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17 Oct 2012, 7:47 am
HDI posted the issue for all Region D states, but the pre-payment review program has only been approved by the Centers for Medicare and Medicaid Services (CMS) for 11 states: California, Florida, Illinois, Louisiana, Michigan, Missouri, New York, North Carolina, Ohio, Pennsylvania, and Texas. [read post]
13 Jul 2015, 7:22 pm
The Centers for Medicare and Medicaid Services has formally moved:The URL for accessing the Section 111 Coordination of Benefits Secure Website (COBSW) has been changed to: https://www.cob.cms.hhs.gov/Section111//.July 13, 2015 - Updated MMSEA Section 111 NGHP User Guide Version 4.7 - Chapters I-V Now AvailableThe updated MMSEA Section 111 NGHP User Guide dated July 13, 2015 has been posted to the NGHP User Guide page. [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]
11 Mar 2015, 7:00 am
From the horse's, erm, mouth:"The Centers for Medicare & Medicaid Services (CMS) announced today a special enrollment period (SEP) for individuals and families who did not have health coverage in 2014 and are subject to the fee or “shared responsibility payment” when they file their 2014 taxes in states which use the Federally-facilitated Marketplaces (FFM)"That's right, flout the law one year, get rewarded the next. [read post]
3 Jan 2013, 12:48 pm
.■ And finally, speaking of Ms Shecantbeserious and her minions (aka the Centers for Medicare and Medicaid Services, or CMS), we're now officially in the rolling out stages of new ObamaTax rules and regs (and, of course, major tax increases). [read post]
25 Feb 2013, 7:16 pm
The Centers of Medicare & Medicaid Services (CMS) has consistently stated that it does not anticipate approving specialty accountable care organizations. [read post]
21 Oct 2015, 12:36 pm
In the last few weeks, we have seen a flurry of activity in Zone Program Integrity Contractor ("ZPIC") audits for the Centers of Medicare and Medicaid Services ("CMS"). [read post]
14 May 2013, 6:56 am
On April 10, 2013, the Centers for Medicare & Medicaid Services (CMS) published its proposed rule updating Medicare inpatient prospective payment system (IPPS) and long-term acute care hospital prospective payment system (LTCH PPS) rates and policies for fiscal year (FY) 2014, which begins October 1, 2013. [read post]
8 May 2014, 12:37 pm
In an effort to address these issues, the Center for Medicare and Medicaid Services has published a list of recommendations for what to do if you are a nursing home resident or the loved one of a nursing home resident with an issue or a problem. [read post]
14 Dec 2013, 11:43 am
” Medicare and Medicaid reimburse much less than what hospitals charge, and insurers and managed care companies also negotiate rates that have little to do with what hospitals ask to be paid.People without insurance, however, are subject to these sticker prices. [read post]
14 Oct 2019, 3:33 pm
For Medicare beneficiaries, the VBE would, at a minimum, be responsible for all items and services covered under Parts A and B. [read post]
10 Jun 2019, 8:19 am
An SCF is “an alternative dispute resolution process designed to bring the appellant and the Centers for Medicare and Medicaid Services (CMS) together to discuss the potential of a mutually agreeable resolution for Medicare Part and Part B claims. [read post]
21 Sep 2022, 11:06 am
McKnight’s Long-Term Care News author, James Berklan, reports that a new minimum data set has been issued by the Centers for Medicare and Medicaid Services (CMS) which will be carried out by nursing homes across the U.S. starting on October 1, 2023. [read post]
17 Jan 2016, 8:27 am
Efforts by Attorneys General from 15 states including Illinois and the District of Columbia urging the Centers for Medicare and Medicaid Services (CMS) to prohibit binding arbitrary agreement clauses affecting long-term care contracts appear to be successful. [read post]
17 Jan 2016, 8:27 am
Efforts by Attorneys General from 15 states including Illinois and the District of Columbia urging the Centers for Medicare and Medicaid Services (CMS) to prohibit binding arbitrary agreement clauses affecting long-term care contracts appear to be successful. [read post]
25 Aug 2015, 1:18 pm
On July 29, 2015 the Centers for Medicare & Medicaid Services ("CMS") announced that it is extending the temporary moratoria on the enrollment of new home health agencies, subunits, and branch locations ("HHA") and part B ambulance suppliers for an additional six months. [read post]
5 Apr 2022, 6:16 am
Centers for Medicare & Medicaid Services (CMS) will be putting into effect. [read post]
1 Oct 2015, 4:22 am
Under the SCF pilot program, Medicare providers had 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]
OIG Advisory Opinion Examines Radiology Arrangement regarding Transcription Fees Paid to Third Party
23 Feb 2016, 8:25 am
Crucial to the OIG's finding, the Centers for Medicare & Medicaid Services' ("CMS") Medicare Claims Processing Manual provides that with regards to the professional component of a radiology service, the interpretation of the diagnostic procedure includes a written report. [read post]
18 Oct 2012, 5:31 am
Although the new figures have not yet been announced by the Centers for Medicare and Medicaid Services, by law they are based on the consumer price index for all urban consumers published by the Bureau of Labor Statistics (the CPI-U) for Septemberof the prior year. [read post]
