Search for: "Center for Medicare and Medicaid Services"
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9 Dec 2014, 6:36 am
In a letter dated December 3, 2014, the American Medical Association ("AMA") urged the Centers for Medicare and Medicaid Services ("CMS") to resolve the two-year backlog of Medicare and Medicaid appeals. [read post]
23 Dec 2019, 7:35 am
In his opinion, Third Circuit Court of Appeals Judge Stephanos Bibas stated that federal regulation of healthcare via Medicare and Medicaid ultimately leads to temptation of fraud. [read post]
5 Aug 2015, 3:48 pm
The Centers for Medicare and Medicaid Services (CMS) has announced that it intends to speed up its collections practices enforcing the Medicare Secondary Payer Act (MSP). [read post]
3 Feb 2014, 7:28 am
Recently, the Centers for Medicare and Medicaid Services (CMS) announced that it has decided to extend the Inpatient Hospital Prepayment "Probe and Educate" reviews. [read post]
13 Dec 2023, 10:16 am
For the first time, the Medicare/Medicaid folks are releasing the names of owners of Federally qualified health centers and rural health clinics, presumably to give non-Federal regulators and private attorneys a road-map of interlocking referrals and other arrangements which may jack up or fix market pricing. [read post]
28 Jan 2015, 12:48 pm
On December 30, 2014, the Centers for Medicare & Medicaid Services (CMS) announced that they had awarded the Region 5 Recovery Audit Contract (RAC) to Connolly, LLC. [read post]
16 Apr 2014, 6:24 am
More than three years after publication of final regulations to implement Affordable Care Act (ACA) provisions that strengthen provider and supplier enrollment screening provisions under federal health care programs, the Centers for Medicare & Medicaid Services (CMS) has selected a Fingerprint-Based Background Check Contractor (FBBC) and intends to phase in fingerprint-based background checks beginning in 2014. [read post]
6 May 2017, 4:25 am
A Federal Court in California has prohibited the Center for Medicare and Medicaid Services (CMS) from seeking reimbursement of conditional payments when the medical codes for the conditions are unrelated or not related even if the primary code was for a work-related medical condition. [read post]
18 Sep 2013, 8:36 am
Department of Health and Human Services (HHS) Office of Inspector General (OIG) issued a study addressing problems and vulnerabilities in Recovery Audit Contractor (RAC) activities, as well as their oversight by Centers for Medicare & Medicaid Services (CMS). [read post]
21 Aug 2013, 11:46 am
Today, the Centers for Medicare and Medicaid Services (CMS) requested an "emergency review" of its recently proposed rule that "[Federally-facilitated Exchanges or FFEs], non-Exchange entities associated with FFEs, and State Exchanges must report all privacy and security incidents and breaches to HHS within one hour of discovering the incident or breach." [read post]
31 Jul 2018, 6:00 am
Via email this morning:"[On Friday], July 27, the Centers for Medicare & Medicaid Services (CMS) [began] implementing a new policy that allows consumers to request same day Marketplace coverage termination (i.e., the termination takes effect on the date of their request) instead of the previous requirement to give 14 days prior notice. [read post]
4 Oct 2013, 11:27 am
Additionally, Medicaid funding was made available for states on October 1. [read post]
28 Aug 2015, 10:33 am
In fact, studies by the Centers for Medicare and Medicaid Services in conjunction with the Government Accountability Office (GAO) show that 33% of elders in nursing homes, who are diagnosed with dementia are actually prescribed antipsychotic medication, in spite of the fact that the FDA has warned that certain types of these drugs can prove fatal to elders. [read post]
8 Sep 2014, 6:06 am
The Centers for Medicare & Medicaid Services (CMS) and the Office of the National Coordinator for Health Information Technology (ONC) have issued a final rule that gives providers additional options in how they use certified electronic health record (EHR) technology (CEHRT) to meet meaningful use requirements for the 2014 EHR Incentive Program reporting period. [read post]
17 Sep 2018, 10:00 am
What has changed is the penalty for not purchasing health insurance has been zeroed out"Note well, however, that:1) This applies to plan year 2019 and after; the tax/penalty/fine remains in place for 2018, andb) It's a certainty that the tax/penalty/fine will be reinstated should the Congress change hands in November.That being said, there is some other good news out of DC:"The Centers for Medicare & Medicaid Services announced on Wednesday a… [read post]
13 Mar 2015, 6:39 am
The United States, in which the Court of Federal Claims ruled that the Centers for Medicare and Medicaid Services (CMS) could include contract clauses that deviated from federal government commercial contracting rules. [read post]
18 Apr 2017, 1:07 pm
[Please scroll down for update] We've been posting on the insecurity of the fabled Exchange site for a very long while; here, for example:"Centers for Medicare & Medicaid Services (CMS) was using only weak security measures to protect a HealthCare.gov performance dashboard data warehouse"Turns out, the Federales knew from pretty much Minute Zero that the site was a security sinkhole:"Judicial Watch today ... records showing that the… [read post]
15 Oct 2015, 10:02 am
Some are more open about their sex life than others.Well, that's the way it used to be.But not now.The new rules—from the Centers for Medicare & Medicaid Services and the Office of the National Coordinator of Health Information Technology—require all electronic health record systems, or EHRs, certified under Stage 3 of the Meaningful Use program to allow users to record, change, and access structured data on sexual orientation and gender… [read post]
4 Apr 2013, 4:00 am
The Centers for Medicare & Medicaid Services set a goal to reduce the use of antipsychotics in dementia patients by the end of 2012. [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]
