Search for: "CMS Medical Service"
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13 Oct 2008, 4:38 pm
The rules adopted by the Centers for Medicare and Medicaid Services (CMS) aims to provide hospitals with a financial incentive to improve patient care. [read post]
26 Sep 2019, 9:49 am
The Centers for Medicare & Medicaid Services (CMS) has issued an “omnibus burden reduction” rule that finalizes a September 20, 2018 proposed rule intended to streamline various Medicare and Medicaid regulatory requirements, in alignment with the Administration’s “Patients over Paperwork” initiative. [read post]
18 Feb 2013, 5:43 am
On February 15, 2013, CMS released a proposed rule implementing the ACA’s medical loss ratio (MLR) requirements for Medicare Advantage (MA) and prescription drug (Part C and Part D) plans. [read post]
28 Jan 2011, 7:43 am
CMS has issued revised Interpretive Guidelines for the Hospital Conditions of Participation. [read post]
16 Apr 2018, 11:52 am
CMS states that contractors may set thresholds for the number of services allowed before medical review, but may not limit the number of services provided. [read post]
8 Mar 2017, 2:01 pm
CMS also must consider the highest amount bid by a winning supplier in a CBA, along with relative travel distances and costs, volumes of items and services, and number of suppliers in CBAs and non-CBAs. [read post]
30 Jul 2012, 7:49 am
On May 16, 2012, the Centers for Medicare and Medicaid Services of the Department of Health and Human Services (“CMS”) published regulations announcing various changes to the Medicare Conditions of Participation (“CoP”) applicable to hospitals. [read post]
1 Sep 2016, 2:00 pm
The Centers for Medicare & Medicaid Services (CMS) released their new hospital grading system in July, called the Overall Hospital Quality Star Rating. [read post]
1 Sep 2016, 2:00 pm
The Centers for Medicare & Medicaid Services (CMS) released their new hospital grading system in July, called the Overall Hospital Quality Star Rating. [read post]
4 Nov 2019, 11:51 am
According to CMS’ press release, home infusion therapy is “the administration of certain types of medication, through a durable medical equipment (DME) pump, in the patient’s home. [read post]
22 Jun 2016, 7:59 am
Revise documentation that must be include in each patient’s medical record and clarify patient access to such records. [read post]
30 Dec 2021, 12:02 pm
(A delay may be necessary if a staff member has recently had COVID-19 or for other medical reasons.) [read post]
11 Apr 2007, 9:24 am
See earlier HealthBlawg post on a CMS DOQ-IT-related P4P demonstration project here, and a link to a MA Medical Law Reports article on the subject here. -- David Harlow [read post]
26 May 2011, 7:00 am
An MSA should not be submitted to CMS when settling a workers’ compensation claim with medical benefits remaining open. [read post]
30 Jun 2021, 6:34 am
The Centers for Medicare & Medicaid Services (CMS) contracts with a Supplemental Medical Review Contractor (SMRC) who provides support for a variety of tasks aimed at lowering improper payment rates and increasing efficiencies of the medical review functions of the Medicare and Medicaid programs. [read post]
5 Nov 2018, 2:28 pm
It is reported that the American Hospital Association and the Association of American Medical Colleges on behalf of their member hospitals will file a lawsuit arguing that CMS’s expansion of its site-neutral payment policy to excepted off-campus PBDs is inconsistent with the BBA, Section 603. [read post]
7 Dec 2013, 6:36 am
With regard to liability cases, Barbara Wright of CMS stated: "So where future medicals are a consideration in arriving at the settlement, appropriate arrangements should be made for appropriate exhaustion of the settlement before Medicare is billed for related services." [read post]
26 Nov 2019, 6:30 am
” While MSA professional administration is recommended for most MSAs, CMS is correct in asserting it is of special value for a claimant utilizing opioid medications. [read post]
24 Mar 2016, 10:44 am
CMS proposes to update the flat fee amount annually based on the percentage increase in the consumer price index (CPI) for medical care for the most recent 12-month period. [read post]
20 Dec 2016, 6:42 am
CMS expects the DSOs to provide direct decision support to about 700,000 beneficiaries annually, focusing on the same medical conditions as under the SDM Model. [read post]
