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18 Oct 2018, 2:47 pm
CMS notes, however that “[a]cceptance by individual health care providers, or even a limited group of health care providers, does not indicate general acceptance of the item or service by the medical community. [read post]
17 Feb 2020, 10:48 am
CMS proposes to make a series of changes to its Medical Loss Ratio calculations. [read post]
11 Apr 2024, 5:00 am
NAACOS discovered that ten medical device companies went from billing 15 patients for catheters to over 500,000 patients for catheters within a period of two years. [read post]
16 Nov 2015, 8:08 am
Care episode groups describe the patient’s clinical problems at the time items and services are furnished during an episode of care, such as clinical conditions or diagnoses, whether hospitalization occurs, and the principal services furnished. [read post]
18 Jun 2012, 6:49 am
On June 14, 2012, the Centers for Medicare & Medicaid Services (“CMS”) released an Advance Notice of Proposed Rulemaking (“ANPRM”). [read post]
18 Jun 2012, 6:49 am
On June 14, 2012, the Centers for Medicare & Medicaid Services (“CMS”) released an Advance Notice of Proposed Rulemaking (“ANPRM”). [read post]
15 Mar 2016, 3:44 pm
CMS did not adopt its proposal to establish a minimum quantitative state network adequacy measurement. [read post]
1 Nov 2016, 10:04 am
CMS has adopted a number of changes to its Medicare durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) policies for 2017, including new competitive bidding program (CBP) requirements and revisions to the methodology for updating Medicare DMEPOS fee schedule amounts based on CBP pricing. [read post]
1 Apr 2011, 5:34 am
Louis Post-Dispatch reports that on Thursday, March 31, the Centers for Medicare and Medicaid Services (CMS) "released data...that for the first time show how often patients are injured by certain medical errors in hospitals. [read post]
5 Aug 2020, 10:55 am
Additionally, resident services furnished outside the scope of the approved graduate medical education programs to inpatients of a hospital in which they have their training program are considered separately billable physicians’ services. [read post]
28 Dec 2012, 5:36 am
The legislation was merged into another pending bill for medical services and was rushed to a favorable vote in both the House and Senate in the last moments before Christmas. [read post]
22 Nov 2010, 4:35 am
Department of Health and Human Services use to determine performance in the Shared Savings Program? [read post]
3 Nov 2016, 1:37 pm
Device Pass-Through Applications Device pass-through payments are intended to enable access to certain new medical devices that represent a substantial clinical improvement relative to existing diagnostic or therapeutic services. [read post]
5 Aug 2010, 9:08 am
Several examples of the strict approach that CR 6698 requires include: For medical review purposes, Medicare requires that services provided / ordered be authenticated by the author. [read post]
19 Dec 2021, 3:08 am
These costs include, for example, compiling related claims, calculating conditional payments, applying reductions, sending demands, and providing customer service. [read post]
10 Dec 2015, 10:13 am
The December 1, 2015 notice was issued in response to a court order in Shands Jacksonville Medical Center, Inc., et al. v. [read post]
17 Jul 2013, 2:10 pm
Recently, the Centers for Medicare and Medicaid Services (CMS) issued a final rule mandating that long term care (LTC) facilities and hospice providers enter into written agreements if the facility chooses to arrange hospice services through a Medicare-certified hospice provider. [read post]
1 Dec 2021, 11:37 am
Doughtry temporarily blocks the vaccine mandate, as well as the CMS requirements that providers have in place certain policies and procedures related to documenting vaccinations, providing medical and religious exemptions from the vaccination requirement, and identifying and implementing accommodations for employees who are not fully vaccinated. [read post]
27 Aug 2007, 2:05 pm
Academic Medical CentersF. [read post]
8 Dec 2011, 7:26 am
A group of primary care physicians from Georgia have alleged in a federal lawsuit that the Centers for Medicare and Medicaid Services (CMS) violates federal law by relying on the advice of a committee of the American Medical Association (AMA) in setting Medicare rates for physician services. [read post]
