Search for: "Administrator for the Centers for Medicare and Medicaid Services"
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9 Jul 2014, 6:59 am
Through the SCF program, providers have the opportunity to discuss with the Centers for Medicare and Medicaid Services (CMS) the potential of a mutually agreeable resolution to the claims appealed to an Administrative Law Judge (ALJ) hearing. [read post]
16 Mar 2023, 8:13 am
In this episode of the Diagnosing Health Care Podcast: In conjunction with the national COVID-19 public health emergency (PHE), the Centers for Medicare & Medicaid Services and other federal agencies have issued waivers and other declarations with the goal of giving providers flexibility in order to render services during the PHE. [read post]
8 Mar 2023, 2:02 pm
Medicare and Medicaid Two government programs that can help cover some types of healthcare costs are Medicare and Medicaid. [read post]
25 Sep 2017, 11:22 am
This action could result in CMS (Center for Medicare and Medicaid Services) rescinding an Obama era rule that makes it easier for residents of nursing homes to sue these facilities in cases involving abuse and neglect. [read post]
5 Aug 2021, 5:24 am
The Centers for Medicare and Medicaid Services’ (CMS) FY 2022 Budget Justification request to Congress indicates a greater focus on audit activities, including a doubling of CMS’ medical review budget, and an effort to decrease the number of claim denials overturned through the Medicare appeals process. [read post]
13 Jul 2010, 8:57 am
The Center for Medicaid and Medicare Services (CMS) proposed new regulations yesterday for civil money penalties for nursing homes that violate CMS participation rules. [read post]
2 Oct 2010, 12:20 pm
What is surprising is the degree of consensus that Medicare’s shift to auctions is fatally flawed and must be fixed for the Medicare auctions to succeed in lowering costs while maintaining quality for medical equipment and supplies.For the last ten years, the Centers for Medicare and Medicaid Services has been testing an auction approach that is incredible in the inefficiency of its flawed design. [read post]
5 Apr 2011, 11:00 pm
This Update provides summaries of the proposed rules offered by the Centers for Medicare & Medicaid Services (“CMS”)/Department of Health and Human Services Office of Inspector General (“OIG”) and Federal Trade Commission (“FTC”)/Antitrust Division of the Department of Justice (“DOJ”) and the notice issued by the Internal Revenue Service (“IRS”) all of which address ACOs. [read post]
5 Apr 2011, 11:00 pm
This Update provides summaries of the proposed rules offered by the Centers for Medicare & Medicaid Services (“CMS”)/Department of Health and Human Services Office of Inspector General (“OIG”) and Federal Trade Commission (“FTC”)/Antitrust Division of the Department of Justice (“DOJ”) and the notice issued by the Internal Revenue Service (“IRS”) all of which address ACOs. [read post]
21 Sep 2011, 7:45 am
However, recently, the Centers for Medicare and Medicaid Services ("CMS") began conducting a pilot program--the Electronic Submission of Medical Documentation ("esMD") pilot--which allows providers and suppliers to send their records to review contractors electronically. [read post]
9 Jul 2010, 5:00 am
The Centers for Medicare and Medicaid Services (CMS) states: The Medicare and Medicaid EHR incentive programs will provide incentive payments to eligible professionals and eligible hospitals as they adopt, implement, upgrade or demonstrate meaningful use of certified EHR technology. [read post]
16 Jul 2018, 12:47 pm
Have you received notice of a prepayment or audit of your claims from a MAC or UPIC contractor working for the Centers for Medicare and Medicaid Services? [read post]
1 Jun 2020, 7:05 am
The Centers for Medicare and Medicaid Services (CMS) has announced changes to Medicare enrollment periods to help seniors affected by the coronavirus pandemic. [read post]
30 Nov 2016, 8:29 am
Riachi submitted thousands of claims for Pelvic Floor Therapy (PFT) to Medicare and Medicaid for services that were either never provided or were otherwise false or fraudulent. [read post]
10 Dec 2019, 4:02 pm
Total U.S. national healthcare spending in 2018 grew 4.6 percent according to a study conducted by the Office of the Actuary at the Centers for Medicare & Medicaid Services (CMS). [read post]
28 Feb 2014, 2:32 pm
On Tuesday, the Centers for Medicare and Medicaid Services (CMS) ordered its Medicare Administrative Contractors (MACs) to take a second look at all of the claims that the MAC denied under the Probe and Educate review process. [read post]
14 Apr 2022, 6:00 am
” According to Politico, the “goal is to strong arm the Centers for Medicare and Medicaid Services into covering Aduhelm, the $28,200-per-year drug, for far more people. [read post]
13 Feb 2015, 12:16 pm
CMS warns requirement to report/return overpayments is in effect even without regulations The Centers for Medicare & Medicaid Services (CMS) needs more time to finalize its February 16, 2012 proposed rule on reporting and returning of Medicare overpayments, according to a CMS notice to be published on February 17, 2015. [read post]
10 Aug 2012, 2:51 am
Levinson, to call on the Centers for Medicare and Medicaid Services (CMS) to consider capping the number of agencies allowed to bill Medicare. [read post]
9 May 2012, 7:02 am
Centers for Medicare and Medicaid Services (Medicaid administrator) logo (Photo credit: Wikipedia) A new online Self-Service Tool to help manage your Medicare recovery case. [read post]
