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7 Sep 2010, 4:40 am
  As a result of the facilities errors, state regulators have requested that the Centers for Medicare and Medicaide Services (CMS) impose a $20,000 fine against the facility. [read post]
7 Sep 2010, 4:40 am by Jonathan Rosenfeld
  As a result of the facilities errors, state regulators have requested that the Centers for Medicare and Medicaide Services (CMS) impose a $20,000 fine against the facility. [read post]
1 Sep 2010, 10:19 am by admin
 Rise of the AdQICs: In 2004, Q2 Administrators (Q2A) was awarded the first task order to serve as an AdQIC under the new administrative appeals process by the Centers for Medicare and Medicaid Services (CMS). [read post]
31 Aug 2010, 7:44 pm by Cynthia Marcotte Stamer
Suppliers of durable medical equipment, prosthetics, orthotics, and related supplies (DMEPOS) must act quickly to comply with a new Centers for Medicare & Medicaid Services final regulation governing their Medicare program participation scheduled to take effect on September 27, 2010. [read post]
30 Aug 2010, 11:01 pm by Ben Vernia
HHS established the CMS Center for Program Integrity (CPI) in April 2010 to apply innovative methods and technology to prevent fraud, and to ensure that correct payments are made to legitimate providers for appropriate and reasonable services for eligible beneficiaries of the Medicare and Medicaid programs. [read post]
30 Aug 2010, 9:32 am by admin
(August 30, 2010): Introduction: Health Data Insights (HDI), the Centers for Medicare & Medicaid Services (CMS) Recovery Audit Contractor (RAC) responsible for auditing health care providers in Region D, has announced it will immediately begin reviews on previously approved projects which involve the medical necessity of selected inpatient DRG payments. [read post]
30 Aug 2010, 3:05 am
DEADLINE SET FOR STATES TO REQUEST ADDITIONAL MEDICAID DOLLARS:The Centers for Medicare and Medicaid Services (CMS) announced on August 18 that states have until September 24 to request an extension of the enhanced Federal Medical Assistance Percentage (FMAP) – the federal government’s share of Medicaid funding.In one of its final acts before breaking for the August congressional recess, the Senate approved legislation to provide a… [read post]
27 Aug 2010, 1:37 pm by William Maruca
by Todd Rodriguez, Esquire In July, the Centers for Medicare and Medicaid Services (CMS) released the much-anticipated final regulations that providers are required to meet in order to receive the Medicare incentives for adoption of a certified electronic health record system. [read post]
27 Aug 2010, 9:24 am by Eric Helland
Barring some sort of last extension Medicare, Medicaid and SCHIP Extension Act (MMSEA) of 2007 will require all property casualty insurers to report all settlements, awards and judgments that involve a Medicare beneficiary to the Centers for Medicare and Medicaid Services. [read post]
26 Aug 2010, 10:18 am by Cynthia Marcotte Stamer
Physicians and others likely to be affected by the proposed payment and other Medicare policy changes set forth in the “Medicare Program; Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2011” (“2011 Physician Fee Schedule”) proposed by the Centers for Medicare & Medicaid Services (CMS) on July 13, 2010 Federal Register should review and consider the potential implications, if any,… [read post]
24 Aug 2010, 1:11 pm by Ian R. Alexander
While the Centers for Medicare and Medicaid Services (CMS) have prohibited hospitals from recovering payment for the treatment of secondary conditions acquired in the hospital, practically, these charges are often submitted and paid by Medicare long before and attorney becomes involved and makes a claim for medical malpractice. [read post]
24 Aug 2010, 10:16 am by Todd Rodriguez
In July, the Centers for Medicare and Medicaid Services (CMS) released the much-anticipated final regulations that providers are required to meet in order to receive the Medicare incentives for adoption of a certified electronic health record system. [read post]
24 Aug 2010, 8:11 am by Ian R. Alexander
While the Centers for Medicare and Medicaid Services (CMS) have prohibited hospitals from recovering payment for the treatment of secondary conditions acquired in the hospital, practically, these charges are often submitted and paid by Medicare long before and attorney becomes involved and makes a claim for medical malpractice. [read post]
23 Aug 2010, 2:43 am by Ben Vernia
Under Part D, plan sponsors are required to submit Prescription Drug Event (PDE) data to the Centers for Medicare and Medicaid Services (CMS) for each claim submitted. [read post]
19 Aug 2010, 7:30 am by Gritsforbreakfast
In the case of medical releases, likely either Medicare or Medicaid will pay the bills on the outside, with state government picking up none of the costs for the former and a little more than 1/3 of the latter. [read post]
18 Aug 2010, 3:50 pm by Steven Boutwell
Rodrigue On July 13, 2010, the Centers for Medicare and Medicaid Services (“CMS”) published a proposed rule that would require physicians to disclose to their patient(s), at the time of ordering a CT, MRI or PET Scan service that may be performed in the physician’s office, the name, address, telephone number and distance from the physician’s office of ten (10) competing suppliers of the CT, MRI or PET Scan service where… [read post]
17 Aug 2010, 4:44 pm by Steven J. Malman
According to the US Centers for Medicare and Medicaid Services, Embassy Health Care Center, a Wilmington, Illinois nursing home has been cited for Will County nursing home neglect and poor nursing care. [read post]