Search for: "Center for Medicare and Medicaid Services"
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23 Jul 2013, 8:06 am
In its proposed rules for hospitals in the fiscal year starting Oct. 1, the Centers for Medicare & Medicaid Services asked for ideas about "how we may better display this information on the Hospital Compare Web site. [read post]
17 Jul 2023, 10:00 pm
Get up to speed on the critical elements of a plan, the substantive legal issues compliance plans cover, a plan's education and monitoring functions (including the use of Centers for Medicare & Medicaid Services and Internal Revenue Service advisory opinions), and how to evaluate a compliance plan. [read post]
3 Aug 2009, 11:57 am
Specifically, Congress now requires such entities to (1) register as a responsible reporting entity (“RRE”), and (2) electronically report information to the Centers for Medicare & Medicaid Services (“CMS”).CMS will use this information to track and recover health expenses it incurred on behalf of Medicare beneficiaries but that another entity, as a primary payer under the existing MSP requirements, may be… [read post]
20 Jul 2020, 11:53 am
More specifically, the Court held that the Centers for Medicare & Medicaid Services (“CMS”) FY 2019 Outpatient Prospective Payment System final rule (“OPPS”) policy to pay formerly grandfathered off-campus PBDs clinic visit services at the same rate as physician practices (see Health Law Pulse article here) was legal because it “rests on a reasonable interpretation of HHS’s statutory authority to adopt… [read post]
4 Mar 2009, 1:01 am
Maybe true but isn't the fact that the facility only received a 2 star rating (out of 5) from the Center for Medicare and Medicaid Services more important? [read post]
12 Aug 2010, 3:47 pm
At the time PPACA was passed, there were questions as to how the new disclosure requirement would be implemented, including whether the law was self-effectuating or whether the Centers for Medicare and Medicaid Services (CMS) would need to first promulgate regulations to make it effective. [read post]
16 Jul 2019, 8:00 am
The report gave rise to a response from the administrator of the Center for Medicare and Medicaid Services (CMS), Seema Verma, who stated that the Center for Medicare and Medicaid Services does not tolerate abuse and mistreatment of nursing home patients and has in the past slapped significant fines on nursing homes that failed to report cases. [read post]
22 Feb 2011, 1:10 am
”The next business day, the Centers for Medicare and Medicaid Services (CMS) sent its proposed rule for the establishment of ACOs to the Office of Management and Budget (OMB) for review – the final step before the long-awaited proposed rule will appear in the Federal Register.Though the proposed rule was originally expected to be issued last month, CMS stated that it still expects to have the program in place by January 1, 2012, while also following… [read post]
17 Feb 2023, 4:13 am
Department of Health – Improper Medicaid Payments for Individuals Receiving Hospice Services Covered by Medicare (Follow-Up) (2022-F-31) A prior audit report, issued in December 2020, identified about $50 million in actual and potential Medicaid overpayments, cost-savings opportunities, and questionable payments for services provided to recipients enrolled in Medicare-covered hospice care. [read post]
17 Feb 2023, 4:13 am
Department of Health – Improper Medicaid Payments for Individuals Receiving Hospice Services Covered by Medicare (Follow-Up) (2022-F-31) A prior audit report, issued in December 2020, identified about $50 million in actual and potential Medicaid overpayments, cost-savings opportunities, and questionable payments for services provided to recipients enrolled in Medicare-covered hospice care. [read post]
16 Apr 2008, 12:45 am
"Beginning on Oct. 1, 2008, the federal Centers for Medicare and Medicaid Services (CMS) will no longer reimburse hospitals for treatment related to eight major preventable errors, including objects left in the body after surgery and certain kinds of surgery-related infections. [read post]
18 Apr 2016, 12:32 pm
In the next few weeks, the Centers for Medicare and Medicaid Services is expected to release new payment rules for so-called “uncompensated care. [read post]
18 Apr 2016, 12:32 pm
In the next few weeks, the Centers for Medicare and Medicaid Services is expected to release new payment rules for so-called “uncompensated care. [read post]
29 Aug 2017, 10:14 am
The final rule also addresses, among many other things: changes to MS-DRG classifications; new technology add-on payment applications; rate-of-increase limits for certain hospitals excluded from the IPPS that are paid on a reasonable cost basis; distribution of Medicare uncompensated care payments; electronic signature and electronic submission of the Certification and Settlement Summary page of Medicare cost reports; and elimination of newspaper notices for the Medicare… [read post]
11 Nov 2016, 7:37 am
But meanwhile, taxpayers are subsidizing the care of those patients through Medicare and Medicaid – and they aren’t getting what they pay for. [read post]
19 Feb 2014, 9:12 am
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]
4 Nov 2020, 5:07 am
These restrictions led to speculation about how the payments could be used with regard to a potential COVID-19 vaccine, especially in light of both the required cold-storage and other logistical challenges of the vaccines currently under development as well as the Center for Medicare & Medicaid Services’ (“CMS”) promises to cover the cost of the vaccine. [read post]
29 Jan 2012, 8:41 am
In turn, the providers billed hundreds of thousands of dollars to the Medicare and Medicaid programs as a result of the allegedly illegal referrals. [read post]
10 Aug 2011, 7:00 am
The information is taken from the Centers for Medicare and Medicaid Services, which oversees most dialysis care in the United States. [read post]
15 Sep 2022, 9:42 am
While quality measures and meanings take many forms, one key measure used by Medicare, Medicaid and many other health plans, lawmakers, health quality commentators and others evaluating health care provider “quality” is the Department of Health and Human Services Office of the National Coordinator for Healthcare Information (“ONC”) electronic clinical quality measures (“eCQMs”) that the Centers for Medicare &… [read post]
