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2 Mar 2011, 8:11 pm by Jason Greis
Department of Health and Human Services (Secretary), the state’s long-term care ombudsman and residents of the facility and their legal representatives or other responsible parties. [read post]
19 Nov 2014, 10:03 pm by Debra A. McCurdy
CMS also discusses comments it received on a potential HHA Value-Based Purchasing (VBP) model, under which CMS would test whether payment incentives would lead to higher quality of care for beneficiaries. [read post]
28 Apr 2014, 9:00 am by Debra A. McCurdy
A recent GAO report looked at how private health care entities provide performance data to physicians, and how such practices could be used to improve CMS efforts to provide feedback to providers. [read post]
26 Nov 2012, 11:51 am
In particular, the final rule provides CMS with new options for surveying and sanctioning home health agencies (HHAs). [read post]
4 Jan 2019, 10:40 am by The Health Law Partners
CMS has also reduced the shared savings rate to 40% for ACOs that do not assume risk for health care costs, but the 50% rate for ACOs at all other levels of financial risk remains unchanged. [read post]
28 Jan 2019, 7:53 am by Robert Hill and Debra A. McCurdy
A mandatory requirement that participating organizations provide timely access to Wellness and Health Care Planning, including advance care planning (e.g., advance directives). [read post]
8 Nov 2010, 4:19 am
CMS's 2011 Final Physician Fee Schedule (the "Fee Schedule") provides for over 2000 pages of new rules and regulations pertaining to physician reimbursement under Medicare for 2011. [read post]
27 Jul 2015, 11:41 am by Debra A. McCurdy
 The Client Alert notes that while it is encouraging that CMS solicits comments on the impact of the Stark Law on health care delivery and payment reform, “the fact remains that the Stark Law is still too complex, too unwieldy, and too susceptible to differing interpretations. [read post]
18 Oct 2018, 2:42 pm by Gail L. Daubert and Debra A. McCurdy
  According to CMS, BPCI Advanced participants include 1,547 Medicare providers and suppliers (832 acute hospitals and 715 physician groups) in 49 states plus Washington, DC and Puerto Rico. [read post]
For more information, or with assistance in preparing a response to the RFI, please contact the authors or a member of the Reed Smith health care team. [read post]
19 Apr 2016, 12:02 pm by Wendy Wright* (US)
The post CMS issues FY 2017 Medicare Acute Care Hospital IPPS and LTCH PPS proposed rule appeared first on Health Law Pulse. [read post]
1 Dec 2021, 7:38 pm by Jonathan H. Adler
The post CMS Vaccine Mandate for Health Care Workers Enjoined Nationwide appeared first on Reason.com. [read post]
16 Sep 2013, 1:32 pm
Furthermore, physicians must provide justification for inpatient services, an estimated duration of a beneficiary's stay, and plans for post-hospitalization care. [read post]
19 Feb 2014, 12:07 pm
CMS is using CBRs as a tool to educate providers about applicable Medicare billing rules in furtherance of its goal to improve the level of care provided to Medicare patients. [read post]
6 Feb 2024, 12:28 pm by Julia Kourpas
CMS’s staffing mandate will positively shape the long-term care community and provide better care for residents. [read post]
9 Feb 2022, 4:31 pm by Michael Lowe
  According to the Centers for Medicare and Medicaid Services (CMS), spending in the U.S. health care industry accounts for almost a fifth (19.7%) of our Gross Domestic Product (GDP) with $4.1 Trillion (yes, trillion) spent in health care during the calendar year 2020 alone. [read post]
15 Mar 2016, 6:05 am by Debra A. McCurdy
CMS is holding two calls in April on the Medicare Shared Savings Program/Accountable Care Organization application process. [read post]
15 Sep 2022, 8:03 am by Cynthia Marcotte Stamer
To report eCQMs successfully, health care providers must use an EHR and adhere to the requirements identified by the CMS quality program. [read post]
28 Jun 2010, 11:17 am by The Health Law Partners
This update also addresses certain provisions of both the Affordable Care Act and Medicare Improvements for Patients and Providers Act of 2008. [read post]
24 Apr 2015, 6:27 am by Debra A. McCurdy
CMS also proposes to require such plans to make available upon request to beneficiaries and contracting providers the criteria for medical necessity determinations with respect to mental health and substance use disorder benefits. [read post]