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19 Feb 2014, 12:07 pm
On January 16, 2014, the Centers for Medicare & Medicaid Services ("CMS") announced that it will release a national provider Comparative Billing Report ("CBR") addressing Positive Airway Pressure ("PAP") Devices and Accessories. [read post]
19 Feb 2014, 9:12 am by Ben Vernia
The Anti-Kickback Statute prohibits offering, paying, soliciting or receiving remuneration to induce referrals of items or services covered by Medicare, Medicaid and other federally funded programs. [read post]
18 Feb 2014, 1:42 pm
On January 15, 2014, the Centers for Medicare & Medicaid Services (CMS), issued revisions to their policy manuals, including the Medicare Benefit Policy Manual, that clarify that "Improvement Standards" are not required for determining claims for Medicare coverage involving skilled care, including skilled nursing facilities (SNF), home health (HH), and outpatient therapy (OPT) benefits. [read post]
17 Feb 2014, 12:05 pm by Lisa Baird
Department of Health & Human Services’ (HHS) Centers for Medicare & Medicaid Services (CMS), Centers for Disease Control and Prevention (CDC), and Office for Civil Rights jointly published a final rule amending the HIPAA Privacy Rule and the Clinical Laboratory Improvement Amendments of 1988 (CLIA) regulations to provide patients with direct access to laboratory test reports. [read post]
14 Feb 2014, 7:51 am by Robert Kraft
Tavenner, the administrator of the Centers for Medicare and Medicaid Services, said that “recalcitrant providers” would face civil fines and could be expelled from Medicare and other federal health programs. [read post]
13 Feb 2014, 12:28 pm by Debra A. McCurdy
Payment under this model would include all related services furnished during the episode, such as practitioners’ services (e.g., anesthesia, pathology, and/or radiology), diagnostic tests, Medicare-covered prescription drugs, and if applicable, ambulatory surgical center or hospital outpatient department facility payments. [read post]
13 Feb 2014, 11:45 am by Jerri Lynn Ward, J.D.
” – McKnight’s –  ”The Centers for Medicare & Medicaid Services has loosened regulatory language regarding which providers can furnish vaccines to hospice patients, and has tightened enforcement of a five-day payment limit for respite care. [read post]
12 Feb 2014, 8:00 am
An Overview of EHRs and Their Use in California On the section of the website dedicated to EHRs, The Centers for Medicare and Medicaid Services (“CMS”) website describe an EHR as “an electronic version of a patients [sic] medical history. [read post]
7 Feb 2014, 7:22 am by Lebowitz & Mzhen
A North Carolina nursing home appealed several monetary fines imposed by the Centers for Medicare and Medicaid Services (CMS), arguing in part that the evidence did not support CMS’s findings. [read post]
6 Feb 2014, 6:42 am by Pete Strom
Federal Government Blocks New Home Health Agencies in Areas with Worst Medicare Fraud The Centers for Medicare and Medicaid Services (CMS) announced in the last week of January that they would block approval for new home healthcare agencies in some areas due to worries about Medicare fraud. [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]
5 Feb 2014, 10:19 am by Jerri Lynn Ward, J.D.
” – McKnight’s –  ”New revisions to the Medicare Claims Processing manual are intended to clarify requirements for hospice providers operating in skilled nursing facilities, the Centers for Medicare & Medicaid Services announced recently. [read post]
3 Feb 2014, 7:28 am
Recently, the Centers for Medicare and Medicaid Services (CMS) announced that it has decided to extend the Inpatient Hospital Prepayment "Probe and Educate" reviews. [read post]
30 Jan 2014, 1:00 am by thehealthlawfirm
., Board Certified by The Florida Bar in Health Law For years, the Centers for Medicare and Medicaid Services (CMS) has kept private its records on Medicare claims payments made to individual physicians. [read post]
29 Jan 2014, 6:43 am
Photo Credit: Dietmar Temps via Compfight ccSee Related Blog Posts:The New Financial Side of Hospice CareNursing Facility Reaches Settlement in Medicare/Medicaid Fraud Case [read post]
29 Jan 2014, 4:18 am by Debra A. McCurdy
As previously reported, the Office of Inspector General (OIG) and the Centers for Medicare & Medicaid Services (CMS) published final rules in December amending Anti-Kickback Statute (AKS) and Stark Law regulations permitting certain arrangements involving the donation of interoperable electronic health record (EHR) software or information technology and training services. [read post]
27 Jan 2014, 6:27 am by Rebecca C. Morgan
According to the NSCLC paper: The Centers for Medicare and Medicaid Services (CMS) requires that sponsors of... [read post]
24 Jan 2014, 6:45 am
Centers for Disease Control and Prevention (CDC) and the Centers for Medicare and Medicaid Services to make its findings. [read post]
24 Jan 2014, 5:00 am by Jon Robinson
  But, in some cases, MSAs are necessary to protect the interests of the Centers for Medicare and Medicaid Services. [read post]