Search for: "CMS Medical Service"
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14 Jun 2016, 11:10 am
Nursing services and medical record requirements CMS proposes to revise the CoP requirements for nursing services to require that nursing staff be available to meet patient needs regardless of whether the patient is an inpatient or an outpatient. [read post]
10 Jul 2013, 12:26 pm
Denies Two ATA Requests to Expand Billable Services The American Telemedicine Association ("ATA") had made two requests which CMS denied in the Proposed Rule: Requested that CMS add online assessment and E/M services as Medicare telehealth services Denied primarily because the services are currently not covered, regardless of whether they are delivered via telehealth or other means; and Remove telehealth frequency limitations for… [read post]
2 Oct 2014, 2:39 pm
For instance, with respect to drug plans, CMS is considering a PDP model that will test the impact of “robust medication therapy management programs and cost sharing differentials that effectively target Part D beneficiaries and will better coordinate care, manage health care costs, and improve outcomes. [read post]
4 Sep 2020, 9:01 am
On Wednesday, September 2, the Centers for Medicare & Medicaid Services (CMS) issued the FY 2021 Medicare Hospital Inpatient Prospective Payment System (IPPS) and Long Term Acute Care Hospital (LTCH) final rule. [read post]
20 Nov 2019, 3:16 pm
” CMS finalizes the term “shoppable services” to mean “services that can be scheduled by a healthcare consumer in advance. [read post]
3 Sep 2014, 10:16 am
On September 30, 2014, the Centers for Medicare & Medicaid Services (CMS) will for the first time publish Open Payments (“the Sunshine Act”) data. [read post]
22 Sep 2013, 9:50 pm
The government will be establishing a multifactorial implementation process to keep information secure: DX Codes, provider names. dates of service and conditional payment amounts. [read post]
20 Aug 2019, 10:37 am
The Center for Medicare and Medicaid Services (“CMS) recently included generic versions of Oxycodone and Lyrica in its “Red Book”. [read post]
3 May 2013, 11:57 am
Meanwhile, stakeholders and their representatives, including the American Medical Association (AMA) and the Advanced Medical Technology Association (AdvaMed), have continued to seek additional clarification from CMS on a variety of outstanding questions. [read post]
24 Sep 2013, 2:17 pm
The order must also be documented in the medical record in accordance with the regulations, and a physician must certify the medical necessity of hospital inpatient services. [read post]
27 Apr 2012, 3:15 pm
By Ilyse Schuman The Centers for Medicare & Medicaid Services (CMS) has issued new guidance (pdf) on the medical loss ratio (MLR) requirement under the Affordable Care Act. [read post]
16 Mar 2020, 1:32 pm
The patient must verbally consent to using virtual check-ins and the consent must be documented in the medical record prior to the patient using the service. [read post]
5 Mar 2020, 8:19 am
On Wednesday March 4, 2020, the Centers for Medicare & Medicaid Services (CMS) released three guidance documents for health care providers relating to the coronavirus. [read post]
19 Jun 2007, 7:29 am
S&C-07-20, dated April 27, 2007, CMS indicated that the Emergency Medical Treatment and Active Labor Act (“EMTALA”) Technical Advisory Group has received testimony that in some instances in which an EMTALA transfer was appropriate, the receiving hospital conditioned its acceptance of the patient on the sending hospital’s using a medical transport service owned by the receiving hospital. [read post]
8 Jun 2010, 7:20 am
• For CAHs, the originating site's governing body ensures that services are provided pursuant to a written agreement between the originating and distant-sites, and the agreement states that the distant-site is responsible for ensuring that the services provided meet the requirements set forth under 42 CFR §§ 485.616(c)(1)(i) through (c)(1)(vii). [read post]
3 May 2017, 9:15 am
In addition, CMS solicits comments regarding possible future rulemaking to specify that: the referring physician’s and/or the acute/post-acute care facility’s medical record would serve as the basis for initial hospice eligibility determinations; and documentation of an in-person visit from the hospice Medical Director or the hospice physician member of the interdisciplinary group could be used as documentation to support initial hospice eligibility… [read post]
6 May 2008, 3:36 am
On April 30, CMS published its draft 2009 IPPS regulation. [read post]
12 Nov 2015, 8:52 am
” CMS plans to prioritize such admissions for medical review. [read post]
7 Feb 2013, 1:19 pm
The Department of Health and Human Service (HHS) hopes a new electronic health record (EHR) format for documenting medical care for children developed by the Agency for Healthcare Research and Quality (AHRQ)with support from the Centers for Medicare and Medicaid Services (CMS) will help developers create better EHRs for use by health care providers caring for [...] [read post]
29 May 2014, 2:20 pm
Juneau CMS issued a proposed rule on May 28, 2014 designed to reduce the rate of medically unnecessary DMEPOS items supplied to beneficiaries. [read post]
