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15 Mar 2013, 7:44 pm
Sebelius12-589Issue: (1) Whether the Centers for Medicare and Medicaid Services correctly calculated psychiatric-hospital reimbursement payments in fiscal years 2003 through 2008 based on a permissible interpretation of 42 U.S.C. [read post]
15 Mar 2013, 12:42 pm
On March 13, 2013, the Centers for Medicare & Medicaid Services ("CMS") released a Proposed Rule and Administrator's Ruling that provide for significant revisions 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]
15 Mar 2013, 9:27 am
On March 13, 2013, the Centers for Medicare and Medicaid Services ("CMS") concurrently issued Ruling CMS-1455-NR (the "Ruling") and a proposed rule for revising Medicare Part B billing policies in the event of Part A payment denials (the "Proposed Rule"). [read post]
15 Mar 2013, 8:27 am
On a national level, the Centers for Medicare and Medicaid Services reports that more than seventeen percent of all nursing home residents are administered antipsychotic medications that exceed the recommended daily dosage levels. [read post]
12 Mar 2013, 12:25 pm
On March 8, 2013, the Centers for Medicare and Medicaid Services ("CMS") issued Transmittal 2668 (Change Request 8180) to Publication 100-04 (Medicare Claims Processing), rescinding and replacing Transmittal 2634 (January 11, 2013). [read post]
11 Mar 2013, 11:54 am
(That’s not oversight, that’s sending someone to bed without dinner.)In 2011, the Centers for Medicare & Medicaid Services cited St. [read post]
11 Mar 2013, 7:40 am
Sebelius12-589Issue: (1) Whether the Centers for Medicare and Medicaid Services correctly calculated psychiatric-hospital reimbursement payments in fiscal years 2003 through 2008 based on a permissible interpretation of 42 U.S.C. [read post]
9 Mar 2013, 1:24 pm
Examples include perspectives from movers and shakers from inside the beltway; the status Medicare and Medicaid Innovations Center demonstrations and the CMS coordinated care initiative; the impact of health care exchanges and how they affect Medicare and Medicaid; managed long-term care trends across the states; the latest developments regarding the “improvement standard” and “observation status” under Medicare;… [read post]
8 Mar 2013, 12:58 pm
Today the Centers for Medicare and Medicaid Services (CMS) issued a message to health care providers and suppliers regarding payment reductions in the Medicare fee-for-service (FFS) program as a result of sequestration cuts. [read post]
8 Mar 2013, 12:58 pm
Today the Centers for Medicare and Medicaid Services (CMS) issued a message to health care providers and suppliers regarding payment reductions in the Medicare fee-for-service (FFS) program as a result of sequestration cuts. [read post]
7 Mar 2013, 1:20 pm
Stakeholders have until March 15th to provide comments to the Centers for Medicare and Medicaid Services (CMS) on proposed guidance directed to potential Qualified Health Plan issuers in Federally-facilitated Exchanges and State Partnership Exchanges. [read post]
7 Mar 2013, 1:20 pm
Stakeholders have until March 15th to provide comments to the Centers for Medicare and Medicaid Services (CMS) on proposed guidance directed to potential Qualified Health Plan issuers in Federally-facilitated Exchanges and State Partnership Exchanges. [read post]
7 Mar 2013, 9:00 am
A ZPIC is a business entity that contract with Medicare and Medicaid and works with state Medicaid agencies, the Centers for Medicare & Medicaid Services (CMS), and law enforcement officials to identify improper billing and utilization patterns throughout Zone 5.... [read post]
6 Mar 2013, 7:17 am
Department of Treasury and Centers for Medicare & Medicaid Services (CMS) accounts. [read post]
5 Mar 2013, 9:18 pm
The report from the Department of Health and Human Services Centers for Medicare & Medicaid, which was linked to in the story written by a local newspaper, concluded that among other things: "Based on observation, interviews and record review, the facility failed to provide supervision to prevent falls and prevent a resident altercation which resulted in a fall, injury, hospitalization and death." [read post]
5 Mar 2013, 12:02 pm
The Centers for Medicare & Medicaid Services (CMS) has published the long-awaited Final Rule to implement the “Sunshine” provisions of the Affordable Care Act of 2010 (ACA). [read post]
5 Mar 2013, 11:53 am
On February 1, 2013, the Centers for Medicare & Medicaid Services (CMS) of the Department of Health and Human Services (HHS) released the long-awaited Final Rule to implement the “Sunshine” provisions of the Affordable Care Act of 2010 (ACA). [read post]
5 Mar 2013, 9:36 am
A number of nursing homes in Lancaster County have something to brag about after a recent report by the Centers for Medicare & Medicaid Services showed that they offer a level of care that's just above average. [read post]
4 Mar 2013, 9:00 am
The GAO cites the inability of the Center for Medicare and Medicaid Services' (CMS) inability to reduce the rate of improper payments released by the agency as the reason for its ruling. [read post]
4 Mar 2013, 9:00 am
The GAO cites the inability of the Center for Medicare and Medicaid Services' (CMS) inability to reduce the rate of improper payments released by the agency as the reason for its ruling. [read post]
