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6 Aug 2014, 5:28 am by Dean Freeman
A study analyzing the data provided by the Health Care Finance Administration (now the Centers for Medicare and Medicaid Services) from 1999 to 2001 found that almost one in three nursing homes were cited for abuse violations, with 3,800 of the 9,000 citations issued for failure to properly investigate and report allegations of resident abuse, neglect or mistreatment, or to ensure nursing home staffers don’t have a documented history of abuse prior to being… [read post]
4 Aug 2014, 10:04 am by Jon Gelman
 Congress and Medicare (Centers for Medicare and Medicaid Services [CMS]), in an effort to shore up the financially ailing Medicare program has been dueling with an employer/insurance company led coalition. [read post]
31 Jul 2014, 1:26 pm by Barbara S. Mishkin
  (Those agencies are the Commodity Futures Trading Commission, the Centers for Medicare and Medicaid Services, and the Securities and Exchange Commission.) [read post]
31 Jul 2014, 10:27 am
As part of the Centers for Medicare and Medicaid Services' (CMS) continued efforts to combat Medicare fraud, federal charges were recently brought against 90 individuals across the nation for false billings to Medicare, totaling $260 million dollars. [read post]
—18 minutes before the market closed and 35 minutes before the government announced that the Centers for Medicare and Medicaid Services would increase reimbursements by 3.3%, rather than reduce them 2.3%, as initially proposed. [read post]
28 Jul 2014, 1:24 pm
It does not affect work-based insurance, Medicare or Medicaid, regardless of where you live. [read post]
28 Jul 2014, 12:00 am by Tammy Schroeder
The Centers for Medicare and Medicaid Services (CMS) has made revisions to twenty F-Tags in the State Operations Manual (SOM). [read post]
25 Jul 2014, 1:41 pm by Debra A. McCurdy
On July 14, 2014, the Centers for Medicare & Medicaid Services (CMS) published its proposed 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]
22 Jul 2014, 6:47 am by Barry Aronin
As of January 1, 2010 The Centers for Medicare and Medicaid Services (CMS) no longer recognized consultation codes 99241-99245.What are consultations? [read post]
17 Jul 2014, 12:23 pm
Stark Law (also known as the "Ethics in Patient Referrals Act") prohibits physician referrals of specified or "designated health services" for Medicare and Medicaid patients, where the physician or her immediate family member has a financial relationship with the referred entity.2 A financial relationship can include ownership, investment interest, and direct or indirect compensation arrangements.3 A "referral" is broadly defined to include… [read post]
17 Jul 2014, 6:36 am by Debra A. McCurdy
On July 15, 2014, the Centers for Medicare & Medicaid Services (CMS) announced its plans to recompete the supplier contracts awarded in Round 2 of the Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program and the National Mail-Order diabetic testing supplies competition, as it is required by statute to do at least every three years. [read post]
14 Jul 2014, 1:23 pm
The program is designed to be an alternate dispute resolution process where the appellant and the Centers for Medicare & Medicaid Services ("CMS") come together to discuss a potential mutually agreeable resolution of claims appealed at the Administrative Law Judge ("ALJ") level. [read post]
14 Jul 2014, 10:05 am
In a report released on July 9, 2014, the Senate Special Committee on Aging criticized the Centers for Medicare and Medicaid Services (CMS) for the increase in improper payments in the Medicare program, despite the increasing amount of audit activity and the resulting burden on Medicare providers. [read post]
9 Jul 2014, 7:00 am by pvwlaw
A proposed rule issued July 1 by the Center for Medicare and Medicaid Services (CMS) (CMS-1611-P) looks to change payment rates for home health agencies and simplify the  face-to-face encounter regulatory requirements. [read post]
9 Jul 2014, 7:00 am by pvwlaw
A proposed rule issued July 1 by the Center for Medicare and Medicaid Services (CMS) (CMS-1611-P) looks to change payment rates for home health agencies and simplify the  face-to-face encounter regulatory requirements. [read post]
9 Jul 2014, 7:00 am by hvwlawyers
A proposed rule issued July 1 by the Center for Medicare and Medicaid Services (CMS) (CMS-1611-P) looks to change payment rates for home health agencies and simplify the  face-to-face encounter regulatory requirements. [read post]
9 Jul 2014, 6:59 am
Through the SCF program, providers have the opportunity to discuss with the Centers for Medicare and Medicaid Services (CMS) the potential of a mutually agreeable resolution to the claims appealed to an Administrative Law Judge (ALJ) hearing. [read post]
8 Jul 2014, 3:24 pm
On July 3, 2014, the Centers for Medicare and Medicaid Services (CMS) released proposed rules governing the outpatient prospective payment system (OPPS) and ambulatory surgery center payment system policy as well as the physician fee schedule (PFS). [read post]
8 Jul 2014, 3:24 pm
On July 3, 2014, the Centers for Medicare and Medicaid Services (CMS) released proposed rules governing the outpatient prospective payment system (OPPS) and ambulatory surgery center payment system policy as well as the physician fee schedule (PFS). [read post]
7 Jul 2014, 1:02 pm by Debra A. McCurdy
On July 2, 2014, the Centers for Medicare & Medicaid Services (CMS) released a proposed rule that would make a series of significant changes to Medicare coverage and payment policies for durable medical equipment (DME), prosthetics, orthotics, and supplies (DMEPOS). [read post]