insurance risk adjustment program. [read post]
19 Dec 2011, 6:38 am
As we reported in our Healthcare Update on November 7, the new Fee Schedule calls for an overall 27.4% reduction in payment rates for physicians, nurse practitioners and physical therapists.Fee Schedule payments are determined by a Sustainable Growth Rate (SGR) formula that was adopted in the Balanced Budget Act of 1997, which the Centers for Medicare & Medicaid Services (CMS) is required to follow. [read post]
18 Dec 2011, 7:36 am
It is critical that providers considering an ACO understand and adhere to the final Medicare Shared Savings Program regulations released by Centers for Medicare and Medicaid Services (CMS). [read post]
15 Dec 2011, 3:07 pm
If the insurance company decides to settle the catastrophic workers comp claim, they work with the Centers for Medicare and Medicaid Services (CMS) to obtain approval of the Medicare Set Aside Agreement (MSA). [read post]
15 Dec 2011, 11:28 am
KV Pharmaceutical (KV), the parent company for Ethex Corporation (Ethex), this month agreed to pay $17 million to settle claims that Ethex of violated the False Claims Act when it allegedly reported false information to the Centers for Medicare and Medicaid Services (CMS). [read post]
15 Dec 2011, 8:51 am
The Centers for Medicare & Medicaid Services (CMS) announced yesterday a proposed rule that implements the Affordable Care Act “sunshine” provisions. [read post]
15 Dec 2011, 8:51 am
The Centers for Medicare & Medicaid Services (CMS) announced yesterday a proposed rule that implements the Affordable Care Act “sunshine” provisions. [read post]
15 Dec 2011, 4:00 am
Other resources that our Illinois nursing home lawyers recommend include the “nursing home checklist” provided by the Centers for Medicare and Medicaid (CMS) and the CMS paying for nursing home care handbook See Our Related Blog Posts: New Medicare Website Provides More Resources for Consumers Resources for Choosing a Nursing Home in Illinois [read post]
14 Dec 2011, 2:30 pm
Berwick, the now former Administrator of the Centers for Medicare & Medicaid Services ("CMS"), 20 percent to 30 percent of healthcare spending is "waste" with no benefit to patients. [read post]
14 Dec 2011, 3:38 am
The Center for Medicare and Medicaid Services (CMS) is the governing body that houses the federal Medicare program. [read post]
13 Dec 2011, 7:05 am
The Centers for Medicare & Medicaid Services (CMS) recently issued a final rule giving consumers and employers access to Medicare claims data for provider performance reports. [read post]
13 Dec 2011, 7:05 am
The Centers for Medicare & Medicaid Services (CMS) recently issued a final rule giving consumers and employers access to Medicare claims data for provider performance reports. [read post]
12 Dec 2011, 6:23 pm
Auditors will begin the pilot program by focusing on inpatient hospital claims, especially those for short stays, and conduct the reviews before payment is authorized, said Deborah Taylor, director of the Office of Financial Management at the Centers for Medicare & Medicaid Services. [read post]
12 Dec 2011, 1:21 pm
Ethex was accused of failing to inform the Centers for Medicare and Medicaid Services (“CMS”) that two of its drugs were ineligible for coverage under federal healthcare programs. [read post]
12 Dec 2011, 12:45 pm
The Center for Medicare & Medicaid Services has just announced new rules that will help accelerate the cumbersome process for obtaining data necessary to conclude injury cases when Medicare or Medicaid has paid bills from medical providers. [read post]
9 Dec 2011, 7:37 am
Forbes Magazine reports that the Centers for Medicare & Medicaid Services (CMS) will be conducting a preventative audit in 2012, before it pays out any tax-payer money for cardiology and orthopedic procedures. [read post]
8 Dec 2011, 7:26 am
A group of primary care physicians from Georgia have alleged in a federal lawsuit that the Centers for Medicare and Medicaid Services (CMS) violates federal law by relying on the advice of a committee of the American Medical Association (AMA) in setting Medicare rates for physician services. [read post]
8 Dec 2011, 2:41 am
The site also provides attorneys, Medicare beneficiaries, claimants, insurance carriers, and WCMSA vendors with the ability to track their submitted cases and the statuses without inquiry to the Coordination of Benefits Contractor (COBC) or the Centers for Medicare & Medicaid Services (CMS).Related articlesUS Supreme Court Maybe Asked to Rule on CMS Issue: "The Doctrine of Equitable Allocation"… [read post]
7 Dec 2011, 3:37 pm
The Centers for Medicare & Medicaid Services (CMS) issued its final medical loss ratio (MLR) rule on December 2. [read post]
