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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]
On Wednesday, September 15, 2021, the Centers for Medicare & Medicaid Services (“CMS”) issued a proposed rule that would, among other things, repeal the pending new definition for items and services that are considered “reasonable and necessary” under Medicare Parts A and B scheduled to go into effect on December 15, 2021. [read post]
5 Jan 2011, 11:51 am by gstasiewicz
Medicare and the FDA are legally prohibited from denying approval of a medical treatment based solely on cost. [read post]
25 Jan 2022, 2:36 pm by Caitlin Lentz
The CMS Vaccine Mandate CMS’ vaccine mandate requires all staff at Medicare and Medicaid-certified provider facilities, except for those with approved medical or religious exemptions, to be vaccinated. [read post]
4 Aug 2010, 3:11 pm
“Meaningful and interoperable use of EHRs in Medicaid will increase health care efficiency, reduce medical errors and improve quality-outcomes and patient satisfaction within and across the states. [read post]
19 Jan 2015, 3:13 am by Jon Gelman
Workers' compensation is now significantly impacted by the enforcement of the recovery of benefits by the Centers for Medicare and Medicaid Services (CMS). [read post]
12 Apr 2010, 4:27 pm by Director
 The medical fee schedules will address this by either referring to usual and customary or they will utilize the amounts that would be paid by CMS for such services. [read post]
30 Jul 2012, 7:49 am by Arthur J. Fried
On May 16, 2012, the Centers for Medicare and Medicaid Services of the Department of Health and Human Services (“CMS”) published regulations announcing various changes to the Medicare Conditions of Participation (“CoP”) applicable to hospitals. [read post]
30 Jul 2012, 7:49 am by Arthur J. Fried
On May 16, 2012, the Centers for Medicare and Medicaid Services of the Department of Health and Human Services (“CMS”) published regulations announcing various changes to the Medicare Conditions of Participation (“CoP”) applicable to hospitals. [read post]
30 Jul 2012, 7:49 am by Arthur J. Fried
On May 16, 2012, the Centers for Medicare and Medicaid Services of the Department of Health and Human Services (“CMS”) published regulations announcing various changes to the Medicare Conditions of Participation (“CoP”) applicable to hospitals. [read post]
14 May 2012, 8:41 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]
28 Mar 2016, 8:59 pm by A. Brian Albritton
" The medical clinic, it turned out, had an internal practice when filling out the CMS-1500 billing form of always using the same NPI number of the clinic's referring physician as the NPI number of the provider-supervisor of the medical assistants who actually provided the allergy treatment, regardless of whether that supervisor was on site or not at the clinic when the services were provided to the patient. [read post]
28 Mar 2016, 8:59 pm by A. Brian Albritton
" The medical clinic, it turned out, had an internal practice when filling out the CMS-1500 billing form of always using the same NPI number of the clinic's referring physician as the NPI number of the provider-supervisor of the medical assistants who actually provided the allergy treatment, regardless of whether that supervisor was on site or not at the clinic when the services were provided to the patient. [read post]
5 Jul 2013, 3:52 pm by Debra A. McCurdy
CMS proposes implementing on a budget-neutral basis Medicare fee schedules for splints and casts, and intraocular lenses inserted in a physician’s office, effective for services furnished on or after January 1, 2014. [read post]
15 Oct 2012, 10:50 am by Jerri Lynn Ward, J.D.
” Emergency Medical Service – Among the changes: “adds the definition for Emergency Medical Services provider to be consistent with rules by the Texas Department of State Health Services. [read post]
The Centers for Medicare & Medicaid Services has confirmed that it expects to have a “temporary gap” in the durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) competitive bidding program (CBP) during calendar years 2010-2020. [read post]
24 Apr 2015, 6:27 am by Debra A. McCurdy
CMS also proposes to require such plans to make available upon request to beneficiaries and contracting providers the criteria for medical necessity determinations with respect to mental health and substance use disorder benefits. [read post]
7 Jul 2014, 1:02 pm by Debra A. McCurdy
On July 2, 2014, the Centers for Medicare & Medicaid Services (CMS) released a proposed rule that would make a series of significant changes to Medicare coverage and payment policies for durable medical equipment (DME), prosthetics, orthotics, and supplies (DMEPOS). [read post]
16 Sep 2014, 7:36 am by pvwlaw
The Centers of Medicare and Medicaid Services (“CMS”) will review…Read more › [read post]