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15 Aug 2019, 1:57 pm by Thomas W. Greeson and Debra A. McCurdy
The Centers for Medicare & Medicaid Services (CMS) has published its proposed Medicare physician fee schedule (PFS) rule for calendar year (CY) 2020. [read post]
5 Sep 2012, 10:00 am
In a prepayment review, the health care provider must submit documentation to the Centers for Medicare & Medicaid Services (CMS) contractor before ever receiving payment. [read post]
19 Oct 2012, 10:00 am
In October of 2012, the Centers for Medicare and Medicaid Services (CMS) announced it has discovered errors in its initial calculations. [read post]
20 Apr 2010, 10:00 am
Rancho Springs Medical Center and Inland Valley Regional Medical Center were informed by Medicare last week that they will lose Federal Medicare funding because of their repeated failure to follow basic care standards. [read post]
3 Feb 2022, 6:00 am by Wachler & Associates, P.C.
The Centers for Medicare & Medicaid Services (CMS) authorizes several types of contractors to conduct audits, such as Medicare Administrative Contractors (MACs), Recovery Audit Contractors (RACs), Unified Program Integrity Contractors (UPICs), and the Supplemental Medical Review Contractor (SRMC). [read post]
On July 31, 2015, the Centers for Medicare & Medicaid Services (CMS) released a major final rule to update the Medicare acute hospital inpatient prospective payment system (IPPS) and the long-term care hospital prospective payment system (LTCH PPS) for fiscal year (FY) 2016. [read post]
5 May 2014, 7:01 am by Robert Kraft
The Medicare Rights Center also offers free counseling by phone (1-800-333-4114), and free one-on-one help with Medicare claims is available from the State Health Insurance Assistance Program (SHIP), a network of non-profit Medicare counseling services. [read post]
19 Apr 2011, 3:23 pm by Sabrina
News release: "The Centers for Medicare & Medicaid Services (CMS) today issued a proposed rule that would update Medicare payment... [read post]
4 May 2012, 7:41 am by The Law Firm of Shein & Brandenburg
Authorities claim that that these centers would find vulnerable patients and then bill Medicare for services for those patients that were never delivered. [read post]
The Centers for Medicare & Medicaid Services (CMS) has published a proposed rule to establish FY 2019 Medicare hospice reimbursement rates and policies. [read post]
12 Jul 2018, 1:13 pm by Debra A. McCurdy
The Centers for Medicare & Medicaid Services (CMS) has released its proposed rule to update the Medicare end-stage renal disease (ESRD) prospective payment system (PPS) for calendar year (CY) 2019. [read post]
17 Nov 2006, 12:49 pm
The Center for Medicare Advocacy has released a handy chart for Medicare Part D enrollment entitled "Part D By the Numbers. [read post]
4 Mar 2013, 7:28 am by Debra A. McCurdy
While the Centers for Medicare & Medicaid Services has not yet announced detailed plans for implementing the sequester requirements for its programs, this Alert answers some basic questions about sequestration and how it will impact the Medicare program. [read post]
4 Oct 2015, 9:44 am by Debra A. McCurdy
On October 1, 2015, the Centers for Medicare & Medicaid Services (CMS) published its long-awaited proposed rule to base Medicare clinical laboratory fee schedule (CLFS) reimbursement on private insurance payment amounts beginning January 1, 2017. [read post]
26 Oct 2016, 1:23 pm by taotiadmin
The Department of Justice (DOJ) recently announced the settlement of a consolidated False Claims Act (FCA) lawsuit that was filed against… The post Life Care Centers of America, Inc. [read post]
3 Jan 2020, 10:06 am by Thomas W. Greeson and Debra A. McCurdy
The Centers for Medicare & Medicaid Services (CMS) is inviting suggestions for how it can eliminate Medicare regulations that (1) impose more stringent supervision requirements than existing state scope of practice laws, or (2) restrict health professionals from practicing at the top of their license. [read post]
5 Jan 2024, 11:20 am by luiza
Read More Healthcare & Pharmaceutical Fraud Medical Billing Fraud Medicare Whistleblowers: The Most Common Questions Answered About Reporting Medicare Fraud I Think I Have a Whistleblower Case Contact Us Confidentially Read Catch of the Week: Moffitt Cancer Center at constantinecannon.com [read post]
31 May 2012, 11:40 am
According to a press release issued by Centers for Medicare & Medicaid Services (CMS) on May 30th, CMS has set a national goal of reducing antipsychotic drugs in nursing homes by 15 percent by the end of 2012. [read post]
19 Feb 2008, 1:33 am
After October 1, 2008, Medicare will no longer pay hospital bills which arise from: 1. [read post]
18 Jan 2021, 6:45 am by Wachler & Associates, P.C.
On January 15, 2021, the Centers for Medicare & Medicaid Services (CMS) finalized a rule to help strengthen and streamline the Medicare Advantage and Part D prescription drug programs, with the goal to decrease enrollee cost sharing on expensive prescription drugs. [read post]