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3 Apr 2013, 8:34 am by Jerri Lynn Ward, J.D.
–  A message about MDS 3.0: The Centers for Medicare & Medicaid Services (CMS) has received several inquiries regarding coding MDS 3.0 item G0110: Activities of Daily Living (ADL) Assistance, Column 1: Self Performance. [read post]
2 Apr 2013, 4:31 pm
On April 2, 2013, the Centers for Medicare & Medicaid Services (CMS) held an Open Door Forum to discuss CMS's Administrator's Ruling (CMS-1455-R) and Proposed Rule (CMS-1455-P) that provide for significant changes to Medicare's Part B payment policy when a Part A hospital inpatient claim is denied as not medically necessary because the care was not provided in the appropriate setting. [read post]
2 Apr 2013, 5:17 am by Heidi Henson
Senator Orrin Hatch criticized the federal Center for Medicare and Medicaid Innovation for its use of treadmills. [read post]
1 Apr 2013, 7:01 am by Jonathan Rosenfeld
The Imperial Gardens Health and Rehabilitation Center is being decertified and the Centers for Medicare and Medicaid Services have stopped funding for new patients. [read post]
29 Mar 2013, 2:47 pm
On Tuesday, April 2, 2013, the Centers for Medicare & Medicaid Services (CMS) will be holding an Open Door Forum for stakeholders in the healthcare community to call in and discuss the recent changes to the Medicare Part B payment policy in light of recently issued CMS Ruling. [read post]
29 Mar 2013, 1:36 pm by Jon Gelman
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]
29 Mar 2013, 12:33 pm
On March 22, 2013, the Centers for Medicare and Medicaid Services (CMS) released Change Request 8185 to implement CMS Ruling (CMS-1455-R) and provide Medicare contractors with additional guidance for accepting claims rebilled from Part A to Part B. [read post]
28 Mar 2013, 7:04 am by Debra A. McCurdy
MedPAC also recommends that Congress permanently reauthorize dual-eligible special needs plans (D–SNPs) that assume clinical and financial responsibility for Medicare and Medicaid benefits (with certain changes) and allow the authority for all other D–SNPs to expire. [read post]
28 Mar 2013, 6:11 am by Debra A. McCurdy
On March 13, 2013, the Centers for Medicare & Medicaid Services (CMS) concurrently issued a proposed rule and Administrator’s Ruling addressing the submission of Medicare Part B inpatient claims where a Medicare Part A claim for a hospital inpatient admission is denied by a Medicare review contractor on the grounds that the inpatient admission was not reasonable and necessary. [read post]
28 Mar 2013, 6:03 am by Kit Case
The Centers for Medicare and Medicaid Services (CMS) will no longer require that a patient “improve” inorder to be entled to services. [read post]
27 Mar 2013, 5:30 am by Cynthia Marcotte Stamer
Acute-care and critical access hospitals that had adverse complaint inspections in 2012 by the Centers for Medicare & Medicaid Services (CMS) may want to prepare to respond to press and public inquiries. [read post]
27 Mar 2013, 4:18 am by Cynthia Marcotte Stamer
Centers for Medicare and Medicaid Services (CMS).AHCJ to make future iterations of this data more complete. [read post]
26 Mar 2013, 11:18 am by The Murray Law Firm
Centers for Medicare & Medicaid Services currently provides a 1 out of 5 star rating for this nursing home facility, a score based on health inspection, staffing, and quality measures. [read post]
26 Mar 2013, 6:41 am by The Health Law Firm
The fact is that if you find yourself or your practice at the center of a Medicare audit, there is some item you have claimed as a Medicare provider or the amount of claims Medicare has paid in a certain category that has caused the audit. [read post]
22 Mar 2013, 3:07 pm
The Office of Medicare Hearings and Appeals (OMHA) has released its instructions and recommended request form for withdrawing a Part A appeal pursuant to the Center for Medicare & Medicaid Service (CMS) Ruling 1455-R. [read post]
21 Mar 2013, 2:47 am by Robert Kraft
But the report calculated that health and long-term care services will total $203 billion this year, much of that paid by Medicare and Medicaid and not counting unpaid care from family and friends. [read post]
20 Mar 2013, 1:07 pm by Lisa Baird
On February 1, 2013, the Centers for Medicare & Medicaid Services released the long-awaited final rule implementing the physician payment transparency provisions, commonly referred to as the Physician Payment Sunshine Act, in the Obama administration's 2010 health care reform legislation. [read post]
18 Mar 2013, 1:05 pm
On Wednesday, March 13, 2013, the Centers for Medicare and Medicaid Services (CMS) released a proposed rule that allows payment for additional hospital inpatient services under Medicare Part B. [read post]
18 Mar 2013, 1:05 pm
On Wednesday, March 13, 2013, the Centers for Medicare and Medicaid Services (CMS) released a proposed rule that allows payment for additional hospital inpatient services under Medicare Part B. [read post]