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22 May 2015, 6:50 pm by Sabrina I. Pacifici
Within the Centers for Medicare & Medicaid Services (CMS), the Center for Medicare & Medicaid Innovation (CMMI) began testing the Pioneer ACO Model in 2012. [read post]
21 May 2015, 10:58 am by Kevin S. Little
Code § 3729 Medically Necessary Services A recent publication of the Centers for Medicare and Medicaid Services explains that Medicare-covered services generally are those considered medically reasonable and necessary to the overall diagnosis or treatment of the patient’s condition or to improve a malforming body function. [read post]
20 May 2015, 1:28 pm
The Center for Medicare and Medicaid Services ("CMS") would be required to calculate the fee reduction for each RAC within six months at the end of each contract year. [read post]
20 May 2015, 8:29 am by Allison Tussey
Patrick’s salary is partially paid for by the federal Centers for Medicare and Medicaid Services, which is a federal agency within the U.S. [read post]
18 May 2015, 9:00 am by Julie C. LaVille
On April 30, 2015, the Centers for Medicare & Medicaid Services (“CMS”) issued a proposed rule that would update fiscal year (“FY”) 2016 Medicare payment rates and the wage index for hospices serving Medicare beneficiaries (the “Proposed Rule”). [read post]
14 May 2015, 12:36 pm by Law Offices of Ben Yeroushalmi
In 2008, the Five-Star Quality Rating System was launched by the Centers for Medicare and Medicaid Services (CMS) on its Nursing Home Compare website. [read post]
13 May 2015, 9:30 pm by Karen Wiswall
Through multi-stage incentive programs that began in 2011, the Centers for Medicare and Medicaid Services (CMS) encourage providers serving Medicare and Medicaid patients to use electronic health records by paying eligible providers to adopt, implement, or upgrade their electronic record systems, and then demonstrate or “attest” to “meaningful use” of the systems. [read post]
11 May 2015, 12:26 pm
Turns out, Bay State Brahmins:■ Failed to execute a contract with CGI, the vendor hired to build the site, that would track the progress of the project and ensure on-time delivery of a product that included all required features■ Failed to implement a governance structure that would ensure ongoing quality of the project[And worst of all:]■ Attempted to conceal these shortcomings by misrepresenting the progress of the health insurance exchange to a number of stakeholders including… [read post]
8 May 2015, 5:30 am by Kori Shafer-Stack
  The update includes all changes identified in Center for Medicare and Medicaid Services (CMS) Change Request (CR) number CR 9028, which can be accessed on the CMS website. [read post]
7 May 2015, 1:26 pm by Fraud Fighters
If you have information concerning a potential case involving Medicare or Medicaid fraud, do not hesitate to take action. [read post]
5 May 2015, 11:40 pm
Synergy essentially buys up existing nursing homes that are struggling financially due to low reimbursements from the federal and state governments (Medicare & Medicaid.) [read post]
5 May 2015, 4:00 am by Jon Gelman
As part of the Administration’s goals of better, care, smarter spending, and healthier people, the Centers for Medicare & Medicaid Services announced the availability of new, privacy-protected data on Medicare Part D prescription drugs prescribed by physicians and other health care professionals in 2013. [read post]
2 May 2015, 3:44 pm by Cynthia Marcotte Stamer
June 23, 2015 is the deadline for submitting comments on proposed updates to the Medicare Psychiatric Facilities Prospective Payment System Regulations (PFPPS Rule) that the Centers for Medicare & Medicaid Services (CMS) wants to implement beginning October 1, 2015 published on May 1, 2015 in the proposed “Medicare Program; Inpatient Psychiatric Facilities Prospective Payment System—Update […] [read post]
30 Apr 2015, 6:02 am by Kit Case
The requirement likely would be similar to reporting rules implemented by the Centers for Medicare and Medicaid Services in 2009, said Brad Peterson, a shareholder at law firm Heyl, Royster, Voelker & Allen P.C. in Urbana, Illinois. [read post]
29 Apr 2015, 2:18 pm by Fraud Fighters
  When a company or individual knowingly bills the Medicaid or Medicare system for bogus or unnecessary services, it is a violation of the FCA. [read post]
29 Apr 2015, 7:19 am by Debra A. McCurdy
On April 30, 2015, the Centers for Medicare & Medicaid Services (CMS) is publishing its proposed rule to update the Medicare acute hospital inpatient prospective payment system (IPPS) and long-term care hospital (LTCH) prospective payment system (PPS) for fiscal year (FY) 2016. [read post]
28 Apr 2015, 2:19 pm
On Friday March 20, 2015, the Centers for Medicare & Medicaid Services ("CMS") announced the release of the new Stage 3 meaningful use proposed rules. [read post]
24 Apr 2015, 2:05 pm by Fraud Fighters
If you have information concerning Medicaid or Medicare fraud by a hospital, doctor or other healthcare provider, do not hesitate to take action. [read post]