Search for: "CMS Medical Service"
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8 Jul 2015, 1:57 pm
Additional ancillary services proposed for packaging for 2016 include: Level 4 minor procedures, Level 3 and 4 pathology services, and certain additional drugs that CMS states function as supplies in a surgical procedure. [read post]
12 Aug 2013, 7:43 pm
The Centers for Medicare and Medicaid Services has released a revised list of contacts for Workers' Compensation Set-Aside Contacts. [read post]
13 Apr 2022, 12:53 pm
§403.902 defines a nurse practitioner as a nurse practitioner who performs such services as such individual is [read post]
5 Dec 2014, 8:04 am
CMS also clarified that Medicare Administrative Contractors may use LCDs to determine coverage of items and services to the extent that they do not conflict with national Medicare policy. [read post]
7 Nov 2023, 12:23 pm
As of October 2nd, 2023, the American Health Care Association (AHCA) announced that they would continue to fight against the proposed federal staffing mandate by the Centers for Medicare and Medicaid Services (CMS). [read post]
14 Nov 2019, 10:47 am
Aggregate Medicare home health prospective payment system (HH PPS) payments in calendar year (CY) 2020 will increase by 1.3%, or $250 million, compared to 2019 levels, under the Centers for Medicare & Medicaid Services’ (CMS) final CY 2020 rule. [read post]
13 Mar 2019, 3:30 am
The Centers for Medicare & Medicaid Services (CMS) has announced its plans for Round 2021 of the Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CBP), featuring new “lead item” bidding rules and new product categories. [read post]
22 Sep 2015, 6:30 am
It will handle all conditional payments matters not serviced by the Non-Group Health Plan (NGHP). [read post]
16 Apr 2018, 3:00 am
In the final rule, CMS stresses its goal of providing states greater flexibility and control over their insurance markets, particularly in the areas of: selection of essential health benefits benchmark plans; the operation and establishment of Exchanges, including Small Business Health Options Program Exchanges; rate review requirements; the process for receiving adjustments to the individual market medical loss ratio standard; and certification of qualified health plans… [read post]
21 Nov 2016, 2:46 pm
The Centers for Medicare & Medicaid Services (CMS) has issued its final Medicare physician fee schedule (MPFS) for calendar year (CY) 2017. [read post]
12 Jun 2015, 10:34 am
The data set excludes institutional health care providers and durable medical equipment suppliers. [read post]
17 Apr 2012, 12:59 pm
Recently, a group of 35 health care organizations wrote a letter to the Centers for Medicare and Medicaid Services (CMS) expressing their concerns regarding CMS' new demonstration programs. [read post]
26 Jul 2018, 7:38 am
Section 51001(a)(1) of the BBA requires CMS to pay HHAs for each 30-day unit of service beginning in CY 2020. [read post]
26 Apr 2013, 7:18 am
As a result of the announced delay in Phase 2 implementation, CMS has instructed its Contractors to continue providing educational edits to inform providers/suppliers when a claim lacks the appropriate information or when the referring/ordering provider is not eligible to order/refer that particular service or supply. [read post]
31 Aug 2023, 1:02 pm
Similarly, CMS updates LTCH payment rates annually according to a separate market basket based on LTCH-specific goods and services. [read post]
2 Dec 2011, 8:20 pm
This week the American Medical Association, Association of Medical Colleges, America’s Health Insurance Plans, and American College of Emergency Physicians all expressed support for Ms. [read post]
3 Jul 2014, 4:36 pm
Today the Centers for Medicare & Medicaid Services (CMS) issued an advance copy of the CY 2015 Medicare Physician Fee Schedule (PFS) proposed rule, which includes certain changes to the regulations implementing the Physician Payment Sunshine Act, also known as the Open Payments program. [read post]
6 Dec 2011, 12:48 am
CMS ISSUES MEDICAL LOSS RATIO REGULATIONSBackground. [read post]
7 Mar 2011, 8:06 pm
The Centers for Medicare & Medicaid Services (CMS) on March 7, 2011 published proposed consumer disclosure notices that it proposes to require insurers proposing rate increases over 10 percent to electronically file in furtherance of CMS’ implementation of the Affordable Care Act premium rate review regulation published by HHS in December of 2010. [read post]
20 Nov 2019, 12:26 pm
” According to CMS, these arrangements appear to obfuscate the source of non-federal share and avoid required reductions to state medical assistance expenditures. [read post]
