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25 Oct 2012, 12:02 pm
This mean that the Centers for Medicare and Medicaid Services (CMS) could not require providers in the demonstration project to waive their right to the appeals process for inpatient claim denials which, under the demonstration, could then be re-billed under Medicare Part B for 90 percent of the Part B payment. [read post]
23 Oct 2012, 3:52 am
Where Medicare and Medicaid patients or billings may be involved, the risks of criminal prosecution and very large monetary penalties are much greater. [read post]
22 Oct 2012, 7:12 am
Under the Sustainable Growth Rate (SGR) formula used for Medicare Fee Schedule payments, doctors’ reimbursements for services are scheduled to be cut by 27% as of January 1, 2013.The Centers for Medicare & Medicaid Services (CMS) is required to follow the SGR formula, which was adopted in the Balanced Budget Act of 1997. [read post]
19 Oct 2012, 10:00 am
In October of 2012, the Centers for Medicare and Medicaid Services (CMS) announced it has discovered errors in its initial calculations. [read post]
19 Oct 2012, 10:00 am
In October of 2012, the Centers for Medicare and Medicaid Services (CMS) announced it has discovered errors in its initial calculations. [read post]
18 Oct 2012, 5:31 am
Although the new figures have not yet been announced by the Centers for Medicare and Medicaid Services, by law they are based on the consumer price index for all urban consumers published by the Bureau of Labor Statistics (the CPI-U) for Septemberof the prior year. [read post]
17 Oct 2012, 9:39 pm
Per the Qui Tam lawsuits, RxAmerica did not accurately represent prescription drug prices on the Medicare Prescription Drug Plan Finder, which is an online tool of the Centers for Medicare & Medicaid Services. [read post]
17 Oct 2012, 7:47 am
HDI posted the issue for all Region D states, but the pre-payment review program has only been approved by the Centers for Medicare and Medicaid Services (CMS) for 11 states: California, Florida, Illinois, Louisiana, Michigan, Missouri, New York, North Carolina, Ohio, Pennsylvania, and Texas. [read post]
Texas’s Rule Prohibiting Access to Preventative Services for Thousands of Women Ruled Constitutional
16 Oct 2012, 11:25 am
According to Medicare and Medicaid Centers , the new Texas rule violates federal law. [read post]
16 Oct 2012, 11:21 am
Medicare and Medicaid are currently beyond government control. [read post]
16 Oct 2012, 9:09 am
., B-406993 (Oct. 10, 2012), involved a Health and Human Services solicitation for contact center operations in support of the Center for Medicare and Medicaid Services. [read post]
15 Oct 2012, 5:01 am
Under these rules from Centers for Medicare & Medicaid Services (CMS), ASCs receive roughly 45% to 65% of what hospital outpatient surgical departments receive for providing the same services (depending on the particular service). [read post]
15 Oct 2012, 5:01 am
Under these rules from Centers for Medicare & Medicaid Services (CMS), ASCs receive roughly 45% to 65% of what hospital outpatient surgical departments receive for providing the same services (depending on the particular service). [read post]
15 Oct 2012, 3:57 am
According to DOJ’s press release: In one of the first False Claims Act settlements involving Medicare’s Prescription Drug Program, known as Part D, RxAmerica LLC. has entered into a civil settlement agreement with the United States in which it has agreed to pay the government $5.25 million to resolve allegations that it made false submissions to the Centers for Medicare & Medicaid Services (CMS), the Justice Department announced today. … [read post]
13 Oct 2012, 5:32 pm
Department of Health and Human Services Office of Inspector General (OIG) released the results of a study entitled CMS Response to Breaches and Medical Identity Theft. [read post]
13 Oct 2012, 8:37 am
Signed into law along with Medicare and Medicaid by President Lyndon B. [read post]
10 Oct 2012, 11:49 am
Don’t bother to call the Centers for Medicare & Medicaid Services (CMS). 3. [read post]
10 Oct 2012, 6:16 am
Fred Upton (R-MI) and Joe Pitts (R-PA), the Chairman of the Committee and Chair of its health subcommittee, respectively, had sent a similar letter to the Centers for Medicare & Medicaid Services (CMS) on August 20.The new letter requested that HHS respond by no later than October 15. [read post]
9 Oct 2012, 11:09 am
– Updated on changes to the DAHS program: On August 6, 2012, DADS issued an alert announcing a delay in the implementation of changes to Day Activity and Health Services (DAHS) that were designed to implement the Centers for Medicare and Medicaid Services (CMS) recommendation to Texas to provide DAHS, for individuals who do not have an intellectual disability or related condition, under a Section 1915(i) amendment to the State Plan. [read post]
9 Oct 2012, 10:00 am
., Board Certified by The Florida Bar in Health Law In September 2012, the Centers for Medicare and Medicaid Services (CMS) made the decision to allow Recovery Audit Contractors (RACs) to begin reviewing the billing codes for office visits for healthcare providers. [read post]
