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14 May 2013, 6:56 am
In addition, CMS proposes to revise the conditions of participation (CoPs) for hospitals relating to the administration of vaccines by nursing staff, and the CoPs for critical access hospitals relating to the provision of acute care inpatient services. [read post]
27 Apr 2018, 1:24 pm
Flexibility for New Urban Teaching Hospitals CMS proposes to provide more flexibility for urban teaching hospitals to form a Medicare Graduate Medical Education (GME) affiliated group. [read post]
4 Feb 2024, 4:17 pm
The Child Maintenance Service (the “CMS”) calculates child maintenance in accordance with a formula and set criteria. [read post]
17 Nov 2023, 9:11 am
As part of its Behavioral Health Strategy, CMS aims to improve access and quality of mental health care and services, such as substance use disorder prevention and treatment services. [read post]
11 Jul 2011, 6:22 am
The most recent advisory opinion released by the Centers for Medicare & Medicaid Services ("CMS"), Advisory Opinion No. [read post]
4 Jan 2011, 11:56 am
The Centers for Medicare & Medicaid Services (CMS) added a new “Physician Compare” feature to the CMS Healthcare Provider Directory on December 30, 2010. [read post]
8 Nov 2021, 1:09 pm
The Centers for Medicare & Medicaid Services (CMS) has published the Omnibus COVID-19 Health Care Staff Vaccination Interim Final Rule, requiring vaccination of all staff at health care facilities that participate in the Medicare & Medicaid programs, regardless of responsibility or patient contact. [read post]
6 Jun 2018, 1:55 pm
CMS is adding 31 power mobility device Healthcare Common Procedure Coding System (HCPCS) codes to the list of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) items that require prior authorization as a condition of Medicare payment. [read post]
3 Feb 2014, 7:28 am
Recently, the Centers for Medicare and Medicaid Services (CMS) announced that it has decided to extend the Inpatient Hospital Prepayment "Probe and Educate" reviews. [read post]
18 Jan 2018, 11:08 am
The day after announcing the new Medicaid option, CMS approved a Kentucky waiver allowing the state to implement a community engagement requirement as a condition of eligibility for Medicaid beneficiaries aged 19 to 64, with a number of exceptions (former foster care youth, pregnant women, primary caregiver of a dependent, beneficiaries considered medically frail, certain beneficiaries with acute medical conditions, and full time students). [read post]
14 Jul 2010, 6:19 am
CMS notes two high-risk vulnerabilities identified during the RAC demonstration: provider non-compliance with timely submission of requested medical documentation and insufficient documentation that did not justify that the services billed were covered, medically necessary, or correctly coded. [read post]
17 Jan 2017, 1:26 pm
On January 17, 2017, the Centers for Medicare & Medicaid Services (“CMS”) finalized certain changes to the Medicare appeals process, with the intent to provide increased transparency and efficiency to cure the current backlog in pending appeals. [read post]
30 Oct 2015, 1:02 pm
Thus payments by hospitals to induce physicians to reduce or limit medically unnecessary services no longer implicate the Gainsharing CMP. [read post]
25 Jul 2014, 8:49 am
While HHS previously used the Public Health Service Act definition of "state" that applied ACA market reforms to the territories, CMS has modified this interpretation in light of concerns that it is undermining the stability of the territories' health insurance markets. [read post]
28 Mar 2017, 6:57 am
The Centers for Medicare & Medicaid Services (“CMS”) recently introduced a new education initiative for Chronic Care Management (“CCM”) patients and providers. [read post]
5 Nov 2021, 8:28 am
CMS does confirm that “suppliers are not required to ensure the vaccination of individuals who infrequently provide ad hoc non-health care services . . . or services that are performed exclusively off-site, not at or adjacent to any site of patient care. [read post]
27 Dec 2018, 10:21 am
Medicare Part B Premiums/Deductibles Medicare Part B covers physician services, outpatient hospital services, certain home health services, durable medical equipment, and certain other medical and health services [read post]
10 Jul 2017, 4:11 am
Revise the nominal amount standard for Medical Home Models. [read post]
9 Jul 2009, 10:13 am
If you're a physician, the Centers for Medicare and Medicaid Services (CMS) Proposed Physician Fee Schedule for 2010 affects you. [read post]
10 Jul 2012, 1:37 pm
On June 28, 2012 the Office of Inspector General (OIG) for the Department of Health and Human Services issued a report to the Centers for Medicare and Medicaid Services (CMS) that addresses instances of duplicative payments for prescription drugs for hospice beneficiaries. [read post]
