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10 Sep 2021, 5:55 am by Wachler & Associates, P.C.
CMS proposed one new factor that considers the type of improper billing along with any aggravating or mitigating conditions in each case. [read post]
6 Jun 2013, 4:19 am by Jerri Lynn Ward, J.D.
An excerpt: CMS eliminated the requirement for TLAs on May 16, 2012. [read post]
25 Sep 2017, 3:04 pm by Gail L. Daubert and Debra A. McCurdy
The Centers for Medicare & Medicaid Services (CMS) CMS has announced a “new direction” for the CMS Innovation Center that is intended to “promote patient-centered care and test market-driven reforms. [read post]
17 Apr 2020, 2:11 pm by The Health Law Partners
By issuing this policy update, CMS intends, in part, to further curb the spread of COVID-19 in nursing homes. [read post]
14 Jun 2011, 12:10 pm by Medicare Set Aside Services
The Court of Appeals of Louisiana recently affirmed a WCJ's decision to deny a motion for penalties and attorney fees for failure to timely fund an MSA on the basis that the MSA had to first be approved by CMS and then was funded within 30 days of receiving approval notice from CMS. [read post]
2 Oct 2014, 12:21 pm
CMS opened the forum with an unexpected update on CMS' recently announced 68% settlement offer for patient status claim denials. [read post]
9 Oct 2017, 1:07 pm by Debra A. McCurdy
CMS has released corrections to two major fiscal year (FY) 2018 Medicare payment rules. [read post]
30 Sep 2009, 1:05 pm
CMS has formally terminated the voluntary WC Data Match program that it instituted several years ago. [read post]
16 Sep 2013, 1:32 pm
Third, CMS stated that the ordering practitioner must have knowledge of the patient. [read post]
12 Jun 2017, 7:53 am by Jerri Lynn Ward, J.D.
  Ban on nursing home arbitration agreement officially lifted by CMS. [read post]
5 Aug 2021, 5:24 am by Wachler & Associates, P.C.
The Centers for Medicare and Medicaid Services’ (CMS) FY 2022 Budget Justification request to Congress indicates a greater focus on audit activities, including a doubling of CMS’ medical review budget, and an effort to decrease the number of claim denials overturned through the Medicare appeals process. [read post]
8 Jul 2008, 3:52 pm
In 2003, the Centers for Medicare & Medicaid Services (CMS) was asked to address the validity of pre-dispute binding arbitration clauses in admission contracts of federally funded nursing homes. [read post]