Search for: "Centers for Medicare and Medicaid Services (CMS)"
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23 Jun 2014, 7:10 am
The Centers for Medicare and Medicaid Services have announced another expansion to their planned five-star rating system for various medical facilities. [read post]
30 Oct 2014, 2:00 am
., The Health Law Firm On November 2, 2011, the Centers for Medicare and Medicaid Services (CMS) promulgated the interim final rule on fraud and abuse waivers for Accountable Care Organizations (ACOs) participating in the Medicare … Continue reading → [read post]
24 Aug 2018, 10:42 am
The Centers for Medicare and Medicaid Services (“CMS”) recently announced that, starting next year, Medicare Advantage (“MA”) plans will be allowed to require step therapy on Part B drugs and other physician-administered drugs. [read post]
30 Oct 2015, 1:02 pm
The Centers for Medicare & Medicaid Services (CMS) and the Office of Inspector General (OIG) have finalized a rule designed to “remove legal and regulatory barriers that can impede care coordination in furtherance of the Shared Savings Program” and “reduce burden on ACOs, ACO participants, and ACO providers/suppliers. [read post]
29 Dec 2017, 4:05 am
Lawyers Representing Injured Victims of La Mariposa Care and Rehab Center To ensure nursing homes remain compliant, the federal government through the Centers for Medicare and Medicaid Services (CMS) and the State of California conduct routine surveys and inspections. [read post]
5 Oct 2017, 10:00 am
., Board Certified by The Florida Bar in Health Law Zone Program Integrity Contractors (ZPIC) are private companies or business entities, that have contracted with the Centers for Medicare and Medicaid Services (CMS). [read post]
5 Oct 2017, 10:00 am
., Board Certified by The Florida Bar in Health Law Zone Program Integrity Contractors (ZPIC) are private companies or business entities, that have contracted with the Centers for Medicare and Medicaid Services (CMS). [read post]
CMS Announces Temporary Fee Schedule Increase for Certain Medical Equipment Furnished in Rural Areas
11 May 2018, 1:09 pm
Today the Centers for Medicare & Medicaid Services (CMS) published an interim final rule with comment period that will provide a temporary Medicare rate hike for certain durable medical equipment (DME) and enteral nutrition furnished in rural and non-contiguous areas of the country (Alaska, Hawaii, and U.S. territories) that are not included in competitive bidding. [read post]
21 Jun 2012, 6:14 am
A final rule released last month by the Centers for Medicare & Medicaid Services (CMS) has made significant substantive changes to hospital governance requirements. [read post]
18 Feb 2014, 1:42 pm
On January 15, 2014, the Centers for Medicare & Medicaid Services (CMS), issued revisions to their policy manuals, including the Medicare Benefit Policy Manual, that clarify that "Improvement Standards" are not required for determining claims for Medicare coverage involving skilled care, including skilled nursing facilities (SNF), home health (HH), and outpatient therapy (OPT) benefits. [read post]
5 Apr 2020, 8:22 am
On March 28, 2020, the Centers for Medicare & Medicaid Services (CMS) announced that it is expanding its Accelerated and Advance Payment Program for healthcare providers and suppliers participating in Medicare. [read post]
19 May 2021, 6:12 am
Federal regulations provide 22 distinct reasons that the Centers for Medicare & Medicaid Services (CMS) may use to revoke a healthcare provider’s or supplier’s Medicare billing privileges. [read post]
17 May 2012, 6:36 am
The Government Accountability Office (GAO) has reported that the Centers for Medicare & Medicaid Services (CMS) could be doing more to ensure its incentive payments under the electronic health record (EHR) program are proper and legitimate. [read post]
16 Feb 2024, 2:00 am
Hodge (Arizona State University), Joel Michaels (Arizona State University), Medicare Drug Pricing Negotiations: Assessing Constitutional Structural Limits (2023): A series of structural constitutional arguments lodged in multiple cases against Centers for Medicare and Medicaid Services’ (CMS) authorities to... [read post]
8 Jun 2023, 8:48 am
The Centers for Medicare & Medicaid Services (“CMS”) announced it will test a new primary care model – the Making Care Primary (MCP) Model – in eight states. [read post]
19 Jun 2019, 8:34 am
On June 17, 2019, the Centers for Medicare & Medicaid Services (CMS) announced a settlement option for certain IRF appeals pending at any of the four fee-for-service Medicare administrative appeals levels: the Medicare Administrative Contractor (MAC), qualified independent contractor (QIC), the Office of Medicare Hearings and Appeals (OMHA) Administrative Law Judge (ALJ), and/or the Medicare Appeals Council… [read post]
14 Feb 2012, 11:13 am
On February 7, 2012, The Centers for Medicare and Medicaid Services (CMS) released a Request for Comments regarding two demonstration programs it intends to conduct. [read post]
25 Feb 2020, 9:00 am
Last year, the Centers for Medicare and Medicaid Services (“CMS”) issued long-anticipated draft guidance concerning shared space and co-location arrangements between hospitals and other providers. [read post]
16 Sep 2019, 11:50 am
By Jennifer Jones Thomas On September 10, 2019, the Centers for Medicare and Medicaid Services (“CMS”) published a Final Rule in the Federal Register which will require Medicare, Medicaid, and Children’s Health Insurance Program (“CHIP”) providers and suppliers to disclose current and previous affiliations with other providers and suppliers who CMS identifies as posing an undue risk of fraud, waste,… [read post]
25 May 2011, 6:57 pm
The Centers for Medicare & Medicaid Services (CMS) has released a fact sheet titled “Medicare Shared Savings Program and Rural Providers” highlighting exceptions to the proposed regulations governing accountable care organizations (ACOs). [read post]
