Search for: "CMS MEDICARE CLAIMS OFFICE"
Results 21 - 40
of 769
Sorted by Relevance
|
Sort by Date
4 Aug 2015, 2:17 pm
On August 6, 2015, CMS is publishing its final rule to update Medicare hospice payment rates and the wage index for fiscal year (FY) 2016. [read post]
22 Jun 2016, 10:59 am
CMS estimates that the low expenditure criterion will exclude about 55% of independent laboratories and about 95% of physician office laboratories from the private payor data reporting obligation. [read post]
27 Mar 2020, 9:07 am
However, there are three scenarios where modifiers are required on Medicare telehealth claims. [read post]
28 Feb 2011, 5:15 am
When identifying DME suppliers with a high volume of high utilization claims, enforcing the Medicare documentation requirements for claims for test strips and/or lancets, performing prepayment reviews of those suppliers, and referring those DME suppliers to the Office of Inspector General (OIG) or CMS for review or investigation. [read post]
16 Dec 2012, 10:48 pm
There are currently 65 OMHA ALJs in 4 regional field offices. [read post]
16 Dec 2012, 10:48 pm
There are currently 65 OMHA ALJs in 4 regional field offices. [read post]
16 Dec 2012, 10:48 pm
There are currently 65 OMHA ALJs in 4 regional field offices. [read post]
13 Jul 2017, 5:00 pm
The Centers for Medicare and Medicaid Services (CMS) part of the Department of Health and Human Services (HHS) issued a final rule on January 17, 2017 titled “Medicare Program: Changes to the Medicare Claims and Entitlement, Medicare Advantage Organization Determination, and Medicare Prescription Drug Coverage Determination Appeals Procedures,” (Final Rule), that went into effect March 20, 2017. [read post]
21 Nov 2016, 2:46 pm
The Centers for Medicare & Medicaid Services (CMS) has issued its final Medicare physician fee schedule (MPFS) for calendar year (CY) 2017. [read post]
14 Mar 2012, 9:00 am
The Office of Inspector General ("OIG") for the Department of Health and Human Services recently issued an alert, which warned that “physicians who reassign their right to bill the Medicare program and receive Medicare payments by executing the CMS-855R application may be liable for false claims submitted by entities to which they reassigned their Medicare benefits. [read post]
29 Jun 2016, 10:04 am
The Centers for Medicare and Medicaid Services (CMS) has promulgated a proposed rule that makes numerous revisions to the appeals process for Medicare claims. [read post]
2 Apr 2018, 6:10 am
Each new Medicare card will have a unique Medicare Number that will replace the Social Security Number (SSN)-based Health Insurance Claim Number (HICN). [read post]
14 Jul 2017, 6:55 am
The Centers for Medicare and Medicaid Services (CMS) part of the Department of Health and Human Services (HHS) issued a final rule on January 17, 2017 titled “Medicare Program: Changes to the Medicare Claims and Entitlement, Medicare Advantage Organization Determination, and Medicare Prescription Drug Coverage Determination Appeals Procedures,” (Final Rule), that went into effect March 20, 2017. [read post]
22 Oct 2015, 11:14 am
Yesterday, CMS sent its final overpayment rule to the White House Office of Management and Budget (OMB) for regulatory clearance – the last step before publication in the Federal Register. [read post]
19 Jun 2019, 8:34 am
Under the IRF settlement initiative, CMS will pay 69 percent of the net payable amount for most claims associated with pending IRF appeals. [read post]
8 Apr 2014, 7:36 am
CMS claims that the information would give the public a better picture of how physicians practice in the Medicare program. [read post]
9 Jul 2014, 6:59 am
According to HHS, the settlement conference facilitator, who is an employee of the Office of Medicare Hearings and Appeals (OMHA), will use mediation principles to assist the appellant and CMS in reaching a mutual settlement agreement. [read post]
27 Nov 2018, 2:42 pm
The Centers for Medicare & Medicaid Services (CMS) has issued its final Medicare physician fee schedule (PFS) rule for calendar year (CY) 2019. [read post]
3 Apr 2013, 11:47 am
Although CMS and its field offices have also issued informal guidance about the use of MSAs in liability cases, nothing comparable exists to the CMS WCMSA memoranda. [read post]
14 Jul 2017, 6:55 am
The Centers for Medicare and Medicaid Services (CMS) part of the Department of Health and Human Service (HHS) issued a final rule on January 17, 2017 titled “Medicare Program: Changes to the Medicare Claims and Entitlement, Medicare Advantage Organization Determination, and Medicare Prescription Drug Coverage Determination Appeals Procedures,” (Final Rule), that went into effect March 20, 2017. [read post]
