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17 Aug 2020, 2:21 pm
Only medical staff and employees get access, as well as some vendors and maintenance people. [read post]
17 Aug 2020, 10:51 am
Currently, there are two categories by which CMS evaluates new services for reimbursement by Medicare. [read post]
14 Aug 2020, 11:45 am
In addition, CMS notes that information included in the medical record should document that the services are reasonable and necessary. [read post]
11 Aug 2020, 5:16 am
As mentioned above, the first tranche was automatically distributed based on 2019 CMS payment data. [read post]
10 Aug 2020, 1:25 pm
The Centers for Medicare & Medicaid Services (CMS) has issued specific recommendations to nursing homes to help mitigate the spread of COVID-19. [read post]
5 Aug 2020, 10:55 am
Additionally, resident services furnished outside the scope of the approved graduate medical education programs to inpatients of a hospital in which they have their training program are considered separately billable physicians’ services. [read post]
4 Aug 2020, 8:11 am
A statement from the American Hospital Association called on CMS to “reverse this harmful policy to ensure hospitals can continue to provide the services people need the most. [read post]
4 Aug 2020, 8:06 am
On Friday, July 31, 2020, the Centers for Medicare & Medicaid Services (“CMS”) issued three fiscal year 2021 final rules, for Inpatient Psychiatric Facilities (“IPFs”), Skilled Nursing Facilities (“SNFs”), and hospices. [read post]
30 Jul 2020, 3:39 pm
Reimbursement from the Centers for Medicare and Medicare (CMS) for health technologies and services operates in just this fashion, encouraging the development of technologies by, essentially, subsidizing (and increasing) payment. [read post]
30 Jul 2020, 10:07 am
If you need an NPI number, go to The National Provider Identifier Standard section of the Centers for Medicare & Medicaid Services (CMS) website. [read post]
30 Jul 2020, 7:25 am
This proposal aligns with an October 2018 advance notice of proposed rulemaking by the Centers for Medicare and Medicaid Services (“CMS”) that sought public comments on aligning the payment amount for certain Part B drugs with international prices (also known as “reference pricing”). [read post]
28 Jul 2020, 11:02 am
While the proposed rules made a sweeping effort to promote a value-based health care delivery system, they left notable and significant room for public comment on the various options under consideration by HHS’s Centers for Medicare & Medicaid Services (CMS) and Office of Inspector General (OIG) to achieve their goals. [read post]
24 Jul 2020, 7:23 am
As is typically the case with nursing homes judged deficient in one or more safety categories, these facilities experienced issues with food sanitation, failure to prevent medication errors, inadequate infection prevention measures, and poor cleanliness among others, according to CMS. [read post]
COVID-19 Daily Insurance Regulatory Updates To Keep You Informed During The Lockdown (July 22, 2020)
22 Jul 2020, 4:36 pm
Vermont: On July 21, Commissioner Pieciak released Insurance Bulletin No. 215, withdrawing Insurance Bulletin 211 (temporarily suspending routine provider audits, effective August 3, 2020), in order to comply with guidance regarding resumption of routine audits on August 3, 2020 by the Centers for Medicare and Medicaid Services (CMS). [read post]
16 Jul 2020, 10:00 pm
The Centers for Medicare and Medicaid Services (CMS) recently announced that it intends to resume both prepayment and postpayment medical reviews conducted by the Medicare Administrative Contractors, Supplemental Medical Review Contractors, and Recovery Audit Contractors, including those under the Targeted Probe and Educate program, on August 3, 2020. [read post]
16 Jul 2020, 10:00 pm
The Centers for Medicare and Medicaid Services (CMS) recently announced that it intends to resume both prepayment and postpayment medical reviews conducted by the Medicare Administrative Contractors, Supplemental Medical Review Contractors, and Recovery Audit Contractors, including those under the Targeted Probe and Educate program, on August 3, 2020. [read post]
16 Jul 2020, 10:00 pm
The Centers for Medicare and Medicaid Services (CMS) recently announced that it intends to resume both prepayment and postpayment medical reviews conducted by the Medicare Administrative Contractors, Supplemental Medical Review Contractors, and Recovery Audit Contractors, including those under the Targeted Probe and Educate program, on August 3, 2020. [read post]
16 Jul 2020, 10:00 pm
The Centers for Medicare and Medicaid Services (CMS) recently announced that it intends to resume both prepayment and postpayment medical reviews conducted by the Medicare Administrative Contractors, Supplemental Medical Review Contractors, and Recovery Audit Contractors, including those under the Targeted Probe and Educate program, on August 3, 2020. [read post]
16 Jul 2020, 10:00 pm
The Centers for Medicare and Medicaid Services (CMS) recently announced that it intends to resume both prepayment and postpayment medical reviews conducted by the Medicare Administrative Contractors, Supplemental Medical Review Contractors, and Recovery Audit Contractors, including those under the Targeted Probe and Educate program, on August 3, 2020. [read post]
16 Jul 2020, 10:00 pm
The Centers for Medicare and Medicaid Services (CMS) recently announced that it intends to resume both prepayment and postpayment medical reviews conducted by the Medicare Administrative Contractors, Supplemental Medical Review Contractors, and Recovery Audit Contractors, including those under the Targeted Probe and Educate program, on August 3, 2020. [read post]
