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22 Nov 2010, 6:50 am
CMS PUBLISHES FINAL 36-MONTH RULE:As we reported to you in our September 27 update (please click here to view this and other previous updates), several dozen comments associated with CMS’s proposed rule for the Medicare Home Health Prospective Payment System (HH PPS) Rate Update for Calendar Year 2011 addressed the so-called “36-month rule” for home health agencies (HHAs) that went into effect in January 2010.Under the 36-month rule, the… [read post]
22 Nov 2010, 4:35 am
The Centers for Medicare & Medicaid Services (CMS) has officially requested comments from the physician community regarding policies and standards for accountable care organizations (ACOs) participating in the Medicare program under the Shared Savings Program or in connection with the Center for Medicare and Medicaid Innovation (CMMI). [read post]
19 Nov 2010, 5:08 am
The Centers for Medicare and Medicaid Services (CMS) has filed a Motion to Amend its complaint in a lawsuit that will define the Statute of Limitations in a Medicare Secondary Payer (MSP) recovery action. [read post]
18 Nov 2010, 6:23 am
by Holly Hayes On November 17, 2010, the Centers for Medicare & Medicaid Services (CMS) established the CMS Innovation Center. [read post]
17 Nov 2010, 2:48 pm
All claims/settlements involving Medicare beneficiaries during this interim period must comply with the Medicare Secondary Payer Statute (MSP) and will be reported to the Centers for Medicare and Medicaid Services (CMS) if they meet the requirements. [read post]
16 Nov 2010, 2:21 pm
In an “Alert” dated November 9, 2010, the Centers for Medicare and Medicaid Services (CMS) has published a revised implementation timeline applicable to liability insurance (including self-insurance) “responsible reporting entities” (RREs) under Section 111 of the Medicare, Medicaid and SCHIP Extension Action of 2007 (MMSEA). [read post]
16 Nov 2010, 1:51 pm
We'd rather write about preemption or Daubert or TwIqbal.Last week, the Centers for Medicare & Medicaid Services, which goes by the confusing acronym CMS instead of the more logical CMMS, announced that the reporting deadline for some but not all entities and some but not all settlements has been postponed for one full year. [read post]
16 Nov 2010, 10:57 am
The Centers for Medicaid and Medicare Services (CMS) announced a further extension of the reporting deadline for the Medicare Secondary Payer (MSP) Mandatory Insurer Reporting (MIR) provisions in... [[ This is a content summary only. [read post]
16 Nov 2010, 10:23 am
We'd rather write about preemption or Daubert or TwIqbal.Last week, the Centers for Medicare & Medicaid Services, which goes by the confusing acronym CMS instead of the more logical CMMS, announced that the reporting deadline for some but not all entities and some but not all settlements has been postponed for one full year. [read post]
15 Nov 2010, 9:57 am
Image via Wikipedia On November 9th, the Centers for Medicare and Medicaid Services ("CMS") posted an alert (the "Alert") on its website extending, once again, the trigger and reporting dates for most liability settlements. [read post]
15 Nov 2010, 8:37 am
Hot off the press this morning from AAJ: As all of you are aware, the Centers for Medicare & Medicaid Services’ (CMS) implementation of the Section 111 reporting requirements of the Medicare Secondary Payer Act (MSP) for liability settlements and the penalties associated with improper lien resolution has created turmoil and delay for anyone trying to reach a settlement in any liability case. [read post]
15 Nov 2010, 6:00 am
Late last week, our friend and colleague Robbie Foster, from South Carolina's Nelson Mullins, sent me word (and a bulletin) that the Center for Medicare and Medicaid Services had just continued the compliance dates: the reporting date was apparently moved a year, to January 1, 2012 and applied to settlements after October 1, 2011. [read post]
12 Nov 2010, 5:31 am
In its November 3, 2010 release of the final 2011 Home Health Prospective Payment System ("2011 HHPPS"), the Centers for Medicare and Medicaid Services ("CMS") updated its hospice recertification requirement. [read post]
12 Nov 2010, 5:31 am
In its November 3, 2010 release of the final 2011 Home Health Prospective Payment System ("2011 HHPPS"), the Centers for Medicare and Medicaid Services ("CMS") updated its hospice recertification requirement. [read post]
12 Nov 2010, 4:04 am
On November 3, 2010, the Centers for Medicare and Medicaid Service ("CMS") posted its final 2011 Home Health Prospective Payment System ("2011 HHPPS" or the "Final Rule"). [read post]
12 Nov 2010, 4:04 am
On November 3, 2010, the Centers for Medicare and Medicaid Service ("CMS") posted its final 2011 Home Health Prospective Payment System ("2011 HHPPS" or the "Final Rule"). [read post]
11 Nov 2010, 9:53 am
For example, was the services provided at a Level 1 trauma center versus a community hospital; 9. [read post]
10 Nov 2010, 12:35 pm
Kirschenbaum – The Centers for Medicare & Medicaid Services (“CMS”) has finalized the withdrawal of its regulations on the calculation of Average Manufacturer Price (“AMP”) and the determination of federal upper limits. [read post]
9 Nov 2010, 6:02 pm
The draft criteria are arranged into seven categories that reflect the core capabilities ACOs should possess: Program Structure Operations Access and Availability Primary Care Care Management Care Coordination and Transitions Patient Rights and Responsibilities Performance Reporting There is no indication at this time that the Centers for Medicare and Medicaid Services (CMS) or any other regulatory agency will adopt these criteria in establishing… [read post]
9 Nov 2010, 9:00 am
On November 10, 2010, the Centers for Medicare & Medicaid Services ("CMS") published its much-anticipated Proposed Rule regarding the Medicaid Recovery Audit Contractor ("RAC") program. [read post]
