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20 Jun 2011, 3:00 am by Jon L. Gelman
The Centers for Medicare and Medicaid Services (CMS) has now posted its newly revised Rights and Responsibilities letter. [read post]
19 Jun 2011, 12:33 pm by Ray Mullman
To learn more about the PACE program, see the Centers for Medicaid and Medicare Services information sheet Quick Facts About Programs of All-Inclusive Care for the Elderly -- PACE. [read post]
19 Jun 2011, 4:29 am by Thaddeus Mason Pope, J.D., Ph.D.
"  The Resolution: calls on the Centers for Medicare and Medicaid Services (CMS) to take preventive and corrective action in response to evidence that some institutional and individual health care providers are violating their obligations under the Medicare and Medicaid Conditions of Participation(CoPs), thwarting the treatment wishes expressed by terminally ill patients, and seeking reimbursement for these practices. [read post]
18 Jun 2011, 2:08 pm
A recent NY Times article reports that the Center for Medicare and Medicaid Services continues to find that some hospitals are unnecessarily performing double CT scans on patients' chests in order to increase the bill to the healthcare insurance providers. [read post]
18 Jun 2011, 11:54 am by rliles
  As you will recall, at the reconsideration level, Medicare claims are assessed by a Qualified Independent Contractor (QIC) selected by the Centers for Medicare and Medicaid Services (CMS) to hear the second level of administrative appeals. [read post]
18 Jun 2011, 7:58 am
In 2010, representatives from The Centers for Medicare and Medicaid Services ("CMS"), the federal agency responsible for administering Medicare and Medicaid (as well as a host of other federal programs ) within the Department of Health and Human Services, began suggesting that the MSP applied to future medical services in liability cases. [read post]
17 Jun 2011, 2:21 pm
The Centers for Medicare & Medicaid Services (CMS) announced today that it will begin using predictive modeling technology to identify and fight Medicare fraud.Northrop Grumman, through a partnership with National Government Services and Federal Network Systems (a Verizon company), will develop the predictive modeling technology. [read post]
17 Jun 2011, 2:21 pm
The Centers for Medicare & Medicaid Services (CMS) announced today that it will begin using predictive modeling technology to identify and fight Medicare fraud.Northrop Grumman, through a partnership with National Government Services and Federal Network Systems (a Verizon company), will develop the predictive modeling technology. [read post]
16 Jun 2011, 9:57 am
The Centers for Medicare & Medicaid Services (CMS) today issued a proposed rule that would establish, for the first time, conditions of participation (CoPs) that Community Mental Health Centers (CMHCs) would have to meet in order to participate in the Medicare program.CMS reports that the proposed CoPs would focus on patient care, establish requirements for staff and provider operations, and encourage patients to participate in their own care… [read post]
16 Jun 2011, 9:57 am
The Centers for Medicare & Medicaid Services (CMS) today issued a proposed rule that would establish, for the first time, conditions of participation (CoPs) that Community Mental Health Centers (CMHCs) would have to meet in order to participate in the Medicare program.CMS reports that the proposed CoPs would focus on patient care, establish requirements for staff and provider operations, and encourage patients to participate in their own care… [read post]
15 Jun 2011, 7:34 am
According to NBC, the Centers for Medicare & Medicaid Services will offer additional medical benefits to Libby residents as part of a coordinated effort among several federal agencies. [read post]
15 Jun 2011, 4:49 am by Jon L. Gelman
" The Centers for Medicare and Medicaid Services (CMS) said today the agency would begin covering the additional benefits July 1, 2011 under a permanent pilot program Baucus included in the Affordable Care Act to ensure Libby victims received the full range of services needed to treat asbestos diseases. [read post]
15 Jun 2011, 4:32 am by Jeff Marshall
The Centers for Medicare & Medicaid Services [CMS] will also notify states of their ability to provide same-sex domestic partners of long-term care Medicaid beneficiaries the same treatment as opposite-sex spouses in the contexts of estate recovery, imposition of liens, and transfer of assets. [read post]
14 Jun 2011, 7:42 am
On Friday, June 3, the American Medical Association ("AMA") submitted its comments concerning the Accountable Care Organizations ("ACOs") Proposed Rule (the "Proposed Rule") to Donald Berwick, the Centers for Medicare and Medicaid Services ("CMS") Administrator. [read post]
14 Jun 2011, 1:57 am by LindaMBeale
Many are also astonished by Congressional proposals “that will hurt the poor, the elderly and the vulnerable”[6] by cutting unemployment assistance, Medicaid, Medicare, and Social Security, and for unbending efforts to stop abortions, to prevent same sex marriages, to ignore scientific warnings of global warming, and the denial by some states of immigrants’ rights. [read post]
13 Jun 2011, 8:25 am
But Mayo says the proposed regulations from the federal Centers for Medicare and Medicaid Services (CMS) conflict with the way it runs its Medicare operations, which treat about 400,000 patients a year Give me and ACO but hold the Mayo. [read post]
13 Jun 2011, 7:57 am by Dan Irving Cytryn, Esq.
A 2003 USA Today report revealed that less than 2 percent of the 16,437 Medicaid and Medicare-certified nursing homes in the U.S. did not have violations in the past four years. [read post]
13 Jun 2011, 6:30 am by Robert David Malove
The OIG's success resulted from a collaborative effort with the Department of Justice, the Centers for Medicare & Medicaid Services, State Medicaid Fraud Control Units, other OIGs offices, State agencies and local law enforcement. [read post]
12 Jun 2011, 8:01 am by Gritsforbreakfast
Plus, privatization of Medicaid and Medicare services has resulted in widespread fraud. [read post]
10 Jun 2011, 2:39 pm
CDT directed its comments to the Center for Medicare and Medicaid Services (CMS), urging CMS to retain this opt-out policy in its final rule on Medicare claims data. [read post]