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2 Nov 2014, 1:00 am
On Friday, the Centers for Medicare and Medicaid Services (CMS) issued a final rule (PDF here) for physician reimbursement under Medicare in 2015. [read post]
2 Nov 2014, 12:00 am
Finn Pressly Sponsors of large, self-funded health plans struggling with the new Health Plan ID (HPID) requirement received a last-minute reprieve from the Centers for Medicare & Medicaid Services (CMS). [read post]
30 Oct 2014, 2:00 am
., The Health Law Firm On November 2, 2011, the Centers for Medicare and Medicaid Services (CMS) promulgated the interim final rule on fraud and abuse waivers for Accountable Care Organizations (ACOs) participating in the Medicare Shared Savings Program. [read post]
30 Oct 2014, 2:00 am
., The Health Law Firm On November 2, 2011, the Centers for Medicare and Medicaid Services (CMS) promulgated the interim final rule on fraud and abuse waivers for Accountable Care Organizations (ACOs) participating in the Medicare … Continue reading → [read post]
29 Oct 2014, 12:47 pm
" Data submitted by nursing homes to the Centers of Medicare and Medicaid Services (CMS) between 2006 and 2010 was analyzed by the author and her team. [read post]
29 Oct 2014, 2:00 am
Many people are unaware that Adult Day Care centers (we don’t like the name either) also offer nursing and therapy services as well. 3. [read post]
28 Oct 2014, 9:30 pm
The Centers for Medicare and Medicaid Services (CMS) recently proposed a rule that would significantly revise the criteria under which home health agencies (HHAs) qualify for federal funds. [read post]
28 Oct 2014, 1:52 pm
On October 17, 2014, the Centers for Medicare and Medicaid Services (CMS) extended its interim final rule regarding fraud and abuse waivers for accountable care organizations (ACOs) that participate in the Medicare Shared Savings Program. [read post]
28 Oct 2014, 12:00 am
Finn Pressly The Centers for Medicare and Medicaid Services (CMS) has revised its Health Plan ID (HPID) FAQs to provide clearer guidance for employers who wrap multiple self-funded benefit programs into a single ERISA plan for purposes of the annual Form 5500 filing.read more [read post]
27 Oct 2014, 9:30 pm
The Centers for Medicare and Medicaid Services (CMS) encourage states to suspend inmates’ enrollment because, once enrollment has been terminated, inmates who wish to receive Medicaid benefits during or post incarceration must re-apply. [read post]
24 Oct 2014, 6:25 am
(Extendicare) and its subsidiary Progressive Step Corporation (ProStep) have agreed to pay $38 million to the United States and eight states to resolve allegations that Extendicare billed Medicare and Medicaid for materially substandard nursing services that were so deficient that they were effectively worthless and billed Medicare for medically unreasonable and unnecessary rehabilitation therapy services, the Justice Department and the U.S. [read post]
23 Oct 2014, 2:39 pm
On September 30, 2014, the Centers for Medicare & Medicaid Services released the first round of "open payments" data pursuant to the Sunshine Act. [read post]
21 Oct 2014, 9:00 am
ACOs emerged in 2011 as a result of an initiative by the Centers for Medicare & Medicaid Services (CMS), as we documented in our blog articles ACO Regulations Finally Released, Braving the New Frontier of Accountable Care Organizations, and Final ACO Regulations are Released - Is this the Beginning of a New Era for Health Care? [read post]
21 Oct 2014, 5:16 am
With the November 5, 2014 deadline for “controlling health plans” CHPs (except small health plans) to obtain the Health Plan Identifier (HPID) required by the Department of Health and Human Services (HHS) Administrative Simplification: Adoption of a Standard for a Unique Health Plan Identifier Final Rule (Final Rule) the Centers for Medicare & Medicaid Services (CMS) is working to streamline the process CHPs use to get the HPID. [read post]
20 Oct 2014, 4:38 pm
The Centers for Medicare & Medicaid Services (CMS), which has primary responsibility for federal oversight of all three programs, is developing an estimate of the incidence of fraud for some Medicare services; that estimate is expected to be available soon. [read post]
17 Oct 2014, 11:22 am
Life Care Centers of America, Inc., No. 1:08-cv-00251-HSM-WBC (E.D. [read post]
14 Oct 2014, 5:16 pm
According to a press release from The American Association for Justice, the Centers for Medicare & Medicaid Services (CMS) has withdrawn its proposed rule in tort actions on future medicals called “Medicare Secondary Payer and Future Medicals. [read post]
13 Oct 2014, 8:53 pm
A related bill (S.2435) would provide Medicaid coverage. [read post]
13 Oct 2014, 9:00 am
Using the AMP and Best Price information, the Centers for Medicaid and Medicare Service will tell the manufacturer what rebate the state is owed. [read post]
13 Oct 2014, 8:51 am
The administrator of the Centers for Medicare and Medicaid services, Marilyn Tavenner, hopes that this new rating system will improve the quality of care for nursing home residents. [read post]
