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18 Nov 2024, 5:00 am by Wachler & Associates, P.C.
CMS made two significant changes to the 60 Day Rule in the 2025 PFS Final Rule. [read post]
3 Apr 2023, 5:00 am by Wachler & Associates, P.C.
CMS stated that this proposed rule is necessary to obtain important data about the owners and operators of Medicare SNFs and Medicaid NFs, enabling CMS and states to better monitor the ownership and management of these providers. [read post]
2 May 2016, 5:03 am by Debra A. McCurdy
  CMS is not proposing changes to the facility-level adjustment factors for FY 2017; CMS will continue to monitor the effects of FY 2014 adjustments. [read post]
25 Feb 2016, 3:45 pm by Debra A. McCurdy
CMS and America’s Health Insurance Plans (AHIP) recently released seven sets of physician clinical quality measures as part of a “Core Quality Measures Collaborative” intended to align quality measures among payers and reduce the reporting burden on providers. [read post]
26 Dec 2019, 12:29 pm by Debra A. McCurdy
The Centers for Medicare & Medicaid Services (CMS) has posted the final Medicare clinical laboratory fee schedule (CLFS) rates for 2020. [read post]
 Applicable laboratories must report specific data to CMS beginning January 1, 2017, through March 31, 2017, which CMS will use to calculate payment rates for calendar year 2018. [read post]
20 Jul 2023, 2:11 pm by Nicole Pottroff
The webinar will provide an in-depth look and interactive conversation regarding CMS procurement protests–the common factors and considerations contractors take into account when deciding whether to protest CMS procurement decisions, when to protest them, where to protest them, etc. [read post]
5 Aug 2015, 3:48 pm by Jon Gelman
 Today CMS announced:“On May 9, 2014, the President signed into law the Digital Accountability and Transparency Act (DATA Act). [read post]
23 Feb 2017, 7:32 am by Debra A. McCurdy
CMS notes that some issuers cite difficulties in “attracting and retaining healthy consumers necessary to provide for a stable risk pool that will support stable rates. [read post]
12 Aug 2014, 1:49 pm by Debra A. McCurdy
While CMS anticipates that most reviews will be done on an automated basis, a limited number will be complex reviews of topics selected by CMS. [read post]
23 Nov 2011, 11:01 am
CMS Director Donald Berwick, lover of rationed health care for all, has resigned rather than go through a Senate confirmation hearing.Readers may recall Berwick was appointed to the position while Congress was in recess, thus allowing him to assume the position on a temporary basis.Obama circumvented the Senate confirmation process, appointing Berwick while Congress was in recess in July 2010.The move, which hardened GOP opposition, meant Berwick had to step down by the end of this… [read post]
14 Apr 2014, 4:01 am by Jon Gelman
This version documents the current WCMSA ...http://workers-compensation.blogspot.com/CMS Announces New WCMSA Re-Evaluation ProcedureFeb 21, 2013Effective immediately, if a WCMSA proposal amount was originally submitted via the web-portal, a re-evaluation of an approved WCMSA amount can be requested through the WCMSA web portal, if the claimant or submitter ...http://workers-compensation.blogspot.com/CMS Hosting a Town Hall Event for WCMSA -… [read post]
26 Jul 2017, 5:38 am by Debra A. McCurdy
Finally, CMS includes a “Request for Information on CMS Flexibilities and Efficiencies,” as it has in other proposed Medicare payment rules this year. [read post]