Search for: "Centers for Medicare and Medicaid Services"
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11 Nov 2015, 2:17 pm
The two-year, $80 billion budget/debt-ceiling deal is funded in part by several significant Medicare and Medicaid policies, including an extension of Medicare sequestration, changes to Medicare payment for services provided in “new” off-campus hospital outpatient departments (OPDs), and extention of inflation-based Medicaid drug rebates to generic drugs. [read post]
17 Nov 2023, 5:26 am
The Centers for Medicare & Medicaid Services (CMS) has published its final rule that requires nursing homes enrolled in Medicare and Medicaid to disclose additional ownership and management information to CMS and state Medicaid agencies. [read post]
11 Jul 2012, 1:48 pm
The Centers for Medicare & Medicaid Services (CMS) released the proposed rules and the public is free to comment on the changes throughout a 60-day period that ends September 4, 2012. [read post]
1 Aug 2013, 2:40 pm
In 2005, the Centers for Medicare & Medicaid started the Medicare Recovery Audit Contractor (RAC) program in three pilot states, where the program recovered over $900 million dollars during the three-year pilot. [read post]
14 Aug 2017, 1:30 am
Data from the Centers for Medicare and Medicaid Services shows that more than 570,000 beneficiaries used advance care planning appointments in 2016, the first year such services were billable. [read post]
19 Dec 2017, 2:57 pm
Attorneys Representing Neglected Meridian Community Living Center Residents The Centers for Medicare and Medicaid Services (CMS) and the state of Mississippi conduct routine scheduled surveys and unannounced investigations to determine the level of care every nursing home in the state provides. [read post]
8 May 2023, 5:00 am
Under the Medicare Part C or Medicare Advantage (MA) program, the Centers for Medicare & Medicaid Services (CMS) contract with Medicare Advantage Organizations (MAOs), typically private insurance companies, that administer MA health plans to Medicare beneficiaries as an alternative to traditional Medicare. [read post]
22 Jun 2016, 10:59 am
On June 23, 2016, the Centers for Medicare & Medicaid Services (CMS) is publishing a major final rule to base Medicare clinical laboratory fee schedule (CLFS) reimbursement on private insurance payment amounts, as required by the Protecting Access to Medicare Act of 2014 (PAMA). [read post]
19 Oct 2012, 10:00 am
In October of 2012, the Centers for Medicare and Medicaid Services (CMS) announced it has discovered errors in its initial calculations. [read post]
5 Sep 2012, 10:00 am
In a prepayment review, the health care provider must submit documentation to the Centers for Medicare & Medicaid Services (CMS) contractor before ever receiving payment. [read post]
7 Dec 2011, 2:26 pm
Fraud Detection Systems: Centers for Medicare and Medicaid Services Needs to Expand Efforts to Support Program Integrity Initiatives, GAO-12-292T, Dec... [read post]
31 Jan 2012, 3:00 am
In rating a nursing home, the Centers for Medicare & Medicaid Services take into consideration staffing levels, inspections by the Department of Health, as well as other Medicare and Medicaid quality measures. [read post]
5 Oct 2009, 6:00 am
Even though it isn't exactly a California subject, we've been keeping an eye on the ramping up by companies and the Centers for Medicare and Medicaid Services (CMS) in the area of MMSEA and Medicare recovery, because of CBL's belief that MMSEA is going to change the way settlements are reached in every case involving a Medicare eligible personal injury plaintiff. [read post]
19 Aug 2019, 10:29 am
The Centers for Medicare & Medicaid Services (CMS) will increase Medicare inpatient psychiatric facility (IPF) prospective payment system (PPS) payments by 1.5%, or $65 million, in fiscal year (FY) 2020 under a recently-published final rule. [read post]
7 Apr 2010, 7:41 pm
According to an April 5, 2010 online article by an Attorney Kathy Donovan for Claims magazine, the Centers for Medicare and Medicaid Services (CMS) recently announced that the planned April 1, 2010 implementation of the Medicare Secondary Payer Mandatory Reporting (MSP) has been pushed back to January 1, 2011.It was indicated that this postponement of the pending federal reporting requirement enables insurance companies the opportunity to learn more about… [read post]
12 Sep 2016, 10:00 am
In 2015, the Centers for Medicare and Medicaid Services (CMS) estimated that nearly $60 billion in taxpayer money was lost to fraud, abuse, waste, and improper payments.... [read post]
10 Feb 2022, 9:00 am
., Board Certified by The Florida Bar in Health Law Recently it has come to our attention that there may be a nationwide effort by the Centers for Medicare and Medicaid Services (CMS) Medicare Administrative Contractors (MACs) to squelch physicians who prescribe opioids and other narcotic medications. [read post]
8 Mar 2016, 9:00 am
., Board Certified by The Florida Bar in Health Law On February 26, 2016, The Centers for Medicare & Medicaid Services (CMS) extended the deadline for eligible hospitals/professionals and critical access hospitals to apply for a hardship exception from the 2015 Medicare Electronic Health Records Incentive Program. [read post]
21 May 2019, 10:00 am
You have received that dreaded letter from the Zone Program Integrity Contractor (ZPIC) for Medicare advising you that it is auditing you for the Centers for Medicare and Medicaid Services (CMS). [read post]
8 Mar 2016, 9:00 am
., Board Certified by The Florida Bar in Health Law On February 26, 2016, The Centers for Medicare & Medicaid Services (CMS) extended the deadline for eligible hospitals/professionals and critical access hospitals to apply for a hardship exception from the 2015 Medicare Electronic Health Records Incentive Program. [read post]
