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31 Mar 2020, 9:01 am
Group practices can also furnish medically necessary MRIs, CT scans or clinical laboratory services from mobile units the group practice may rent on a part-time basis. [read post]
9 Jul 2015, 12:47 am
The proposal follows the American Medical Association’s recommendation to make advance care planning services a separately payable service under Medicare.The release of the rule triggers a 60-day comment period, during which time CMS welcomes the input of stakeholders and the public. [read post]
24 Sep 2010, 12:06 pm
"The SRDP is open to all health care providers of services and suppliers, whether individuals or entities, and is not limited to any particular industry, medical specialty, or type of service. [read post]
6 Nov 2020, 12:08 pm
On October 28, 2020, the Centers for Medicare & Medicaid Services (CMS) issued an interim final rule with comment period (IFR) in an effort to ensure that participants in CMS programs have no-cost access to any forthcoming Food and Drug Administration (FDA or Agency) authorized or approved COVID-19 vaccine. [read post]
23 May 2013, 8:23 am
” – McKnight’s – ”The majority of mental health services — such as medication management and counseling — are already provided to Medicaid recipients through managed care. [read post]
6 Nov 2017, 10:13 am
According to CMS, this final rule updates the home health prospective payment system (HH PPS) payment rates, including the national, standardized 60-day episode payment rates, the national per-visit rates, and the non-routine medical supply (NRS) conversion factor, effective for home health episodes of care ending on or after January 1, 2018. [read post]
25 Jul 2014, 1:27 pm
CMS is also revising how it accounts for costs associated with radiation therapy equipment and x-ray services. [read post]
23 Jun 2015, 7:34 pm
The types of information most commonly tracked electronically by residential care communities that used electronic health records were medical provider information, resident demographics, individual service plans, and lists of residents’ medications and active medication allergies. [read post]
22 Mar 2011, 6:19 am
Over the next several years, the Centers for Medicare and Medicaid Services (CMS) will be implementing quality initiatives in an effort to improve care and reduce costs. [read post]
28 Jan 2019, 7:53 am
” For example, for MA prescription drug plans, Rewards and Incentives programs could be used to encourage use of disease state management programs, medication therapy management, preventive health services, and consideration of less costly clinically-equivalent medication alternatives. [read post]
20 Nov 2014, 4:15 am
CMS is adopting its proposal to conditionally package ancillary services when they are integral, ancillary, supportive, dependent, or adjunctive to a primary service (except for preventive, psychiatry, and drug administration services). [read post]
15 Oct 2018, 11:53 am
The Centers for Medicare & Medicaid Services (CMS) is holding a Town Hall Meeting on December 4, 2018 to discuss fiscal year (FY) 2020 applications for add-on payments for new medical services and technologies under the Medicare inpatient prospective payment system (IPPS). [read post]
14 Jan 2022, 10:12 am
On November 1, 2021, the Centers for Medicare & Medicaid Services issued the “CMS Vaccine Mandate” which requires in part: vaccination of all employees of health care providers that participate in the Medicare and Medicaid programs, regardless of responsibility or patient contact, unless the employee is granted a medical or religious exemption; and development of policies and procedures related to the same. [read post]
13 Feb 2014, 12:28 pm
In both models, CMS is concentrating on care by specialist practitioners other than medical oncologists, since a potential oncology model is being developed on a separate track. [read post]
19 May 2008, 7:39 pm
The federales are now pushing the latest CMS demo promoting physician hospital collaboration. [read post]
20 Nov 2014, 10:10 am
On November 21, 2014, CMS is publishing a notice announcing that it will be holding a town hall meeting on February 3, 2015 to discuss fiscal year (FY) 2016 applications for add-on payments for new medical services and technologies under the Medicare hospital inpatient prospective payment system. [read post]
6 Jan 2008, 3:11 pm
The Centers for Medicare and Medicaid Services (CMS) has announced officially that beginning in October 2008 expenses incurred from medical mistakes made by health care providers will no longer be eligible for reimbursement. [read post]
27 Jun 2018, 3:11 pm
By way of background, the Stark Law addresses the concern that health care decision making can be unduly influenced by a profit motive and when physicians have a financial incentive to refer patients for health care services, overutilization in medical services may result. [read post]
27 Jun 2018, 3:11 pm
By way of background, the Stark Law addresses the concern that health care decision making can be unduly influenced by a profit motive and when physicians have a financial incentive to refer patients for health care services, overutilization in medical services may result. [read post]
2 Apr 2013, 4:31 pm
On April 2, 2013, the Centers for Medicare & Medicaid Services (CMS) held an Open Door Forum to discuss CMS's Administrator's Ruling (CMS-1455-R) and Proposed Rule (CMS-1455-P) that provide for significant changes to Medicare's Part B payment policy when a Part A hospital inpatient claim is denied as not medically necessary because the care was not provided in the appropriate setting. [read post]
