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28 Sep 2006, 6:57 am
The Centers for Medicare & Medicaid Services (CMS) recently placed new biotech drugs and therapies in a specialty coverage tier where most drugs are $2,000 to $3,000 a month, with 25 percent paid out-of-pocket by the patient. [read post]
25 Sep 2006, 8:14 am
RodrigueOn August 18, 2006, the Centers for Medicare & Medicaid Services (“CMS”) published a final rule that revises the hospital in-patient prospective payment systems (“PPS”) for fiscal year 2007. [read post]
20 Sep 2006, 6:57 am
This can happen when the physician who bills Part B bills for radiology services as “global” billing (for both the professional component and the technical component), as opposed to only for the professional component.The OIG made three recommendations as a result of its findings: (1) that the Centers for Medicare and Medicaid Services (“CMS”) should instruct Part B carriers to recover the overpayments; (2) that… [read post]
12 Sep 2006, 6:01 am
RodrigueIn an August 14, 2006 ruling on a motion in a federal case in Alabama, the district judge allowed the admission of an investigation report created by the Centers for Medicare and Medicaid Services (“CMS”) in an EMTALA action. [read post]
19 Aug 2006, 11:19 am
Herewith, the table of contents of this week's American Health Lawyers' Health Lawyers Weekly (a free member benefit of AHLA): Top StoriesCMS Issues Final Quality Standards For DMEPOS Suppliers The Centers for Medicare and Medicaid Services (CMS) released August 14 its final quality standards for suppliers of durable medical equipment, prosthetics, orthotics, supplies, (DMEPOS) and other items [read post]
18 Aug 2006, 10:09 am
Establishes a long-term care consumer information clearinghouse, including information about long-term care options; Medicare and Medicaid benefits; and long-term care providers. [read post]
17 Aug 2006, 12:56 pm
The new Tip Sheet that the Centers for Medicare Medicaid Services (CMS) has distributed to its Partners on How the Coverage Gap works for People with Medicare Prescription Drug Plans (Aug. 2006) is not helpful. [read post]
13 Aug 2006, 2:40 pm
Full Story CMS Issues Proposed OPPS Rule Containing Significant Revisions To ASC Payment: Hospitals will receive an overall average increase in Medicare payments of 3% in calendar year (CY) 2007 for outpatient services under the proposed hospital outpatient prospective payment system (OPPS) rule issued August 8 by the Centers for Medicare and Medicaid Services (CMS). [read post]
10 Aug 2006, 9:44 pm
CMS, OIG Release Final Health IT Rules The Centers for Medicare and Medicaid Services (CMS) and the Department of Health and Human Services (DHHS) Office of Inspector General (OIG) released final rules August 1 to speed the adoption of electronic prescribing and electronic health records. [read post]
1 Aug 2006, 2:23 am
Category: Elder Law,Courtesy of Elderlawanswers.com, at long last, the Centers for Medicare and Medicaid Services (CMS) has finally given guidance to the State Medicaid directors on the provisions of the Deficit Reduction Act (DRA).Some of the guidelines provided: The lookback period is 60 months for any transfer of assets made on or after the date of enactment of the DRA (February 8, 2006). [read post]
7 Jul 2006, 10:04 am
[JURIST] The Centers for Medicare and Medicaid Services [official website], part of the US Department of Health and Human Services, issued a final rule Thursday clarifying proof of citizenship [CMS materials] required to apply for Medicaid benefits. [read post]
28 Feb 2006, 10:00 pm
The Medicare Modernization Act (“MMA”) requires that health plans that currently provide prescription drug coverage to Medicare Part D eligible individuals disclose to the Centers for Medicare & Medicaid Services (“CMS”) whether that coverage is “creditable prescription drug coverage” (“Disclosure Notice”). [read post]
28 Feb 2006, 10:00 pm
The Medicare Modernization Act (“MMA”) requires that health plans that currently provide prescription drug coverage to Medicare Part D eligible individuals disclose to the Centers for Medicare & Medicaid Services (“CMS”) whether that coverage is “creditable prescription drug coverage” (“Disclosure Notice”). [read post]
31 Oct 2005, 10:00 pm
On November 10, 2005, the Centers for Medicare and Medicaid Services (CMS), published the Hospital Outpatient Prospective Payment System and Calendar Year 2006 Payment Rates final rule in the Federal Register. [read post]
31 Oct 2005, 10:00 pm
On November 10, 2005, the Centers for Medicare and Medicaid Services (CMS), published the Hospital Outpatient Prospective Payment System and Calendar Year 2006 Payment Rates final rule in the Federal Register. [read post]
7 Jun 2005, 11:00 pm
Despite the “official” expiration, administrative actions by the Centers for Medicare & Medicaid Services (CMS) have the effect of extending the moratorium until January 2006, while CMS reviews and implements certain recommendations relating to Medicare payment policies for physician-owned specialty hospitals. [read post]
7 Jun 2005, 11:00 pm
Despite the “official” expiration, administrative actions by the Centers for Medicare & Medicaid Services (CMS) have the effect of extending the moratorium until January 2006, while CMS reviews and implements certain recommendations relating to Medicare payment policies for physician-owned specialty hospitals. [read post]
31 May 2005, 11:00 pm
On May 27, 2005 the Centers for Medicare and Medicaid Services (“CMS”) published a proposed rule in the federal register, which set forth significant changes to the Hospice Conditions of Participation (“CoPs”). [read post]
31 May 2005, 11:00 pm
On May 27, 2005 the Centers for Medicare and Medicaid Services (“CMS”) published a proposed rule in the federal register, which set forth significant changes to the Hospice Conditions of Participation (“CoPs”). [read post]
31 Mar 2004, 10:00 pm
In Phase I of the final Stark II rules issued in 2001, the Centers for Medicare and Medicaid Services (“CMS”) substantially revised its approach for identifying when an indirect compensation arrangement might arise. [read post]
