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14 Feb 2012, 9:30 pm
The FTC complaint also suggests that the merger would mean less control over the price of prescription drugs and higher costs for the Centers for Medicare and Medicaid Services (CMS). [read post]
14 Feb 2012, 6:05 pm
Even the Centers for Medicare and Medicaid Services encourages sharing and using PHI to improve quality and reduce costs (see discussions of privacy issues in the Final Rule on the “Medicare Shared Savings Program: Accountable Care Organizations”). [read post]
14 Feb 2012, 11:13 am
On February 7, 2012, The Centers for Medicare and Medicaid Services (CMS) released a Request for Comments regarding two demonstration programs it intends to conduct. [read post]
14 Feb 2012, 5:30 am
The fraud prevention and enforcement report announced today coincides with the announcement of a proposed rule from the Centers for Medicare and Medicaid Services aimed at recollecting overpayments in the Medicare program. [read post]
13 Feb 2012, 5:36 am
Early detection of fraud The strategy of the Center for Program Integrity (CPI) within the Centers for Medicare & Medicaid Services (CMS) is to prevent payment of fraudulent claims by screening providers and spotting fraudulent practices before claims are ever paid. [read post]
12 Feb 2012, 6:01 am
Click here to register.Finally, the long anticipated draft rules of the Patient Protection and Affordable Care Act, otherwise known as the Sunshine Act, were released by the Centers for Medicare & Medicaid Services. [read post]
10 Feb 2012, 6:35 am
HHS has decided your health, and/or your wallet, can be dangerous and requires warning labels.According to KHN:"For too many Americans today, choosing a health plan means reading through a human resources book usually the size of a small phone book and important information about eligibility and benefits is often buried in the fine print," saidMarilyn Tavenner, the acting head of the Centers for Medicare and Medicaid Services, the agency within the… [read post]
9 Feb 2012, 9:30 pm
The Centers for Medicare & Medicaid Services (CMS) proposed a rule to implement provisions of the Affordable Care Act (ACA) relating to managed care organization (MCO) contract provisions and calculations of Medicaid reimbursements to pharmacies. [read post]
9 Feb 2012, 9:19 am
Though only six Pennsylvania nursing homes received top ratings, consumers can view other homes’ scores on the Centers for Medicare and Medicaid Services website. [read post]
9 Feb 2012, 9:13 am
2012 Poverty Guidelines: How Poverty Levels Affect Eligibility for Many Federal Public Benefit Programs, Center for Medicare Advocacy. [read post]
9 Feb 2012, 8:35 am
The Centers for Medicare and Medicaid Services (CMS) has now posted Self-Referral Disclosure Protocol (SDRP) settlements on the CMS website. [read post]
9 Feb 2012, 5:30 am
In general, if the hospital-physician practice recruitment contract violates the Stark law, then the hospital must return all of the proceeds of Medicare and Medicaid claims arising from referrals of patients, for designated health services in the hospital, made by all of the physician owners of the practice, during the period of non-compliance. [read post]
8 Feb 2012, 9:59 am
The Centers for Medicare & Medicaid Services’ (CMS) Hospital Compare Website now includes data on healthcare-associated infections. [read post]
8 Feb 2012, 9:59 am
The Centers for Medicare & Medicaid Services’ (CMS) Hospital Compare Website now includes data on healthcare-associated infections. [read post]
8 Feb 2012, 8:11 am
The entities defrauding the government do so in a variety of ways: Medicare or Medicaid fraud whereby they bill the government for services which they never provided or overbill for services that were provided; SEC Trading; Tax Fraud; TARP Fraud; Military/Defense contract fraud; Pharmaceutical Manufacturing;contract fraud involving any number of large government spending programs; or other types public benefit fraud. [read post]
8 Feb 2012, 6:54 am
News's evaluation of nursing homes is based on data from Nursing Home Compare, a website run by the Centers for Medicare and Medicaid Services which sets and enforces standards for nursing homes. [read post]
8 Feb 2012, 4:29 am
Medicare and Medicaid pay most of the nation's nursing home bills and require homes to disclose their ownership structures. [read post]
6 Feb 2012, 10:19 am
The Centers for Medicare and Medicaid Services (CMS) has announced that the Prior Authorization of Power Mobility Devices (PMDs) and the Recovery Audit Prepayment Review Demonstration Programs are expected to move forward on or after June 1, 2012. [read post]
6 Feb 2012, 8:28 am
As Consumers Union noted, the new reporting requirements apply to hospitals that participate in the Centers for Medicare and Medicaid Services (CMS) “pay-for-reporting” program for all patients, not just those covered by Medicare. [read post]
6 Feb 2012, 7:57 am
In 2010, CVS notified the Centers for Medicare and Medicaid Services that from October 2009 to January 2010, a computer error caused it to provide incorrect drug prices for brand name prescription drugs available through its Medicare plans. [read post]
