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Signals Trump Administration’s About-Face on Obama-Era Mandatory Innovation Models The Centers for Medicare & Medicaid Services (CMS) has just released a proposed rule to cancel a significant — but still-pending — Obama Administration program that would require certain hospitals to participate in Medicare episode payment models (EPMs) for acute myocardial infarction (AMI), coronary artery bypass graft (CABG), and surgical… [read post]
19 Apr 2019, 11:15 am by Debra A. McCurdy
The Centers for Medicare & Medicaid Services (CMS) is proposing to increase Medicare inpatient psychiatric facility (IPF) payments by $75 million – a 1.7% boost – in fiscal year (FY) 2020. [read post]
31 Dec 2014, 9:43 am
Earlier this month, the Centers for Medicare and Medicaid Services (CMS) announced implementation of a Final Rule intended to increase oversight of Medicare providers and enable recoveries from those health care providers that commit fraud and violate Medicare rules. [read post]
19 Jun 2009, 11:35 am
On June 18, 2009, the Centers for Medicare and Medicaid Services (“CMS”) posted information on its web site warning that perpetrators are sending faxes to physician offices posing as the Medicare carrier or Medicare Administrative Contractor (“MAC”). [read post]
19 Jun 2009, 11:35 am
On June 18, 2009, the Centers for Medicare and Medicaid Services (“CMS”) posted information on its web site warning that perpetrators are sending faxes to physician offices posing as the Medicare carrier or Medicare Administrative Contractor (“MAC”). [read post]
20 Jun 2011, 3:00 am by Jon L. Gelman
The Centers for Medicare and Medicaid Services (CMS) has now posted its newly revised Rights and Responsibilities letter. [read post]
22 Apr 2019, 3:15 am by Paul W. Pitts and Debra A. McCurdy
The Centers for Medicare & Medicaid Services (CMS) has released its proposed rule to update the Medicare inpatient rehabilitation facility (IRF) prospective payment system (PPS) for fiscal year (FY) 2020. [read post]
26 Sep 2019, 9:44 am by Debra A. McCurdy
The Centers for Medicare & Medicaid Services (CMS) has finalized changes to the discharge planning conditions of participation (CoPs) for hospitals (including long-term care hospitals (LTCHs) and inpatient rehabilitation hospitals (IRFs)), critical access hospitals (CAHs), and home health agencies (HHAs). [read post]
5 Apr 2016, 6:00 pm by Gerry W. Beyer
The Centers for Medicare & Medicaid Services (CMS) is opting to phase in the cuts to the employer-based Medicare Advantage plans... [read post]
2 Sep 2016, 12:48 pm by The Health Law Partners
The Centers for Medicare & Medicaid Services (CMS) proposed significant reductions in Medicare reimbursements for home healthcare agencies. [read post]
23 Apr 2019, 2:28 pm by Debra A. McCurdy
The Centers for Medicare & Medicaid Services (CMS) is expanding the types of durable medical equipment (DME), prosthetic, orthotics, supplies (DMEPOS) that are subject to Medicare prior authorization requirements on the basis of being “frequently subject to unnecessary utilization. [read post]
4 Nov 2021, 2:15 pm
On November 4, 2021, the Biden administration and the Centers for Medicare and Medicaid Services (CMS) at the Department of Health and Human Services (HHS) issued an interim final rule requiring healthcare worker vaccinations. [read post]
18 Dec 2023, 5:00 am by Wachler & Associates, P.C.
The Centers for Medicare & Medicaid Services (CMS) recently issued the final rule for the physician fee schedule (PFS) for calendar year (CY) 2024, which implements new evaluation and management (E/M) policies and solidifies certain existing telehealth policies. [read post]
26 Jan 2024, 9:00 am by Kevin J. Malone, David Shillcutt
On January 18th, the Centers for Medicare & Medicaid Services (CMS) announced a new demonstration model called the Innovation in Behavioral Health (IBH) Model, which is designed to improve outcomes for adults with mental health and substance use disorders (MH/SUD) by enhancing behavioral health provider capacity to integrate physical health care into their practice settings and services. [read post]
9 Sep 2015, 9:00 am by Julie LaVille Hamlet
On July 31, 2015, the Centers for Medicare & Medicaid Services (“CMS”) issued final Medicare payment rules for federal fiscal year 2016 (the “Rules”). [read post]
11 Jan 2016, 3:00 am by Debra A. McCurdy
The Centers for Medicare & Medicaid Services (CMS) has issued a final rule to require Medicare prior authorization (PA) for certain durable medical equipment (DME), prosthetics, orthotics, and supplies (DMEPOS) items that the agency characterizes as “frequently subject to unnecessary utilization. [read post]
23 Apr 2014, 2:00 am by thehealthlawfirm
., The Health Law Firm The Affordable Care Act (ACA) requires the Centers for Medicare and Medicaid Services (CMS) to establish a process for sharing information about terminated Medicaid providers. [read post]
15 Mar 2020, 11:00 pm
To address growing concerns over the coronavirus pandemic, recent guidance by the Centers for Medicare and Medicaid Services (CMS) and Center for Disease Control (CDC) will assist providers in preparing for a possible influx of patients with COVID-19. [read post]
24 Jun 2011, 11:40 am
On June 17, 2011, the Centers for Medicare & Medicaid Services ("CMS") announced that beginning July 1, 2011 it will start to utilize an innovative predictive modeling technology to aid the prevention of Medicare fraud. [read post]
Comments may be electronically submitted at www.regulations.gov, or by regular mail to the following address: Centers for Medicare & Medicaid Services, Department of Health and Human Services, Attention: CMS-3372-P, P.O. [read post]