Search for: "Centers for Medicare and Medicaid Services (CMS)"
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22 Nov 2011, 12:59 pm
On November 17, 2011, the Centers for Medicare and Medicaid Services ("CMS") announced that it will delay enforcement action until March 31, 2012 for those Health Information Portability and Accountability Act ("HIPAA") covered entities that are not in compliance with the ASC X12 Version 5010, NCPDP Telecom D.0 and NCPDP Medicaid Subrogation 3.0 standards. [read post]
22 Nov 2011, 12:51 pm
On November 2, 2011, the Centers for Medicare and Medicaid Services ("CMS") issued a Medicare Learning Network Matters article entitled Autologous Cellular Immunotherapy Treatment of Metastatic Prostate Cancer ("CR 7431") wherein it "instructs that, effective for services performed on or after June 30, 2011, CMS concludes that the evidence is adequate to support the use of autologous cellular… [read post]
22 Nov 2011, 6:16 am
The Centers for Medicare and Medicaid Services ("CMS") defines an overpayment as a payment to a provider or supplier that exceeds the amounts payable under Medicare statutes and regulations. [read post]
22 Nov 2011, 4:59 am
The Centers for Medicare & Medicaid Services (CMS) has completed its Pilot Testing of the Workers' Compensation Medicare Set-aside Portal (WCMSAP). [read post]
22 Nov 2011, 4:50 am
The 6th Circuit Court of Appeals has ruled that The Center for Medicare and Medicaid Services (CMS) is entitle to complete reimbursement of Medicare payments under the Medicare Secondary Payer Act (MSP) from a liability claim even though the beneficiary claimed that the settlement required allocation due to the law allocating liability. [read post]
22 Nov 2011, 12:00 am
The Centers for Medicare and Medicaid Services (CMS) and the Health Resources and Services Administration (HRSA) have announced a demonstration project intended to evaluate the adoption of Advanced Primary Care (APC) practices by community health centers. [read post]
17 Nov 2011, 9:11 am
Thomas On November 16, 2011, Louisiana Department of Health and Hospitals’ (“DHH”) Secretary Bruce Greenstein announced that the Centers for Medicare and Medicaid Services (“CMS”) had approved an amendment to Louisiana’s Medicaid State Plan to implement the Coordinated Care Networks (“CCN”) also known as “Bayou Health. [read post]
17 Nov 2011, 3:29 am
As expected, on November 7th, the Centers for Medicare & Medicaid Services (CMS) implemented a new fixed percentage option for Conditional Payment Resolution (CPR). [read post]
16 Nov 2011, 7:03 am
The Centers for Medicare & Medicaid Services (CMS) has recently updated the information on its website with respect to the Medicare, Medicaid, and SCHIP Extension Act of 2007 (MMSEA), Section 111 “Mandatory Insurer Reporting” requirements. [read post]
15 Nov 2011, 6:16 am
In the spring of this year, the Centers for Medicare and Medicaid Services (CMS) released the proposed rules governing Accountable Care Organizations (ACOs) participating in the CMS Shared Savings Program. [read post]
14 Nov 2011, 2:31 pm
The final statement was issued in conjunction with the Department of Health and Human Services' Centers for Medicare and Medicaid Services' final regulations implementing the shared savings program as part of a coordinated interagency effort to facilitate health care provider participation in the shared savings program, so as to achieve the cost savings and improvement in quality of care Congress intended. [read post]
11 Nov 2011, 9:03 am
On July 19, 2011, the Centers for Medicare and Medicaid Services ("CMS") published in the Federal Register its CY 2012 Physician Fee Schedule Proposed Rule ("Proposed Rule"). [read post]
11 Nov 2011, 8:51 am
On July 19, 2011, the Centers for Medicare and Medicaid Services ("CMS") published in the Federal Register its CY 2012 Physician Fee Schedule Proposed Rule ("Proposed Rule"). [read post]
11 Nov 2011, 6:03 am
The Centers for Medicare & Medicaid Services (“CMS”) has administrative responsibility for Medicare and Medicaid. [read post]
10 Nov 2011, 9:10 am
Most of the regulations the attorney will need to learn will have been promulgated by CMS (Centers for Medicare & Medicaid Services). [read post]
10 Nov 2011, 8:30 am
To achieve the SGR target, each year in its report to the Medicare Payment Advisory Commission, the Centers for Medicare and Medicaid Services ("CMS") includes a conversion factor that will change the payment for physician services for the next year to match the target SGR. [read post]
8 Nov 2011, 8:45 am
After two years without an increase, the community spouse resource allowance (CSRA) and maximimum monthly maintenance needs allowance (MMMNA) numbers will go up for 2012, according to an announcement by the Centers for Medicare and Medicaid Services. [read post]
8 Nov 2011, 5:42 am
After two years without an increase, the community spouse resource allowance (CSRA) and maximimum monthly maintenance needs allowance (MMMNA) numbers will go up for 2012, according to an announcement by the Centers for Medicare and Medicaid Services. [read post]
7 Nov 2011, 6:04 am
CMS Announcements on Fixed Percentage Option for Settlements of $5,000 or less, $300 Threshold Limit for Reimbursement, and Identification of Contractor for Medicare Secondary Payer Recovery The Centers for Medicare and Medicaid Services (“CMS”) announced an option which will allow for payment of a simple fixed percentage on small dollar liability insurance or self-insurance settlements for physical trauma-based injuries. [read post]
7 Nov 2011, 6:04 am
CMS Announcements on Fixed Percentage Option for Settlements of $5,000 or less, $300 Threshold Limit for Reimbursement, and Identification of Contractor for Medicare Secondary Payer Recovery The Centers for Medicare and Medicaid Services (“CMS”) announced an option which will allow for payment of a simple fixed percentage on small dollar liability insurance or self-insurance settlements for physical trauma-based injuries. [read post]
