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18 Dec 2013, 1:00 am
., Board Certified by The Florida Bar in Health Law According to the Centers for Medicare and Medicaid … Continue reading → [read post]
17 Dec 2013, 3:17 am
The New York Times reported that VNSNY Choice, a part of the Visiting Nurse Service of New York that is “the largest managed long-term care agency” in the state, “has agreed in principle to repay $33.6 million to the state’s Medicaid program for improper billings linked to the use of social adult day care centers,” New York Attorney General Eric Schneiderman announced. [read post]
16 Dec 2013, 8:40 am
Physicians and other eligible professionals and group practices (who self-nominated for the 2012 and/or 2013 Electronic Prescribing (eRx) group practice reporting option) who were unsuccessful electronic prescribers under the 2012 or 2013 eRx Incentive Program can expect to receive notification from the Centers for Medicare & Medicaid Services (CMS) plans that CMS will have their 2014 […] [read post]
16 Dec 2013, 6:36 am
Individuals generally receive such coverage in one of four ways: (i) through Medicaid, if they’re eligible; (ii) through Medicare, if they’re eligible; (iii) through an employer-provided insurance plan, if their employer offers one; or (iv) on the government “exchange,” if the individual is not covered in one of the other three ways. [read post]
14 Dec 2013, 11:43 am
” Medicare and Medicaid reimburse much less than what hospitals charge, and insurers and managed care companies also negotiate rates that have little to do with what hospitals ask to be paid.People without insurance, however, are subject to these sticker prices. [read post]
CMS Advisory Opinion Approves Proposed Hospital Expansion under Stark Law's Whole Hospital Exception
13 Dec 2013, 8:31 am
The Centers for Medicare & Medicaid Services ("CMS") recently released a favorable advisory opinion, CMS AO-2013-03, that interprets the "whole hospital" exception to the physician self-referral prohibition commonly known as the Stark Law. [read post]
13 Dec 2013, 4:17 am
Centers for Medicare and Medicaid Services National Physician Fee Schedule Relative Value File should be billed “by report. [read post]
12 Dec 2013, 12:50 pm
On December 10, 2013, the Centers for Medicare and Medicaid Services (CMS) published final rules: revising the hospital outpatient prospective payment and the ambulatory surgical center payment systems (OPPS Rule); and the physician fee schedule rule (PFS Rule) for calendar year 2014.OPPS RuleCMS made numerous changes to the hospit [read post]
12 Dec 2013, 12:50 pm
On December 10, 2013, the Centers for Medicare and Medicaid Services (CMS) published final rules: revising the hospital outpatient prospective payment and the ambulatory surgical center payment systems (OPPS Rule); and the physician fee schedule rule (PFS Rule) for calendar year 2014.OPPS RuleCMS made numerous changes to the hospit [read post]
12 Dec 2013, 7:07 am
In addition to the $677 million spent on the federal Obamacare website, the Centers for Medicare and Medicaid Services (CMS) has shoveled $4.5 billion of taxpayer money to promote Obamacare on the state level.Americans for Tax ReformFor the math challenged, that's about $5.2 billion in taxpayer dollars.But only half of us actually PAY income taxes, so the rest of you can ignore the rest of this post.HHS also released… [read post]
10 Dec 2013, 1:01 pm
Upcoming CMS events will focus on Medicare physician quality reporting, new medical services and technologies under the Medicare hospital inpatient prospective payment system, and hospital outpatient services. [read post]
7 Dec 2013, 6:36 am
One consequence of this new thinking is that insurers and self-insured entities are currently required to report claims made by Medicare-eligible claimant/plaintiffs to the Centers for Medicare and Medicaid Services ("CMS"). [read post]
6 Dec 2013, 2:57 pm
Center for Medicare & Medicaid Services, National Health Care Spending By Gender and Age: 2004 Highlights (concluding that, as to total per capita spending, both out-of-pocket and otherwise, “Females 19-44 years old spent 73 percent more per capita than did males of the same age”), and a 2010 New York Times article with the telling title, “Overhaul Will Lower the Costs of Being a Woman. [read post]
4 Dec 2013, 3:56 pm
Halifax Hospital Medical Center, case no. 6:09-cv-1002-Orl-31 (M.D. [read post]
4 Dec 2013, 12:41 pm
The Centers for Medicare and Medicaid Services ("CMS") has released the final version of its 2014 Medicare Physician Fee Schedule ("MPFS") that determines physician reimbursement for services furnished to Medicare beneficiaries. [read post]
4 Dec 2013, 6:24 am
But feel free to picture hangings (witch execution, American-style) or burnings at the stake (if you want to go medieval).The possible targets include Kathleen Sebelius, the health and human services secretary; Marilyn Tavenner, the head of the Centers for Medicaid and Medicare Services; Mike Hash, the head of the health and human services health reform office; Michelle Snyder, the chief operating officer at Medicaid and… [read post]
2 Dec 2013, 8:23 am
Dept. of Health and Human Services, Centers for Medicare and Medicaid Services, Medicare Secondary Payor (MSP) Manual, Chapter 2, Section 40.2 (2009). [read post]
30 Nov 2013, 9:55 am
November 30th does not represent a relaunch of HealthCare.gov," said Julie Bataille, a spokeswoman for the government's Centers for Medicare and Medicaid Services, which operates the site. [read post]
29 Nov 2013, 3:16 pm
According to the Centers for Medicaid and Medicare Services, 7.3 million people who... [read post]
29 Nov 2013, 4:12 am
On November 27, 2013, the Centers for Medicare & Medicaid Services (CMS) finalized updates to payment policies and payment rates for services furnished under the Medicare Physician Fee Schedule (PFS) on or after January 1, 2014. [read post]
