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19 Apr 2019, 11:15 am by Debra A. McCurdy
The Centers for Medicare & Medicaid Services (CMS) is proposing to increase Medicare inpatient psychiatric facility (IPF) payments by $75 million – a 1.7% boost – in fiscal year (FY) 2020. [read post]
29 Apr 2016, 12:00 pm by Mark Faccenda (US) and Blake Walsh* (US)
CMS also proposes more specific criteria for the Medical Home Model, another APM Entity form comprised largely of primary care or multispecialty practices. [read post]
10 Jun 2009, 5:38 am
The efforts of The Centers for Medicare and Medicaid Service (CMS) to seek medical reimbursement of past and future medical care costs from workers' compensation beneficiaries, in a uniform fashion across the entire national spectrum, is plagued with equality issues. [read post]
2 Jun 2009, 10:20 am
The regulations created by the Center for Medicare and Medicaid Services (“CMS”) were originally set to phase in cuts over two years, in 2009 and 2010. [read post]
2 Jun 2009, 10:20 am
The regulations created by the Center for Medicare and Medicaid Services (“CMS”) were originally set to phase in cuts over two years, in 2009 and 2010. [read post]
3 May 2009, 11:30 am
The Centers for Medicare & Medicaid Services (CMS) on Friday, May 1, 2009  issued a Proposed Rule  proposing  fiscal year (FY) 2010 policies and payment rates for inpatient services furnished to Medicare beneficiaries by both long-term acute care hospitals (LTACHs) and short-term acute care hospitals (STACHs). [read post]
13 May 2020, 3:10 pm by Thomas Dowdell (US)
CMS also proposes significant changes to Medicare graduate medical education (GME) payment policy related to closing teaching hospitals and closing residency programs. [read post]
14 Nov 2012, 8:47 am by Debra A. McCurdy
The supplier must retain the written order and supporting documentation for seven years after the date of service, and make it available to CMS on request. [read post]
18 Mar 2014, 5:46 pm by Debra A. McCurdy
CMS has launched a new Medicare Care Choices Model (Model) to allow Medicare beneficiaries with certain medical conditions to receive palliative care services from selected hospice providers without forgoing curative care services. [read post]
20 Feb 2014, 2:12 pm
Recently, the Centers for Medicare and Medicaid Services (CMS) announced that, effective February 22, Recovery Audit Contractors (RACs) may no longer send additional documentation requests (ADRs) to providers for post-payment audits. [read post]
6 Jan 2014, 10:11 am by Jon Gelman
The Centers for Medicare and Medicaid services (CMS) has proposed rules for the Medicare Secondary Payer (MSP) appeals process that will target the “applicable plan” as the primary responsible party for recovery. [read post]
25 Feb 2010, 12:30 am
The Centers for Medicare & Medicaid Services ("CMS") has revised the timeline for non-group health plan ("NGHP") reporting under the Medicare secondary payer reporting provisions of Section 111 of the Medicare, Medicaid and SCHIP Extension Act of 2007 ("Section 111"). [read post]
On May 11, 2020, the Centers for Medicare & Medicaid Services (CMS) issued its Fiscal Year (FY) 2021 hospital inpatient prospective payment system (IPPS) and long term care hospital (LTCH) prospective payment system (PPS) proposed rule. [read post]
18 Jul 2016, 3:06 pm by Debra A. McCurdy
Earlier this month, the Committee approved HR 5613, to prevent CMS from enforcing a Medicare requirement for direct physician supervision of certain outpatient therapeutic services furnished in critical access hospitals and small rural hospitals through 2016. [read post]
22 May 2014, 4:21 pm by Debra A. McCurdy
CMS has just released a proposed rule that would require Medicare prior authorization (PA) for certain Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) items that the agency characterizes as “frequently subject to unnecessary utilization. [read post]
8 Dec 2014, 6:22 am
The Centers for Medicare and Medicaid Services recently posted its 2015 limits on non-monetary compensation and medical staff incidental benefits. [read post]
8 Dec 2014, 6:22 am
The Centers for Medicare and Medicaid Services recently posted its 2015 limits on non-monetary compensation and medical staff incidental benefits. [read post]
19 Aug 2014, 7:18 am by Debra A. McCurdy
The Centers for Medicare & Medicaid Services (CMS) published the final FY 2015 Medicare skilled nursing facility (SNF) prospective payment system (PPS) rule on August 5, 2014 (Final Rule). [read post]
20 Aug 2012, 4:21 am by Debra A. McCurdy
On the other hand, routine services, such as contracted nursing services, furnished outside the hospital may not be furnished “under arrangement” and covered by Medicare. [read post]