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5 Dec 2014, 9:16 am
On December 3, the Centers for Medicare & Medicaid Services (CMS) issued a final rule with new provisions for supplier and service provider enrollment in CMS programs. [read post]
5 Dec 2014, 8:19 am
Today's post was shared by Kaiser Health News and comes from kaiserhealthnews.org National health spending grew 3.6 percent in 2013, the lowest annual increase since the Centers for Medicare and Medicaid Services (CMS) began tracking the statistic in 1960, officials said Wednesday.Spending slowed for private health insurance, Medicare, hospitals, physicians and clinical services and out-of-pocket spending by consumers. [read post]
4 Dec 2014, 8:30 am
Department of Health: Medicaid Program – Excessive Medicaid Payments to Federally Qualified Health Centers for Group Therapy Services (2013-S-51)With approval from the federal Centers for Medicare and Medicaid Services, DOH amended the Medicaid State Plan in 2008 to allow Federally Qualified Health Centers (FQHCs) to provide group therapy services, including group therapy provided by… [read post]
3 Dec 2014, 7:42 am
Despite a history of deadly nursing home fires and a five-year lead-up to an August 2013 deadline to install sprinklers, 385 facilities in 39 states fail to meet requirements set by the Centers for Medicare and Medicaid Services, the federal agency whose duties include regulating nursing homes. [read post]
2 Dec 2014, 6:30 am
Along with these increases in coverage, medical providers may seek to increase fee schedule reimbursement rates to offset the costs associated with subsidies for Medicare and Medicaid patients. [read post]
29 Nov 2014, 4:30 pm
Filed Under: Nursing Home / Medicare Fraud The FBI apprehended a man and his wife in Atlanta this month for Medicare and Medicaid fraud. [read post]
26 Nov 2014, 8:07 am
BCBSM is required to report to the Centers for Medicare & Medicaid Services whether network pharmacies are compliant with the requirement to give Medicare Part D patients a copy of the Medicare Prescription Drug Coverage and Your Rights Standardized Pharmacy Notice (CMS-10147/OMB 0938-0975) if the prescription cannot be filled. [read post]
25 Nov 2014, 3:12 pm
More proposed Obamacare rules to improved the customer experience.The Centers for Medicare & Medicaid Services Nov. 21 issued a massive 324-page notice of proposed rulemaking aimed at improving the consumer experience in the health insurance marketplace by increasing pricing and plan transparency and making information more accessible to consumers, among other changes.Key among the controversial proposals is the requirement that all exchanges, qualified health… [read post]
25 Nov 2014, 5:19 am
Entendemos que el extender el periodo para despachar recetas y las repeticiones de medicamentos “Non-Controlled” va a ayudar a los pacientes a que continúen sus tratamientos con medicamentos de mantenimiento; y a su vez, ayude a nuestra Isla a mejorar sus calificaciones bajo el sistema de evaluación “Star Ratings” del Center for Medicare and Medicaid Services (“CMS”). [read post]
20 Nov 2014, 4:45 pm
Individuals who receive benefits from Medicaid and Medicare are also referred to as beneficiaries. [read post]
20 Nov 2014, 11:30 am
” By prohibiting case managers from being involved in and reviewing decisions regarding inpatient admissions, Prime was allegedly in direct violation of The Centers for Medicare and Medicaid Services (“CMS”) requirements that hospitals must have utilization review plans in place. [read post]
20 Nov 2014, 4:15 am
On November 10, 2014, CMS published its final rule to update the Medicare Hospital Outpatient Prospective Payment System (OPPS) and the Ambulatory Surgical Center (ASC) Payment System rates and policies for calendar year (CY) 2015. [read post]
20 Nov 2014, 1:11 am
CMS is adopting – with revisions – its proposal to test a limited phase-in of bundled payments for certain types of DME subject to competitive bidding, under the auspices of the CMS Center for Medicare and Medicaid Innovation’s demonstration authority. [read post]
18 Nov 2014, 7:52 am
The Centers for Medicare and Medicaid Services (CMS), the federal agency responsible for overseeing nursing homes, has since 2001 discussed the problem of the inaccuracy of self-reported data. [read post]
18 Nov 2014, 6:48 am
Court of Appeals for the Federal Circuit to overturn a ruling which would allow Centers for Medicare and Medicaid ("CMS") to modify payment terms for Recovery Auditor ("RAC") contracts. [read post]
17 Nov 2014, 10:05 am
The Centers for Medicare and Medicaid Services (CMS) plans to run the first risk adjustment and reinsurance calculation estimates in mid-December, 2014 using data to be collected from insurers and TPAs on the EDGE system. [read post]
15 Nov 2014, 8:22 am
Health and Human Services is recommending the CMS (Centers for Medicare and Medicaid Services) take steps to ensure nursing homes continuously maintain abuse allegation policies and implement them according to federal regulations. [read post]
12 Nov 2014, 1:00 pm
On October 31, 2014, the Centers for Medicare and Medicaid Services (CMS) released its CY 2015 Physician Fee Schedule Final Rule. [read post]
7 Nov 2014, 6:38 am
Last week, the Centers for Medicare and Medicaid Services (CMS) issued the final Physician Fee Schedule for Fiscal Year 2015. [read post]
5 Nov 2014, 11:58 am
On October 30, 2014, the Centers for Medicare and Medicaid Services (CMS) announced its final rule regarding changes to the Medicare home health care prospective payment system. [read post]
