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22 Nov 2016, 8:10 am by Steven Boutwell
CMS also issued a related Alert relating to the methodology used to determine these thresholds. [read post]
17 May 2011, 10:26 am by Medicare Set Aside Services
Hopefully, the string of recent successes will spur more parties with standing to challenge the labyrinth of CMS excess. [read post]
26 Nov 2019, 6:30 am by Daniel Anders
  In an effort to address opioids in MSA CMS added the following statement to section 17.1 on MSA administrators:   CMS highly recommends professional administration where a claimant is taking controlled substances that CMS determines are “frequently abused drugs” according to CMS’ Part D Drug Utilization Review (DUR) policy. [read post]
27 Aug 2007, 2:05 pm
Read the CMS press release.UPDATE: CMS has also provided an unofficial redline version of the Stark regulations showing the existing regulations and incorporating in the new Stark III changes. [read post]
20 Aug 2018, 5:52 pm by Jerri Lynn Ward, J.D.
CMS is responsible for ensuring that financial assistance payments are made only for confirmed enrollees. [read post]
17 Jan 2020, 12:20 pm by Debra A. McCurdy
  Comments will be accepted until March 21, 2020; CMS intends to use RFI responses to develop guidance to state Medicaid directors by October 1, 2020. [read post]
12 Nov 2010, 4:04 am
According to CMS, "this final rule reflects CMS' ongoing efforts to improve quality of care provided by home health agencies to Medicare beneficiaries. [read post]
24 May 2013, 2:27 pm
CMS advised that beginning in Summer 2013, there may be a decline in Additional Documentation Requests (ADRs). [read post]
28 Jul 2016, 9:00 am
On July 6, 2016, the Centers for Medicare & Medicaid Services ("CMS") released the 2017 Outpatient Prospective Payment System ("OPPS") Proposed Rule (the "Proposed Rule"). [read post]
7 Dec 2015, 9:12 am
Subscribe to our health law blog to stay updated on the latest CMS news. [read post]
15 Aug 2018, 1:20 pm by Wachler & Associates, P.C.
By having a single payment rate, CMS is expecting patient care to improve. [read post]
27 Aug 2020, 8:19 am by Wachler & Associates, P.C.
In addition to those audits, CMS has also announced a new requirement to obtain reimbursement for COVID patients. [read post]
CMS is reversing its prior decision to eliminate the Inpatient Only (“IPO”) list. [read post]
22 Dec 2023, 9:51 am by Julia Kourpas
The CMS has shared that if the rule were to be enacted right now, more than 75% of nursing homes would fall short of the standards. [read post]
28 Feb 2019, 7:02 pm by Debra A. McCurdy
June 11-12, 2019 — Durable Medical Equipment and Accessories, Orthotics and Prosthetics and Supplies, and Other CMS intends to release the agenda and preliminary coding determinations at least four weeks before each meeting on the CMS HCPCS website. [read post]
17 May 2017, 4:54 am by Paul W. Pitts and Debra A. McCurdy
  As in FY 2017, CMS is not proposing changes to facility-level adjustment factors; CMS will continue to monitor the effects of FY 2014 adjustments. [read post]