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15 Jul 2013, 7:19 am
The Centers for Medicare and Medicaid Services (CMS) have recently announced a tally of 29 settlements under the Voluntary Self-Referral Disclosure Protocol (SRDP). [read post]
13 Jul 2013, 6:51 am
DiNapoli Issued during the week ending July 13, 2013 [Click on text highlighted in bold to access the full report] DiNapoli Finds Millions in Medicaid Overpayments New York State’s Medicaid program overpaid providers $11.4 million, largely because providers overstated the amounts of Medicare coinsurance charges and incorrect rate changes, according to two audits of the Department of Health released Tuesday by State Comptroller Thomas P. [read post]
11 Jul 2013, 11:00 pm
Department of Health and Human Services’ (HHS) Centers for Medicare and Medicaid Services (CMS) issued a rule on Medicaid eligibility and Medicaid & Children’s Health Insurance.The National Oceanic and Atmospheric Administration (NOAA) extended the comment period for the shark finning rule. [read post]
11 Jul 2013, 11:41 am
The only problem was that his method of collecting most of his company's revenues from Medicare and Florida Medicaid programs was performed illegally. [read post]
10 Jul 2013, 8:16 am
” – McKnight’s – “It seems the only things more complex than wounds today are the rules about getting paid for treating them…At the heart of it all is the Minimum Data Set, which the Centers for Medicare & Medicaid Services uses to mandate clinical resident assessments in Medicare- and Medicaid-certified nursing homes. [read post]
9 Jul 2013, 4:13 am
Texas is getting a lesson in state independence.Like many workers' compensation systems, Texas has tied its medical treatment reimbursement schedule to Medicare's schedule.The Texas Division of Workers' Compensation issued a memo on June 17 that its medical fee guidelines require the use of Medicare billing policies and it was legally required to implement the Centers for Medicare and Medicaid Services' new rule requiring physical therapists,… [read post]
8 Jul 2013, 8:13 pm
For example, data from the Centers for Medicare & Medicaid Services reveals that nine of the top 10 and 48 of the top 100 highest quality hospitals were physician-owned hospitals. [read post]
8 Jul 2013, 2:06 pm
Approved MSSPs must sign a Data Use Agreement with the Centers for Medicare & Medicaid Services (CMS) before it can obtain data from CMS that contains Medicare beneficiaries’ PHI. [read post]
8 Jul 2013, 10:47 am
Most health care providers recognize the significant exposure they incur from overbilling Medicare or other federal programs as a result of the highly publicized, heavy-handed audit and enforcement activities of the Centers for Medicare & Medicaid Services (CMS), the Department of Health & Human Services Office of Inspector General (OIG) and Department of Justice (DOJ). [read post]
3 Jul 2013, 7:11 am
– “A proposed rule released Thursday would cause home health agencies to experience a 1.5 percent reduction in their Medicare payments for 2014, which the Centers for Medicare & Medicaid Services estimates could reduce payments to these facilities by $290 million next year. [read post]
2 Jul 2013, 12:28 pm
As part of its continuing efforts to promote enrollment in the Health Insurance Marketplace slated to take effect January 1, 2014, the Department of Health and Human Services (HHS) today (July 2, 2013) announced the award of nearly $32 million in grants for efforts to identify and enroll children eligible for Medicaid and the Children’s Health Insurance Program (CHIP). [read post]
2 Jul 2013, 12:08 pm
The Department of Health & Human Services (HHS) Office of Inspector General (OIG) is recommending that the Centers for Medicare & Medicaid Services (CMS) step-up efforts to collect Medicare overpayments to providers currently considered uncollectable because the provider has failed to repay overpayments identified and demanded by CMS six or more months after CMS demands repayment. [read post]
2 Jul 2013, 9:56 am
According to the report, the Centers for Medicare and Medicaid Services (CMS) agreed to the OIG's urge to heighten monitoring over Part D prescribers. [read post]
1 Jul 2013, 2:41 pm
On June 27, 2013, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule which would cut payments to home health agencies (HHA) by 1.5 percent, or $290 million, in calendar year (CY) 2014. [read post]
27 Jun 2013, 2:52 pm
In 2010, the Center for Medicare and Medicaid Services (CMS) reported that nearly 17 percent of nursing home residents were receiving antipsychotic medications that exceeded recommended levels on a daily basis. [read post]
27 Jun 2013, 2:32 pm
The Centers for Medicare & Medicaid Services (CMS) has updated the Appeals of Claims Decisions chapter of the Medicare Claims Processing Manual. [read post]
27 Jun 2013, 4:39 am
http://workers-compensation.blogspot.com/ Workers' Compensation: CMS Publishes WCMSA Operating Rules Dec 19, 2008 The Centers for Medicare and Medicaid Services (CMS) has now published a copy of its Operating Rules regarding the evaluation of set-aside proposals. [read post]
27 Jun 2013, 3:44 am
MedPAC discusses the potential role that federally qualified health centers and community health centers can play in coordinating care for Medicare-Medicaid dual-eligible beneficiaries. [read post]
27 Jun 2013, 12:11 am
While the credit card industry uses data mining techniques to flag fraud within minutes, CMS [Center for Medicaid and Medicare Services] has allowed the most obvious cons to run for years, rarely the wiser. [read post]
26 Jun 2013, 6:21 am
” According to Centers for Medicare & Medicaid Services Administrator Marilyn Tavenner, “In October, HealthCare.gov will be the online destination for consumers to compare and enroll in affordable, qualified health plans. [read post]
