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30 Sep 2014, 9:13 am
Because providers differ on the quality of care and services they offer to customers, CMS touts its star rating system as giving consumers a "snap-shot" of the care an individual provider offers. [read post]
27 Feb 2020, 5:12 pm by Rebecca E. Dittrich and Scot Hasselman
The Centers for Disease Control and Prevention (CDC) recently released official diagnosis coding guidance for health care encounters and deaths related to the 2019 novel coronavirus (COVID-19), potentially in anticipation of more frequent cases in the United States. [read post]
2 Mar 2023, 10:42 am by Alexis
  The quality of care currently may not be the same as it was when CMS collected the reporting data.The bottom line? [read post]
16 Feb 2016, 9:00 am by Julie LaVille Hamlet
Read More › Tags: Billing/Payment, Health Care Reform, Medicare/Medicaid, News & Events [read post]
Increasing Hospital Price Transparency The Affordable Care Act (ACA) added section 2718(e) of the Public Health Service Act, which requires hospitals to make public a list of the standard charges for the items and services they provide. [read post]
27 Nov 2018, 2:41 pm by Gail L. Daubert and Debra A. McCurdy
  CMS believes providing ASCs with the same update as hospital outpatient departments “could encourage the migration of services from the hospital setting to the ASC setting and increase the presence of ASCs in health care markets or geographic areas where previously there were none or few, thus promoting better beneficiary access to care. [read post]
15 Nov 2009, 12:25 pm
Now comes another report, this one from that noted mouthpiece for private insurers, the Centers for Medicare and Medicaid Services (CMS), which drives the nails even deeper into the coffin: "With the exception of the proposed reductions in Medicare payment updates for institutional providers, the provisions of H.R. 3962 would not have a significant impact on future health care cost growth rates. [read post]
2 Dec 2011, 8:20 pm by eithurburn@getnicklaw.com
Read the entire articles, “Providers cheer Tavenner as new CMS administrator" [read post]
4 Oct 2015, 9:11 am by Debra A. McCurdy
The latest CMS “innovation model” will test whether providing Medicare Part D prescription drug plan (PDP) sponsors with financial incentives and flexibility with regard to medication therapy management (MTM) program requirements can improve quality and reduce costs by “right-sizing” investment in MTM services. [read post]
29 Nov 2012, 9:25 am by Debra A. McCurdy
In a related development, on November 28, 2012, the House Energy and Commerce Subcommittee held a hearing entitled "Examining Options to Combat Health Care Waste, Fraud and Abuse" to examine CMS’s use of predictive analytics technologies. [read post]
15 May 2014, 6:50 am by Debra A. McCurdy
CMS also has published a final rule that reforms Medicare regulations that CMS has identified as unnecessary, obsolete, or excessively burdensome on health care providers and suppliers. [read post]
7 Jul 2011, 8:39 am by David Harlow
I also tended to agree with Herzlinger's take on health care social media as a critical tool in the armamentarium, to be used by providers and patients in order to improve health care for all. [read post]
29 Feb 2016, 8:40 am
Additionally, CMS proposes to account for the health status of an ACO's assigned population in relation to FFS beneficiaries in the ACO's region when calculating risk adjustment. [read post]
5 Oct 2010, 9:16 pm by David Harlow
Don Berwick kicked off the day-long Accountable Care Organization (ACO) Workshop and Listening Session, co-hosted by the FTC, CMS and the OIG, with a short, stirring speech that touched on his Triple Aim for health care: better care for individuals, better health for populations and reduced per-capita costs. [read post]
23 Jan 2018, 1:33 pm by Jerri Lynn Ward, J.D.
  HHS’ Centers for Medicare & Medicaid Services (CMS) released a  proposed rule on “protecting life” and “conscience rights” that will further protect health-care providers who think they are being punished or discriminated against because of their moral or religious beliefs. [read post]
30 Jul 2019, 1:00 pm by Kelly Hibbert and Taylor Grant
As you may recall, CMS’s proposed rule offered to eliminate entirely the prohibition on pre-dispute binding arbitration agreements and provided no limitations on the use of arbitration agreements as a condition of admission (or continuing admission) to a LTC facility, provided certain “transparency” requirements were met. [read post]
26 Jun 2017, 8:09 am by Eric Bixler
The initiative is intended to better protect private health care and financial information; however, many physicians are unclear as to their responsibilities to ensure that billing privileges aren’t affected. [read post]
25 Jun 2018, 1:56 pm by Benjamin Wallfisch (US)
Courts are beginning to grapple with how these changes impact health care providers, including in a False Claims Act decision we covered on this blog last year. [read post]