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6 Aug 2008, 11:00 pm
The Centers for Medicare and Medicaid Services ("CMS") has released final rules under the Stark physician referral statute that substantially limit the use of these payment methodologies in space and equipment leases between physicians and the hospitals and other entities to which they refer. [read post]
5 Aug 2008, 3:29 pm
At the same time, even for traditional reimbursement, the Centers for Medicare & Medicaid Services (CMS) increasingly is demanding evidence of effectiveness in the Medicare population, rather than simply in the general population, to support a coverage decision. [read post]
4 Aug 2008, 6:55 pm
An Ortho Supersite article excerpted from the journal Spine states CMS proposes to issue a national non-coverage determination for thermal intradiscal procedures (TIPs). [read post]
28 Jul 2008, 9:04 pm
INTRODUCTION On July 15, 2008, the House and Senate overrode President Bush’s veto of H.R. 6331, the “Medicare Improvements for Patients and Providers Act of 2008” (“MIPPA”).1 Among many other things, MIPPA delays and reforms the Centers for Medicare & Medicaid Services’ (“CMS”) controversial competitive bidding program for certain… [read post]
9 Jul 2008, 12:52 am
WPS indicated that this ruling has its genesis In the final physician fee schedule regulation published in the Federal Register on November 2, 1999, where the Centers for Medicare & Medicaid Services (CMS) stated that it would implement a policy to pay only the hospital for the TC of physician pathology services furnished to hospital patients. [read post]
8 Jul 2008, 3:52 pm
In 2003, the Centers for Medicare & Medicaid Services (CMS) was asked to address the validity of pre-dispute binding arbitration clauses in admission contracts of federally funded nursing homes. [read post]
3 Jul 2008, 8:11 am
The Directive, issued by the Centers for Medicare and Medicaid to State Children’s Health Insurance Program directors, imposes new restrictions and conditions on states’ abilities to provide health coverage to children with family incomes above 250% of the federal poverty level. [read post]
30 Jun 2008, 7:02 pm
States pay qualified providers for covered Medicaid services and receive federal matching funds from the Department of Health & Human Services' (HHS) Centers for Medicare & Medicaid Services (CMS) for... [read post]
30 Jun 2008, 2:15 pm
Countryman The Centers for Medicare and Medicaid Services (“CMS”) recently issued on June 8, 2008 an advisory opinion in which CMS addressed whether a proposed physician ownership in a diagnostic center complies with the rural provider exception to the Stark Law. [read post]
7 Jun 2008, 3:59 pm
6-7-08The Centers for Medicare & Medicaid Services (CMS) have consolidated all Medicare Secondary Payer (MSP) payment recovery for Auto, Workers Comp & Group Health plans into one Payment Recovery Center. [read post]
4 Jun 2008, 3:33 pm
Countryman On May 30, 2008, the Centers for Medicare & Medicaid Services (CMS) issued an Advisory Opinion regarding a proposed arrangement under which a hospital system would license a custom software interface for use by the physicians on its medical staffs. [read post]
31 May 2008, 2:38 pm
In its May 28th Advisory Opinion, the Centers for Medicare & Medicaid Services (CMS) found that a hospital system's proposal to pay for customized software to facilitate communication between its electronic health record (EHR) system and EHR software used by physicians affiliated with the hospital would not constitute a prohibited compensation arrangement under the Stark Law. [read post]
30 May 2008, 10:03 pm
The same day, the Centers for Medicare & Medicaid Services (“CMS”) announced a final rule allowing it to share prescription drug claims data for the 25 million Medicare Part D enrollees with other government agencies, as well as with “researchers. [read post]
30 May 2008, 3:53 pm
INTRODUCTION On April 30, 2008, the Centers for Medicare & Medicaid Services (“CMS”) published a proposed rule to implement the Fiscal Year 2009 Hospital Inpatient Prospective Payment System (the “IPPS proposed rule”). 73 Fed. [read post]
28 May 2008, 8:17 am
In last week's mail bag:L&M Policy Research, LLC, and its partners, the National Imaging Associates and the Lewin Group, have been contracted by the Centers for Medicare & Medicaid Services to develop imaging efficiency measures. [read post]
23 May 2008, 12:38 pm
According to the Department of Health and Human Services:"CMS [Center for Medicare & Medicaid Services] is adding information about the number of certain elective hospital procedures provided to those patients and what Medicare pays for those services. [read post]
8 May 2008, 11:00 pm
Just when we thought we understood Stark II, Phase III, the Centers for Medicare and Medicaid Services ("CMS") issued proposed changes to significant portions of this rule as part of its Inpatient Prospective Payment System Proposed Rule for Fiscal Year 2009 (the "IPPS Proposed Rule"). [read post]
8 May 2008, 11:00 pm
Just when we thought we understood Stark II, Phase III, the Centers for Medicare and Medicaid Services ("CMS") issued proposed changes to significant portions of this rule as part of its Inpatient Prospective Payment System Proposed Rule for Fiscal Year 2009 (the "IPPS Proposed Rule"). [read post]
7 May 2008, 5:16 pm
The Centers for Medicare & Medicaid Services (CMS) announced in a Press Release dated May 7, 2008 its new pilot test project in South Carolina that will use an on-line tool called a Personal Health Record (PHR) to give Medicare beneficiaries the ability to collect and then access information about their health or health care services, and collect information about their health. [read post]
6 May 2008, 7:52 am
The Centers for Medicare and Medicaid Services (CMS) has released its action plan for nursing home improvement. [read post]
