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23 Nov 2011, 12:36 pm
According to a press release, the Department of Health and Human Services ("HHS") announced that it will be awarding $9 million from the Centers for Medicare and Medicaid Services ("CMS") to Senior Medicare Patrol ("SMP") programs across the country tasked at fighting Medicare fraud. [read post]
23 Nov 2011, 12:00 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]
23 Nov 2011, 10:45 am
President Obama announced today his intent to nominate Marilyn Tavenner to the position of Administrator of the Centers for Medicare & Medicaid Services (CMS). [read post]
23 Nov 2011, 10:45 am
President Obama announced today his intent to nominate Marilyn Tavenner to the position of Administrator of the Centers for Medicare & Medicaid Services (CMS). [read post]
23 Nov 2011, 12:00 am
To provide the medical industry with clear instructions about how to prepare and submit the required disclosures, the Affordable Care Act called upon the federal Centers for Medicare and Medicaid Services (CMS) to release guidelines by October 1, 2011. [read post]
22 Nov 2011, 12:59 pm
On November 17, 2011, the Centers for Medicare and Medicaid Services ("CMS") announced that it will delay enforcement action until March 31, 2012 for those Health Information Portability and Accountability Act ("HIPAA") covered entities that are not in compliance with the ASC X12 Version 5010, NCPDP Telecom D.0 and NCPDP Medicaid Subrogation 3.0 standards. [read post]
22 Nov 2011, 12:51 pm
On November 2, 2011, the Centers for Medicare and Medicaid Services ("CMS") issued a Medicare Learning Network Matters article entitled Autologous Cellular Immunotherapy Treatment of Metastatic Prostate Cancer ("CR 7431") wherein it "instructs that, effective for services performed on or after June 30, 2011, CMS concludes that the evidence is adequate to support the use of autologous cellular immunotherapy treatment -… [read post]
22 Nov 2011, 6:16 am
The Centers for Medicare and Medicaid Services ("CMS") defines an overpayment as a payment to a provider or supplier that exceeds the amounts payable under Medicare statutes and regulations. [read post]
22 Nov 2011, 4:59 am
The Centers for Medicare & Medicaid Services (CMS) has completed its Pilot Testing of the Workers' Compensation Medicare Set-aside Portal (WCMSAP). [read post]
22 Nov 2011, 4:50 am
The 6th Circuit Court of Appeals has ruled that The Center for Medicare and Medicaid Services (CMS) is entitle 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]
22 Nov 2011, 12:00 am
The Centers for Medicare and Medicaid Services (CMS) and the Health Resources and Services Administration (HRSA) have announced a demonstration project intended to evaluate the adoption of Advanced Primary Care (APC) practices by community health centers. [read post]
21 Nov 2011, 3:38 pm
“We have called on this insurer to immediately rescind the rate, issue refunds to consumers or publicly explain their refusal to do so,” said Steve Larsen, director of the Center for Consumer Information and Insurance Oversight at the Centers for Medicare & Medicaid Services. [read post]
21 Nov 2011, 3:38 pm
“We have called on this insurer to immediately rescind the rate, issue refunds to consumers or publicly explain their refusal to do so,” said Steve Larsen, director of the Center for Consumer Information and Insurance Oversight at the Centers for Medicare & Medicaid Services. [read post]
21 Nov 2011, 4:49 am
The authors point to programs like a pay-for-performance project from the Centers for Medicare & Medicaid Services as a way to provide incentives for SNFs to decrease hospitalization rates. [read post]
21 Nov 2011, 4:49 am
The authors point to programs like a pay-for-performance project from the Centers for Medicare & Medicaid Services as a way to provide incentives for SNFs to decrease hospitalization rates. [read post]
18 Nov 2011, 7:25 am
•In 2006, Centers for Medicare and Medicaid Services reported that twice as many of California's 115,000 plus residents are placed in physical restraints as are nationally. [read post]
17 Nov 2011, 9:11 am
Thomas On November 16, 2011, Louisiana Department of Health and Hospitals’ (“DHH”) Secretary Bruce Greenstein announced that the Centers for Medicare and Medicaid Services (“CMS”) had approved an amendment to Louisiana’s Medicaid State Plan to implement the Coordinated Care Networks (“CCN”) also known as “Bayou Health. [read post]
17 Nov 2011, 3:29 am
As expected, on November 7th, the Centers for Medicare & Medicaid Services (CMS) implemented a new fixed percentage option for Conditional Payment Resolution (CPR). [read post]
16 Nov 2011, 8:02 am
A controversial Medicare and Medicaid Innovation center created by Obamacare will give “community-based organizations” and other qualified groups $1 billion to devise “compelling new ideas” to deliver better services to those “with the highest health care needs. [read post]
16 Nov 2011, 7:03 am
The Centers for Medicare & Medicaid Services (CMS) has recently updated the information on its website with respect to the Medicare, Medicaid, and SCHIP Extension Act of 2007 (MMSEA), Section 111 “Mandatory Insurer Reporting” requirements. [read post]
