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6 Dec 2011, 4:19 pm
Final Rules Make Direct Access To Data By All But Most Sophisticated Impossible The Centers For Medicare & Medicaid Services (“CMS”) says disclosures of certain Medicare provider and supplier claims performance data scheduled to begin in January will empower employers, health plans and consumers to better evaluate the quality of these health care providers and suppliers. [read post]
6 Dec 2011, 9:19 am
Louis-based parent company of now-defunct Ethex Corporation, will pay $17 million to resolve False Claims Act allegations that Ethex failed to advise the Centers for Medicare and Medicaid Services (CMS) that two unapproved products did not qualify for coverage under federal health care programs, the Justice Department announced today. [read post]
6 Dec 2011, 6:00 am
In 2010 the Centers for Medicare & Medicaid Services (CMS) halted additional payments to hospitals for selected conditions that were acquired in the hospital (in other words, not present when the patient was admitted). [read post]
6 Dec 2011, 12:48 am
On December 2, The Centers for Medicare & Medicaid Services (CMS) issued two regulations on the MLR which mostly reaffirm the general MLR requirements as spelled out in PPACA. [read post]
5 Dec 2011, 10:12 am
Donald Berwick resigned as administrator of the Centers for Medicare and Medicaid Services (CMS) for reasons wholly political. [read post]
5 Dec 2011, 6:12 am
The 6th Circuit Court of Appeals has ruled that The Center for Medicare and Medicaid Services (CMS) is entitled to complete reimbursement of Medicare payments under the Medicare Secondary Payer Act (MSP) from a liability claim even though the beneficiary claimed that the settlement required allocation due to the law allocating liability. [read post]
5 Dec 2011, 6:08 am
According to the Pennsylvania Health Care Association, nursing homes were hit with the almost $200 million cut in October under the new rule by the Centers for Medicare and Medicaid Services. [read post]
4 Dec 2011, 10:00 am
State survey and certification agencies check complaints and are supposed to report them to the Centers for Medicare and Medicaid Services (CMS). [read post]
3 Dec 2011, 3:57 pm
In addition, HHS’s Centers for Medicare and Medicaid Services, working in conjunction with the HHS-OIG, is taking steps to increase accountability and decrease the presence of fraudulent providers. [read post]
3 Dec 2011, 3:53 pm
In addition, HHS’s Centers for Medicare and Medicaid Services, working in conjunction with the HHS-OIG, are taking steps to increase accountability and decrease the presence of fraudulent providers. [read post]
2 Dec 2011, 8:20 pm
Last Wednesday, President Obama announced that he would nominate Marilyn Tavenner, a former nurse, health care executive, and secretary of Virginia’s Health and Human Services, as the new head of the Centers for Medicare and Medicaid Services. [read post]
2 Dec 2011, 2:01 pm
The appointment of Marilyn Tavenner to replace Donald Berwick, M.D. as administrator for the Centers for Medicare & Medicaid (CMS) is getting strong support from nursing home groups, according to an article on McKnights.com. [read post]
2 Dec 2011, 4:03 am
In 2001, acting Inspector General Michael Mangano testified that the Centers for Medicare and Medicaid Services wasn’t doing a good job of holding contractors accountable. [read post]
1 Dec 2011, 9:16 am
I will fight to protect and bolster Medicare and Medicaid, known as Medi-Cal in California. [read post]
1 Dec 2011, 9:06 am
Fast forward to 1965 and the passage of Medicare, with Medicaid in tow. [read post]
1 Dec 2011, 9:02 am
The Centers for Medicare and Medicaid Services (CMS) has announced the creation of an Internet portal for submission of workers compensation Medicare Set-Aside (WCMSA) proposals. [read post]
30 Nov 2011, 1:17 pm
In the November 28, 2011 Federal Register, the Centers for Medicare and Medicaid Services ("CMS") retracted its requirement that physicians or non-physician practitioners ("NPPs") sign requisitions for clinical laboratory tests paid under the Clinical Laboratory Fee Schedule ("CLFS"). [read post]
30 Nov 2011, 12:45 pm
On November 29, Marilyn Tavenner, a former health official from Virginia, was installed by the administration to head the Centers for Medicare and Medicaid Services (CMS). [read post]
30 Nov 2011, 4:13 am
MetLife issued the following press release about the rising costs of long term care despite the recession and reduction of medicaid and medicare reimbursements. [read post]
23 Nov 2011, 1:28 pm
The Obama Administration announced that Centers for Medicare and Medicaid Services ("CMS") Administrator, Donald Berwick, MD, would be stepping down on December 2. [read post]
