Search for: "Center for Medicare and Medicaid Services"
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31 Mar 2011, 8:52 am
The Centers for Medicare & Medicaid Services (CMS) has issued proposed regulations that would establish accountable care organizations (ACOs) under the Medicare Shared Savings Program. [read post]
26 Apr 2016, 1:06 pm
Statistics collected by the Centers for Medicare and Medicaid Services show that 49 percent of Medicare claims contain errors. [read post]
26 Apr 2016, 1:06 pm
Statistics collected by the Centers for Medicare and Medicaid Services show that 49 percent of Medicare claims contain errors. [read post]
28 Oct 2016, 10:15 am
When the Centers for Medicare & Medicaid Services (CMS) released news of the final rule on September 28, San Diego nursing home residents already were protected against mandatory arbitration agreements under section 1599.81 of the California Health & Safety Code. [read post]
2 Apr 2018, 7:37 am
At last estimate, Medicare Administrative Contractors (MACs) processed an estimated 1.2 billion claims on behalf of America’s seniors.[2] As the Medicare program has grown, the Centers for Medicare and Medicaid Services (CMS) has employed a variety of different claims audit mechanisms to better ensure that the Medicare Trust Fund is protected from waste, fraud and abuse. [read post]
13 Mar 2010, 4:51 am
Since the reporting of those failures, the Centers for Medicare and Medicaid Services (CMS) have enhanced its efforts to seek reimburse. [read post]
27 Feb 2015, 4:16 pm
This week, the Centers for Medicare and Medicaid Services (CMS) released some important data regarding one of these value-based payment programs: the Value Modifier program. [read post]
27 Feb 2012, 11:00 am
In addition, HHS's Centers for Medicare and Medicaid Services, working in conjunction with the HHS-OIG, are taking steps to increase accountability and decrease the presence of fraudulent providers. [read post]
4 Oct 2017, 8:53 am
The documents also contain inter-agency agreements between the IRS and the Centers for Medicare and Medicaid Services (CMS) devised to circumvent potential legal prohibitions on unauthorized disclosure or inspection of taxpayer information collected by the IRS. [read post]
24 Oct 2011, 7:38 am
By: JM Megail Gaumer More benefits, better choices and lower costs, the Centers for Medicare & Medicaid Services (CMS) is encouraging people with Medicare and their families to begin reviewing drug and health plan coverage options for 2012. [read post]
17 May 2019, 6:17 am
The hospitals — Christus Santa Rosa Medical Center, Southwest General Hospital, University Hospital — ranked in the federal government’s bottom 25 percent of medical centers this year, along with 800 others nationally, in an annual survey by the Centers for Medicare and Medicaid Services (CMS). [read post]
29 Dec 2010, 9:34 am
Q2 Administrators (Q2A) is one of the contractors selected by the Centers for Medicare and Medicaid Services (CMS) to serve as a QIC. [read post]
11 Oct 2010, 9:30 am
The Centers for Medicare & Medicaid Services (CMS) has stepped up their efforts to enforce compliance with the Medicare Secondary Payor (MSP) statute. [read post]
20 Mar 2020, 12:23 pm
On March 16, 2020, Florida was the first state to have an 1135 waiver approved by the Centers for Medicare and Medicaid Services (“CMS”). [read post]
5 Apr 2012, 12:03 pm
Section 521 of the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 (BIPA) included provisions aimed at improving the Medicare fee-for-service appeals process. [read post]
10 Dec 2009, 4:14 pm
A guide for responsible reporting entities can be found at the Centers for Medicare & Medicaid Services website. [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]
27 Mar 2020, 5:07 pm
(“ANTHEM”), alleging that ANTHEM falsely certified the accuracy of the diagnosis data it submitted to the Centers for Medicare and Medicaid Services (“CMS”) for risk-adjustment purposes under Medicare Part C and knowingly failed to delete inaccurate diagnosis codes. [read post]
22 Oct 2012, 7:12 am
Under the Sustainable Growth Rate (SGR) formula used for Medicare Fee Schedule payments, doctors’ reimbursements for services are scheduled to be cut by 27% as of January 1, 2013.The Centers for Medicare & Medicaid Services (CMS) is required to follow the SGR formula, which was adopted in the Balanced Budget Act of 1997. [read post]
27 Jul 2018, 3:13 pm
Citing the Supreme Court’s 2016 decision in Universal Health Services v. [read post]