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1 Sep 2016, 2:00 pm by Gallivan & Gallivan
The Centers for Medicare & Medicaid Services (CMS) released their new hospital grading system in July, called the Overall Hospital Quality Star Rating. [read post]
10 Nov 2011, 8:30 am
To achieve the SGR target, each year in its report to the Medicare Payment Advisory Commission, the Centers for Medicare and Medicaid Services ("CMS") includes a conversion factor that will change the payment for physician services for the next year to match the target SGR. [read post]
1 Oct 2010, 12:14 pm by Medicare Set Aside Services
September 30, 2010   PMSI Meets with CMS Regarding Prescription Drug Allocation Issues   On September 20, 2010, PMSI Settlement Solutions met with Gerald Walters (Director, Financial Services) at the Centers for Medicare and Medicaid Services (CMS) to continue our dialogue around the pharmacy portion of Medicare Set-Aside (MSA) allocations. [read post]
9 Feb 2016, 7:34 pm by Jerri Lynn Ward, J.D.
CMS implemented payments to reflect changes in resource intensity in the provision of care and services during the course of hospice care. [read post]
30 Jun 2011, 9:37 am
By correcting vulnerabilities identified by Recovery Audit Contractors ("RACs") and similar Medicare contractors, the Centers for Medicare and Medicaid Services ("CMS") hopes to reduce the rate of mistakes uncovered by the Comprehensive Error Rate Testing ("CERT") program. [read post]
5 Apr 2021, 6:05 am by Wachler & Associates, P.C.
E/M billing codes apply to medical services related to evaluating and managing a patient, such as, hospital visits, preventive services, and office visits. [read post]
23 Dec 2008, 12:12 pm
A formal process exits to obtain a waiver of an Overpayment Recovery request from The Center for Medicare and Medicaid Services [CMS]. [read post]
27 Apr 2009, 8:08 am
A fuller exposition of the issue will be published in the June edition of Link (the monthly journal of AHRA, the Association for Medical Imaging Management). [read post]
5 Jul 2009, 9:26 am
7-05-09The Illinois Workers Compensation Medical Fee Schedule adopted new Medicare Medical Severity codes for hospital inpatient services. [read post]
21 Nov 2012, 12:26 pm
On November 1, 2012, the Centers for Medicare and Medicaid Services ("CMS") released a final Durable Medical Equipment ("DME") face-to-face policy. [read post]
19 Apr 2016, 12:02 pm by Wendy Wright* (US)
The proposed rule would also change direct graduate medical education and indirect medical education payments under the IPPS to urban hospitals with rural track training programs. [read post]
22 Jun 2022, 5:00 am by Wachler & Associates, P.C.
The Supplemental Medical Review Contractor, or SMRC, is a contractor with the Centers for Medicare & Medicaid Services (CMS) that performs a variety of Medicare and Medicaid audit and medical review tasks. [read post]
1 Feb 2013, 2:12 pm by Debra A. McCurdy
The Centers for Medicare & Medicaid Services (CMS) released late today its final rule implementing the physician payment transparency provisions of the Patient Protection and Affordable Care Act (Section 6002), commonly referred to as the "Physician Payments Sunshine Act." [read post]
9 Oct 2012, 10:00 am
., Board Certified by The Florida Bar in Health Law In September 2012, the Centers for Medicare and Medicaid Services (CMS) made the decision to allow Recovery Audit Contractors (RACs) to begin reviewing the billing codes for office visits for healthcare providers. [read post]
21 Jun 2012, 3:55 pm
This week, The American Medical Directors Association (AMDA), issued a letter (Click for Article) to nursing home medical directors asking them to join with Centers for Medicare & Medicaid Services (CMS) in their national initiative to reduce the use of unnecessary and potentially dangerous drugs in nursing homes. [read post]
14 Feb 2013, 4:15 am by David J. DePaolo
The MSPA pays for medical services when an insured who is also covered by Medicare is denied coverage by the primary payer. [read post]
30 Jul 2019, 12:17 pm by Thomas Dowdell (US)
The agency proposes to revise the physician supervision requirement for physician assistants (PAs) to provide that in the absence of State law governing physician supervision of PA services, the physician supervision required would be evidenced by documentation in the medical record of the PA’s approach to working with physicians in furnishing their services. [read post]
30 Jun 2010, 6:04 am by Todd Rodriguez
The Centers For Medicare and Medicaid Services (CMS) has published the CY2011 Proposed Medicare Physician Fee Schedule for public inspection. [read post]
18 Oct 2010, 8:26 pm
Typically the Center for Medicare and Medicaid Services (CMS) used historical error-rate data to identify the medical providers who committed the most medical mistakes and billing errors, and then worked to ensure corrective actions was taken. [read post]
9 Oct 2012, 10:00 am
., Board Certified by The Florida Bar in Health Law In September 2012, the Centers for Medicare and Medicaid Services (CMS) made the decision to allow Recovery Audit Contractors (RACs) to begin reviewing the billing codes for office visits for healthcare providers. [read post]