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Department of Health and Human Services Xavier Becerra, CMS, Administrator for the CMS Chiquita Brooks-LaSure, Deputy Administrator of CMS Meena Seshamani, Deputy Administrator and Director of Center for Medicaid and CHIP Services Daniel Tsai, and the U.S. [read post]
20 Jul 2010, 5:47 am by Moderator
(July 20, 2010): In recent years, we have seen agents for the Centers for Medicare & Medicaid Services (CMS) increasingly rely on statistical extrapolation estimates when assessing claims overpayments. [read post]
27 Dec 2010, 4:42 pm by Ian
Berwick, Administrator of the Centers for Medicare and Medicaid Services, has said that “using unwanted procedures in terminal illness is a form of assault. [read post]
9 Jul 2008, 12:52 am
WPS indicated that this ruling has its genesis In the final physician fee schedule regulation published in the Federal Register on November 2, 1999, where the Centers for Medicare & Medicaid Services (CMS) stated that it would implement a policy to pay only the hospital for the TC of physician pathology services furnished to hospital patients. [read post]
12 Feb 2015, 1:07 pm by Debra A. McCurdy
The latest report highlights five areas of particular concern to the GAO:  Payments and provider incentives in original Medicare (specifically referencing physician feedback reports, physician self-referral policy, high-expenditure Part B drugs, end stage renal disease (ESRD) bundled payments, and low-volume payment adjustments for dialysis facilities); Medicare Advantage (MA) and other Medicare health plans (including concerns about MA plan payment adjustments… [read post]
23 Sep 2012, 8:32 pm by Cynthia Marcotte Stamer
HHS’s Centers for Medicare and Medicaid Services, working in conjunction with HHS-OIG, is stepping up audits, tightening pre-payment review, stepping up program disqualifications, and taking other steps to increase accountability and decrease the presence of fraudulent providers. [read post]
2 Jan 2012, 9:39 am by Andrew Ramonas
A former head of the Centers for Medicare & Medicaid Services is among a group of Alston & Bird lobbyists who are advocating for the National Association of Children's Hospitals, according to a lobbying registration filing the firm submitted to Congress last week. [read post]
10 May 2011, 8:08 am by Medicare Set Aside Services
The Centers for Medicare and Medicaid Services (CMS) was requested to approve the LMSA, but no substantive response has been received for at least 60 days from the date of the letter to CMS; and  d. [read post]
30 Sep 2011, 7:48 am by Michael A. Brusca
The Centers for Medicare and Medicaid Services (CMS) have recently designated certain injuries in hospitals “never events” – or injuries that should not happen. [read post]
25 Aug 2011, 10:01 am
According to the Centers for Medicare and Medicaid Services ("CMS"), "a handwritten signature is a mark or sign by an individual on a document signifying knowledge, approval, acceptance or obligation. [read post]
16 Oct 2013, 6:51 am
In fact, they recently received a five-star rating (the highest rating) from the Centers for Medicaid and Medicare Services. [read post]
21 May 2014, 1:00 pm
The Program for Evaluating Payment Patterns Electronic Report ("PEPPER") is an electronic data report under contract with the Centers for Medicare & Medicaid Services ("CMS") that helps guide hospital's auditing and monitoring services. [read post]
Just in time for the holidays, the Centers for Medicare and Medicaid Services (“CMS”) issued the Contract Year 2024 Proposed Rule for Medicare Advantage organizations (“MAOs”) and Part D sponsors (the “Proposed Rule”). [read post]
9 Nov 2022, 5:00 am by Wachler & Associates, P.C.
In a recent news release, the Department of Health and Human Services’ (HHS) Centers for Medicare & Medicaid Services (CMS) announced revisions to the Special Focus Facility Program (SFFP), which addresses poor nursing home performance, that will have the effect of increased scrutiny of these troubled facilities. [read post]
2 Jul 2018, 2:35 pm by Debra A. McCurdy
As part of its “Regulatory Sprint to Coordinated Care,” the Centers for Medicare & Medicaid Services (CMS) is seeking input on how it can address “unnecessary obstacles to coordinated care, real or perceived, caused by the physician self-referral law. [read post]
3 Sep 2009, 3:59 am
Most of the proposals adopted Tuesday were directed to the Federal Aviation Administration and the Centers for Medicare and Medicaid Services. [read post]
2 Jun 2020, 6:30 am by Shawn Deane
When an MSA is submitted to the Centers for Medicare & Medicaid Services (CMS) for review, the injured worker must authorize this through signing a Consent to Release (CTR) form. [read post]
19 Nov 2008, 7:17 pm
" For some time, carriers have been "legally permitted to provide eligibility data for its customers' employees to the Centers for Medicare and Medicaid Services (CMS). [read post]
23 Jul 2013, 11:59 am
The Centers for Medicare & Medicaid Services (CMS) is issuing demand letters seeking recoupment of reimbursement from medical providers and suppliers for Medicare beneficiaries that, according to data from the Social Security Administration (SSA), were allegedly "incarcerated" at the time services were provided. [read post]
29 May 2018, 4:55 pm by Jerri Lynn Ward, J.D.
The Centers for Medicare & Medicaid Services (CMS) is announcing  that under the new program, home health agencies (HHAs) could choose to undergo either pre-claim or post-payment reviews, or to forgo reviews but take a 25% payment reduction on all claims submitted for home health services. [read post]