Search for: "Center for Medicare and Medicaid Services"
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5 Oct 2011, 3:28 am
Effective October 31, 2011, the Centers for Medicare & Medicaid Services (CMS) will begin referencing the CDC's Table 1: Life table for the total population: United States, 2007, for WCMSA life expectancy calculations. [read post]
4 Jun 2024, 6:26 am
Be enrolled in Medicaid, or Medicare and Medicaid. [read post]
25 Jul 2013, 6:01 am
Far too often, these claims are subjected to lengthy and cumbersome reviews by the Centers for Medicare and Medicaid Services (CMS) to determine appropriate set-aside amounts to pay for future medical costs in which Medicare may have an interest. [read post]
20 Jul 2017, 4:34 am
Agents and brokers planning to market health insurance coverage sold through the health care marketplaces established under the Patient Protection and Affordable Care Act (ACA) should register and participate in one of the upcoming “Plan Year 2018 Registration & Training Overview For Agents and Brokers” sessions offered by the Centers for Medicare & Medicaid Services (CMS) to: Provide Registration and training information for Plan Year (PY)… [read post]
25 Apr 2016, 9:22 am
Source: Centers for Medicare & Medicaid Services [read post]
25 Apr 2016, 9:22 am
Source: Centers for Medicare & Medicaid Services [read post]
7 Dec 2018, 7:39 am
By donating to Caring Voice Coalition (CVC), the government alleges that Actelion induced patients to purchase company drugs and defrauded the Centers for Medicare & Medicaid Services program. [read post]
28 May 2014, 7:46 am
Department of Health and Human Services Office of Inspector General (HHS-OIG) Kentucky region made the announcement [read post]
4 Mar 2009, 8:59 pm
Section 306 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) authorized the Centers for Medicare and Medicaid Services (CMS) to conduct a three-year demonstration program (Demonstration Project) using RACs to identify Medicare overpayments and underpayments and to recoup overpayments made to providers enrolled in the Medicare Fee-for-Service program. [read post]
27 Jan 2011, 7:54 am
In an effort to provide clarification regarding Medicare criteria regarding inpatient hospital admissions, the Centers for Medicare & Medicaid Services ("CMS") recently published a Special Edition MLN Matters article entitled, "Guidance on Hospital Inpatient Admission Decisions. [read post]
8 Sep 2020, 1:50 pm
In response, on September 1, 2020, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule (85 FR 54,327) that would establish an expedited Medicare coverage pathway for innovative medical devices, and codify, with some modification, the long-standing Program Integrity Manual standards to be used in making “reasonable and necessary” determinations under Section 1862(a)(1)(A) of the Social Security Act. [read post]
13 Jul 2012, 8:56 am
In announcing the 89 new ACOs that were selected to participate in the Medicare Shared Savings Program, the Centers for Medicare & Medicaid Services explained that participation in an ACO is purely voluntary for providers; that beneficiaries served by ACOs will continue to have free choice about the care they receive and from whom they seek care, without regard to whether a particular provider or supplier is participating in an ACO; and that… [read post]
25 Mar 2008, 12:17 pm
Dept. of Health and Human Services, What Do I Need to Know to About Medicare Prescription Drug Coverage to Help My Homeless Clients? [read post]
21 Dec 2018, 10:43 am
Medicaid Telehealth Services: As with the case of Medicare, state Medicaid telehealth guidelines require that all qualified practitioners providing telehealth services meet the requirements of their State Practice Act. [read post]
3 Oct 2023, 2:59 pm
The Centers for Medicare and Medicaid Services (CMS) pays Medicare Advantage Organizations for each beneficiary who enrolls and the payment is adjusted to account for various “risk” factors that affect expected health expenditures for the beneficiary. [read post]
28 Oct 2010, 3:56 pm
" This new technology is intended to allow the Centers for Medicare & Medicaid Services (CMS) to analyze, among other things, provider billing patterns and beneficiary utilization patterns in order to identify not only suspicious patterns of claims, but also different networks that represent a high risk of fraud. [read post]
18 Apr 2017, 1:38 pm
The Centers for Medicare & Medicaid Services (CMS) released its fiscal year (FY) 2018 inpatient prospective payment system (IPPS) proposed rule. [read post]
2 Mar 2011, 5:48 pm
The regulation, COMAR 14.09.01.19, would establish guidelines for reviewing and approving proposed workers comp settlement agreements in compliance with the review thresholds established by the federal Centers for Medicare and Medicaid Services (CMS) and spell out the data elements that must be part of all settlement agreements. [read post]
5 Feb 2014, 2:46 pm
On January 10, 2014, the Centers for Medicare & Medicaid Services (CMS) proposed significant changes to the Medicare Prescription Drug Benefit (Part D) Program. [read post]
4 Dec 2009, 5:35 am
The Wisconsin Department of Health Services is listed as an involuntary plaintiff because the state oversees the payment of Medicare and Medicaid. [read post]
