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26 Nov 2018, 6:29 am
CMS invited public comment on CMS’ new proposal in the Federal Register by October 29, 2018. [read post]
23 Feb 2024, 5:00 am
In the Medicare Advantage (MA) program, overseen by the Centers for Medicare & Medicaid Services (CMS), Medicare Advantage Organizations (MAOs) – typically private insurers – receive monthly payments from CMS. [read post]
14 Jun 2011, 7:42 am
The Proposed Rule was issued by CMS on March 31, 2011. [read post]
30 Aug 2011, 12:05 pm
Providers with questions about CMS re-validation should contact Mercedes Dordeski at (248) 952-0400. [read post]
1 Jul 2013, 2:41 pm
This proposed rule defines CMS's transition to ICD-10-CM coding, and states that a draft ICD-10-CM HH PPS Grouper should be on the CMS website today. [read post]
2 Oct 2014, 12:21 pm
First and foremost, CMS clarified that Part A patient status denials submitted for re-billing under Part B are eligible for inclusion in the settlement so long as the hospital has not received payment on the rebilled claim. [read post]
12 Jan 2010, 6:00 am
What we’re looking at is when there was any settlement, judgment, award or other payment. [read post]
17 Mar 2017, 6:50 am
What did CMS attribute as the cause of this significant increase? [read post]
8 Sep 2015, 1:00 am
Erica Wood, a director for the ABA Commission on Law and Aging, writing for the August 2015 issue of the ABA's Bifocal Journal, reminds us that the Centers for Medicare and Medicaid Services (CMS) is seeking comments on proposed changes... [read post]
22 Dec 2014, 11:03 am
The purpose of this provision is to prevent entities from incurring substantial Medicare debt, exiting the program and then re-enrolling as a new entity. [read post]
5 Apr 2013, 12:50 pm
The new CMS WCRC appears to maintain that cost advantage by re-affirming the applicability of the October 15, 2004 policy memorandum. [read post]
27 Jun 2013, 4:39 am
The CMS Regional ... [read post]
26 Dec 2012, 11:02 am
Now that CMS has released the Final Medicare Physician Fee Schedule ("PFS") for CY 2013, the agency is re-communicating this Transmittal and has published it on-line for the public along with a Medicare Learning Network ("MLN") Article. [read post]
Second Chance with MSA Approval: New CMS Policy Allows for Review of a New MSA Post a Prior Approval
26 Jul 2017, 6:30 am
On July 10, 2017, the Centers for Medicare and Medicaid Services (CMS) quietly rolled out a new policy allowing for a re-review of a previously approved Medicare Set-Aside which is between one and four years post-submission and for which there is a certain dollar amount change in projected future medical care since that time. [read post]
3 Apr 2013, 11:47 am
"The claimant is in the process of appealing and/or re-filing for Social Security Disability benefits. [read post]
31 May 2011, 11:58 am
Here are some suggestions while we all await further guidance from CMS and its contractors: The suspension is temporary—presumably just long enough to allow CMS to re-write the standard letters to comply with the opinion released on May 5th in the Arizona case of Haro v. [read post]
15 Sep 2014, 10:44 am
The CMS settlement offer is an enticing offer for hospitals. [read post]
28 Feb 2014, 2:32 pm
These re-reviews are being done to ensure that the MACs' claim denials, and the education provided to the hospitals up to this point, is consistent with CMS's recent clarifications regarding the two-midnight rule and physician orders and certification requirements. [read post]
8 Oct 2019, 2:00 pm
What is the CMS Preclusion List? [read post]
4 Mar 2014, 3:27 am
Among other things, CMS is requesting Medicare Administrative Contractors (MACs) to re-review claims denials made during the “probe and educate” phase of implementation to make sure that MACs are applying CMS clarifications issued in September 2013 and January 2014. [read post]
