Search for: "Center for Medicare and Medicaid Services"
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3 Feb 2015, 1:47 am
Allow the Centers for Medicare & Medicaid Services (CMS) to assign more Medicare fee-for-service (FFS) beneficiaries to Federally Qualified Health Centers and Rural Health Clinics that participate in an Accountable Care Organization (ACO) under the Medicare Shared Savings Program ($80 million), and expand the basis for beneficiary assignment for ACOs to include nurse practitioners, physician assistants, and clinical nurse… [read post]
2 Feb 2015, 2:05 pm
These codes are accessible to the public, because they maintained by the government through the Centers for Medicare and Medicaid Services. [read post]
29 Jan 2015, 1:02 pm
On January 22, 2015, the Centers for Medicare & Medicaid Services (CMS) added star ratings to the Dialysis Facility Compare (DFC) website, with a one- to five-star rating assigned based on performance on nine quality measures. [read post]
29 Jan 2015, 12:00 am
The Centers for Medicare and Medicaid Services (CMS) announced today that it intends to adopt regulations modifying the Medicare Electronic Health Record (EH R) Meaningful Use Program requirements as early as the Spring of 2015. [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]
28 Jan 2015, 4:34 am
Looking to Medicare's fee schedule, RAND recommends using what is already in place, and by reference, that would eliminate reimbursement to family members.Payments under Medicare are limited to services provided by home health agencies that are certified by the U.S. [read post]
27 Jan 2015, 2:23 pm
Republican chairs of the House Committee on Energy and Commerce and the Senate Finance Committee recently wrote to the head of Center for Medicare and Medicaid Services (CMS), demanding explanation for why 22 states and D,C. are "failing" to implement... [read post]
26 Jan 2015, 11:43 am
I had an interesting conversation with Mike Barrett, Chairman of the National Association of ACOs, as a result of my January 7th post on the Medicare beneficiary opt-out process described in Medicare Shared Savings Program (“MSSP”) regulations proposed by the Centers for Medicare & Medicaid Services (“CMS”). [read post]
26 Jan 2015, 9:00 am
Five private companies brought suit against the director of Idaho’s health department, arguing that the state unfairly reimbursed them at rates set in 2006, despite the fact that higher rates have since been approved by the Centers for Medicare and Medicaid Services (“CMS”). [read post]
26 Jan 2015, 6:30 am
CMS Review Provides Certainty By obtaining approval from the Centers for Medicare and Medicaid Services (CMS) prior to final settlement, all parties receive certainty from future government action or non-recognition of a settlement. [read post]
23 Jan 2015, 8:00 am
Lack of Accountability for Homes that Medically Sedate Patients A related NPR piece notes that, despite a continuing campaign by the Centers for Medicare and Medicaid Services (“CMS”) to reduce the number of nursing home patients using antipsychotic medications, there are few consequences for nursing homes that oversedate patients. [read post]
19 Jan 2015, 3:13 am
Workers' compensation is now significantly impacted by the enforcement of the recovery of benefits by the Centers for Medicare and Medicaid Services (CMS). [read post]
16 Jan 2015, 6:04 am
” Moreover, including numerous process measures could reinforce “undesirable payment incentives in FFS Medicare to increase the volume of services and is overly burdensome on providers to report, while yielding limited information to support clinical improvement or beneficiary choice. [read post]
15 Jan 2015, 1:58 pm
The OIG recommends that the Centers for Medicare and Medicaid Services: 1) reform payments to reduce the incentive for hospices to target beneficiaries with certain diagnoses and those likely to have long stays; 2) target certain hospices for review; 3) develop and adopt claims-based measures of quality; 4) make hospice data publicly available for beneficiaries; and 5) provide additional information to hospices to educate them about how they compare to their… [read post]
13 Jan 2015, 8:25 am
Acknowledging the issue, the Centers for Medicare and Medicaid Services (CMS) limited enforcement of the two-midnight rule and solicited stakeholders for suggestions on improving it. [read post]
13 Jan 2015, 5:07 am
On December 30, 2014, the Internal Revenue Service (IRS), the Employee Benefits Security Administration (EBSA), and the Centers for Medicare & Medicaid Services (CMS) published a proposed rule that would revise Affordable Care Act (ACA) summary of benefits and coverage (SBC) and uniform glossary requirements for group health plans and health insurance coverage. [read post]
13 Jan 2015, 1:25 am
The Five-Star Quality Rating System was created by the Centers for Medicare & Medicaid Services (CMS) to give consumers, their families, and caregivers a way to assess the quality of a nursing home or care facility. [read post]
12 Jan 2015, 8:09 am
The prevalence of patients with diabetes while staying in a nursing home is estimated by the Centers for Medicare and Medicaid Services to be one in three. [read post]
7 Jan 2015, 2:14 pm
Medicare beneficiaries whose healthcare providers participate in an Accountable Care Organization (ACO) under the Medicare Shared Savings Program (MSSP) may want to add the Centers for Medicare & Medicaid Services (CMS) website, “Medicare & You”, to their lists of favorite internet links if they don’t want their Medicare claims data shared. [read post]
6 Jan 2015, 9:30 pm
States must apply to the federal Centers for Medicare & Medicaid Services (CMS) for approval of these waiver programs, and they must reapply every three years to renew the federal government’s approval. [read post]
