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10 Jan 2012, 1:31 am
CMS ISSUES ADDITIONAL HEALTH PLAN WAIVERSOn January 6, the Centers for Medicare & Medicaid Services (CMS) announced that it had granted waivers to 1,231 employer-sponsored health insurance plans that will allow them to continue despite their non-compliance with certain requirements of the Patient Protection and Affordable Care Act (PPACA).Most of the waiver recipients are limited medical benefit (“mini-med”) plans which are usually offered to… [read post]
9 Jan 2012, 3:11 pm by Cynthia Marcotte Stamer
Home Health Care: Spending growth for freestanding home health care services slowed in 2010, increasing 6.2 percent to $70.2 billion following growth of 7.5 percent in 2009, as Medicare and Medicaid spending growth slowed in 2010. [read post]
7 Jan 2012, 3:00 am
They determine rankings by using national standards that include information from the Centers for Medicare and Medicaid Services as well as other data and consumer reviews. [read post]
6 Jan 2012, 1:25 pm
The Centers for Medicare & Medicaid Services (CMS) announced yesterday an interim final rule that adopts standards for electronic funds transfers (EFT) under HIPAA. [read post]
6 Jan 2012, 1:25 pm
The Centers for Medicare & Medicaid Services (CMS) announced yesterday an interim final rule that adopts standards for electronic funds transfers (EFT) under HIPAA. [read post]
6 Jan 2012, 7:09 am by Max Kennerly, Esq.
Every private health insurance plan I know of, as well as Medicaid and Medicare, includes a “right of subrogation” that allows the insurer (or the Centers for Medicare & Medicaid Services, or “CMS”)) to recover any payments it made to cover the medical care of an insured or beneficiary if that person recovers money from someone else to compensate them for those same injuries. [read post]
4 Jan 2012, 7:19 am by Jerri Lynn Ward, J.D.
The PDP must forward the documentation to the Centers for Medicare & Medicaid Services (CMS) for use in updating its systems. [read post]
4 Jan 2012, 6:18 am
  Recently, the Centers for Medicare and Medicaid Services (“Medicare”) released guidance (the “Alert”) relevant to conditional payment reimbursement under the Medicare Secondary Payer (“MSP”) Act (42 U.S.C. [read post]
4 Jan 2012, 6:18 am
  Recently, the Centers for Medicare and Medicaid Services (“Medicare”) released guidance (the “Alert”) relevant to conditional payment reimbursement under the Medicare Secondary Payer (“MSP”) Act (42 U.S.C. [read post]
3 Jan 2012, 1:48 pm by admin
What this includes is receiving notice of changes in medical condition, participation in all levels of planning of care, refusing treatment or medication, review of medical records, and to not be charged for the services that Medicare and Medicaid already cover. [read post]
3 Jan 2012, 2:41 am by Bob Kraft
But this new policy is likely to disproportionately affect hospitals that treat the most low-income patients, according to a Kaiser Health News analysis of data from the Centers for Medicare & Medicaid Services. [read post]
3 Jan 2012, 1:40 am by Bob Kraft
But this new policy is likely to disproportionately affect hospitals that treat the most low-income patients, according to a Kaiser Health News analysis of data from the Centers for Medicare & Medicaid Services. [read post]
2 Jan 2012, 9:39 am by Andrew Ramonas
A former head of the Centers for Medicare & Medicaid Services is among a group of Alston & Bird lobbyists who are advocating for the National Association of Children's Hospitals, according to a lobbying registration filing the firm submitted to Congress last week. [read post]
2 Jan 2012, 6:33 am by Jeff Marshall
On October 27th, The Centers for Medicare and Medicaid Services (CMS) approved California’s proposed Medicaid State Plan Amendment effective retroactively to June 1, 2011. [read post]
30 Dec 2011, 11:26 am
In the December 19, 2011 Federal Register, the Centers for Medicare and Medicaid Services ("CMS") issued its proposed rule for the Physician Payments Sunshine Act ("Proposed Rule"), which was promulgated as a result of Section 6002 of the Patient Protection and Affordable Care Act ("PPACA"). [read post]
30 Dec 2011, 10:30 am by Lucas A. Ferrara, Esq.
Physicians can qualify for Medicare and Medicaid electronic health record incentive payments by generating and transmitting more than 40 percent of all prescriptions to pharmacies electronically, excluding prescriptions for controlled substances, as part of the HITECH Act of 2009. [read post]
30 Dec 2011, 8:42 am
As a result of its Report, the OIG made recommendations to the Centers for Medicare and Medicaid Services ("CMS") to account for inefficiencies in its reimbursement of portable x-ray suppliers. [read post]
28 Dec 2011, 2:25 pm
As we reported in previous blog entries regarding the 2012 Physician Fee Schedule, the Centers for Medicare and Medicaid Services ("CMS") will be expanding its application of the Multiple Procedure Payment Reduction ("MPPR") to the professional component ("PC") of certain diagnostic imaging procedures. [read post]
28 Dec 2011, 12:21 pm by SarahSwank
The Patient Protection and Affordable Care Act (ACA)2 established a program for the evaluation and public reporting of provider and supplier performance implemented by the Centers for Medicare & Medicaid Services (CMS). [read post]