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23 May 2011, 6:47 am
Asked for comment on the Indiana law, the federal Centers for Medicare and Medicaid Services provided this statement, cleared by the White House: “Federal law prohibits federal Medicaid dollars from being spent on abortion services. [read post]
21 May 2011, 5:06 pm by Jon L. Gelman
The Centers for Medicare and Medicaid Service (CMS) has caught them with their pants down by the legislatively invoked mandatory reporting statute under the Medicare Secondary Payer Act (MSP). [read post]
20 May 2011, 12:45 pm by FDABlog HPM
  Execution of the agreement is a condition for the federal government to pay for the manufacturer’s covered outpatient drugs under Medicaid and Medicare Part B. [read post]
19 May 2011, 1:45 pm
During late March, the Centers for Medicare and Medicaid Services ("CMS") proposed a rule regarding Accountable Care Organizations ("ACOs") and the Medicare Shared Savings Program, which will make payments of shared savings to ACOs ("Proposed Rule"). [read post]
19 May 2011, 11:22 am
The rule establishes a rate review program to ensure that all rate increases that meet or exceed a specified threshold are reviewed by a state or the Centers for Medicare and Medicaid Services (CMS) to determine whether they are “unreasonable. [read post]
19 May 2011, 11:22 am
The rule establishes a rate review program to ensure that all rate increases that meet or exceed a specified threshold are reviewed by a state or the Centers for Medicare and Medicaid Services (CMS) to determine whether they are “unreasonable. [read post]
18 May 2011, 11:17 am by Gina M. Cavalier
On May 16, 2011, the Office of Inspector General (“OIG”) published a report with the results from its nationwide review of the Centers for Medicare and Medicaid Services (“CMS’”) oversight of the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”). [read post]
18 May 2011, 9:20 am by Noreen Murphy
If you would like to learn more about Elder Law services, please feel free to visit my website: Elder Law Elder Law FAQs Medicare and Medicaid Basics. [read post]
18 May 2011, 9:01 am by Charles Dunham
Department of Health and Human Services (HHS) released a report on the oversight and enforcement actions conducted by the Center for Medicare and Medicaid Services (CMS) pertaining to hospitals’ implementation … Continue reading ? [read post]
18 May 2011, 4:03 am by Jon L. Gelman
A US District Court Judge in Arizona has certified a putative class, composed of a nationwide class of Medicare recipients challenging the recovery procedures utilized by The Centers for Medicare and Medicaid Services (CMS). [read post]
17 May 2011, 12:47 pm by John Miano
In early April, the Centers for Medicare/Medicaid Services CMS released two CMS Reporting Alerts regarding file processing changes: April 1, 2011 CMS Alert Update TIN Reference Response File and Address Validation April 5, 2011 CMS Alert Upgrade of Query Files and HEW Software TIN Reference Response File and Address Validation Alert Currently, CMS validates the TIN Reference Address Records and returns Compliance Flag Codes in the Claim Response File,… [read post]
17 May 2011, 7:08 am by Deirdre Wheatley-Liss
 The states will then have to cut back on services, which is disproportionately effect the elderly as they are the biggest users of Medicaid services. [read post]
16 May 2011, 9:36 pm by MSP Education Blog
The case challenged two practices of the Center for Medicare & Medicaid Services (CMS) on behalf of a nationwide class of Medicare beneficiaries. [read post]
16 May 2011, 12:28 pm
Donald Berwick, the administrator of the Centers for Medicare & Medicaid Services ("CMS"), recently authored an Op-Ed in the Wall Street Journal outlining his view of Medicare reform. [read post]
16 May 2011, 6:19 am
CMS RELEASES PROPOSED FY 2012 HOSPICE PAYMENT RULE, INCLUDING FACE-TO-FACE LANGUAGEThe Centers for Medicare and Medicaid Services (CMS) recently released its Fiscal Year (FY) 2012 proposed rule for hospice reimbursements that would provide for a 2.3 percent payment increase. [read post]
12 May 2011, 7:59 am by admin
  Yet they are embedded within the fabric and location of a community, and given the myriad ways they are interwoven with government – Medicare, Medicaid, state reimbursements, licensing – they may as a practical matter have to accommodate the city’s desires for revenues. [read post]
11 May 2011, 2:46 pm
Medicare provides insurance to nearly 50 million elderly and disabled Americans, paying for 12.4 million hospitalizations in 2009, according to the Centers for Medicare and Medicaid Services. [read post]
11 May 2011, 6:21 am
In an effort to prevent the erroneous Medicare expenditure, the OIG recommended that the Centers for Medicare and Medicaid Services ("CMS") educate healthcare providers regarding the documentation maintenance requirement for submitted claims, create a consistent policy that services of interpretation be contemporaneous with diagnosis or treatment or classify situations in which noncontemporaneous services are beneficial, and… [read post]
10 May 2011, 10:00 am
Those include an assessment of potential new safeguards by the Center for Medicare and Medicaid Services to ensure compliance with existing standards. [read post]
10 May 2011, 9:02 am
The Centers for Medicare and Medicaid Services ("CMS") overpayment recovery through its Recovery Audit Contractor ("RAC") program is on the rise. [read post]