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19 Dec 2017, 2:57 pm
Attorneys Representing Neglected Meridian Community Living Center Residents The Centers for Medicare and Medicaid Services (CMS) and the state of Mississippi conduct routine scheduled surveys and unannounced investigations to determine the level of care every nursing home in the state provides. [read post]
7 May 2012, 1:45 pm
According to investigators, the latest trend in Medicare fraud involves community mental healthcare centers. [read post]
13 Apr 2010, 3:39 am
This bill, HR 4796, the Medicare Secondary Payor Enhancement Act, would help make things easier by requiring the Center for Medicare Services to respond to requests for their lien amount within 60 days. [read post]
12 Jul 2019, 10:13 am
The Centers for Medicare & Medicaid Services (CMS) has proposed a new Radiation Oncology (RO) innovation model (RO Model) to test whether prospective site neutral, episode-based payments for radiotherapy (RT) episodes of care would reduce Medicare expenditures while preserving or enhancing the quality of care for Medicare beneficiaries. [read post]
22 Jul 2015, 2:30 pm
As promised in our July 21st post, our team has compiled a comprehensive analysis of the Centers for Medicare and Medicaid Services’ (CMS) proposed rule to establish a Medicare Comprehensive Care for Joint Replacement (CCJR) model, under which CMS would provide a bundled payment to hospitals for an episode of lower extremity joint replacement surgery. [read post]
27 Mar 2023, 5:00 am
As part of the Inflation Reduction Act (IRA) of 2022, the Centers for Medicare & Medicaid Services (CMS) is required to establish the Medicare Drug Price Negotiation Program (Negotiation Program) to negotiate maximum fair prices (MFPs) for certain high expenditure, single source drugs and biologicals. [read post]
30 Aug 2012, 1:05 pm
In light of all this confusion, the Centers for Medicare and Medicaid Services (“CMS”) recently announced that it was considering enacting new regulations to clarify when MSAs are required in personal injury liability cases. [read post]
29 Jun 2015, 4:40 pm
Specifically, OMB is reviewing proposed rules to update the Medicare physician fee schedule, the hospital outpatient PPS/ambulatory surgical center payment update, and the home health PPS for CY 2016. [read post]
12 Dec 2019, 11:44 am
The Centers for Medicare & Medicaid Services (CMS) has released the 2020 Medicare fee schedule for durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS). [read post]
14 May 2007, 10:51 pm
More bad news for ESA drugs like Epogen:From the Medicare site:The Centers for Medicare & Medicaid Services (CMS) announced today its proposed decision to limit coverage of erythropoiesis stimulating agent (ESA) treatment for beneficiaries with certain cancers and related neoplastic conditions, either because of a deleterious effect of the ESA on the beneficiaries' underlying disease or because the underlying disease increases their risk of adverse effects… [read post]
18 Apr 2016, 8:58 am
On February 12, 2016, the Centers for Medicare and Medicaid Services (CMS) released its long-awaited Final Rule regarding the reporting and returning of Medicare overpayments. [read post]
12 Feb 2008, 5:00 am
As a result of an outcry from local and state legislators and private citizens, CMS (the Center for Medicare Services) will release the names of more underperforming nursing homes. [read post]
11 Jun 2012, 10:00 am
The following recent update was released by the Centers for Medicare & Medicaid Services (CMS) on May 30, 2012, updating the original from December 16, 2011: Existing regulations at 42 CFR 424.510(e)(1)(2) require that at the time of enrollment, enrollment change request, or revalidation, providers and suppliers that expect to receive payment from Medicare for services provided must also agree to receive Medicare payments through Electronic Funds… [read post]
18 Jun 2015, 6:30 am
homeNewMember=&gid=1922050/ SUBSCRIBE: Workers Comp Resource Center Newsletter WORKERS’ COMP TRAINING: https://workerscompclub.com Do not use this information without independent verification. [read post]
15 Jul 2010, 3:17 pm
The head of the Medicare strike force for South Florida and the Miami area reported that the majority of Medicare fraud cases are still fraudulent billing for medical treatments for HIV patients, home healthcare for diabetics and billing for medical equipment, however, new types of cases are arising from billing by shady mental health centers. [read post]
31 May 2005, 11:00 pm
On May 27, 2005 the Centers for Medicare and Medicaid Services (“CMS”) published a proposed rule in the federal register, which set forth significant changes to the Hospice Conditions of Participation (“CoPs”). [read post]
31 May 2005, 11:00 pm
On May 27, 2005 the Centers for Medicare and Medicaid Services (“CMS”) published a proposed rule in the federal register, which set forth significant changes to the Hospice Conditions of Participation (“CoPs”). [read post]
28 Jul 2016, 5:18 am
As of 2008 only 58 percent of physicians were willing to see all new Medicare patients, while fully 13.7 percent were no longer willing to see any new Medicare patients, a survey by the Center for Studying Health System Change survey found.4 Both a 2010 American Medical Association (AMA) survey and the 2011 National Ambulatory Medical Care Survey found that about 17 percent of physicians were restricting the number of Medicare patients they treat. - National… [read post]
8 Feb 2015, 6:41 pm
Medicare Secondary Payer, better known as MSP, took center stage in 2014 when it came to impacting the structured settlement industry. [read post]
18 Dec 2020, 5:13 am
The Centers for Medicaid & Medicare Services (CMS) recently released the 2021 Physician Fee Schedule (PFS) Final Rule. [read post]
