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28 Sep 2020, 8:58 am
”[1] Among its many changes, the Final Rule significantly expanded the reasons that may be asserted by the Centers for Medicare and Medicaid Services (CMS) when revoking a health care provider’s enrollment and Medicare billing privileges. [read post]
28 Sep 2020, 5:20 am
The Centers for Medicare & Medicaid Services (CMS) announced on September 22, 2020 that the Medicare Prior Authorization Model for Repetitive, Scheduled Non-Emergent Ambulance Transport (RSNAT) will be expanded nationwide. [read post]
25 Sep 2020, 5:33 am
The unsurprising, 180-plus pages of recommendations from the Coronavirus Commission on Safety and Quality in Nursing Homes to the Trump Administration and specifically its long-term care facility watchdog Centers for Medicaid and Medicare Services (CMS) included calls for: “More money for testing, for personal protective equipment (PPE), for registered nurses, for infection control training and staff salary increases,” the Washington Post… [read post]
15 Sep 2020, 7:04 am
On Monday, September 14, 2020, the Centers for Medicare & Medicaid Services (“CMS”) Administrator Seema Verma announced on Twitter that CMS was withdrawing the proposed Medicaid Fiscal Accountability Rule (“MFAR”) from its regulatory agenda. [read post]
14 Sep 2020, 6:42 am
On August 3, 2020, two issues were approved for review and posted on the Centers for Medicare & Medicaid Services (CMS) Recovery Audit program website: 0184 – Total Hip Arthroplasty: Medical Necessity and Documentation Requirements, and 0185 – Total Knee Arthroplasty: Medical Necessity and Documentation Requirements. [read post]
12 Sep 2020, 11:46 am
While most health care and providers obtained a temporary reprieve from, Medicare, Medicaid and private payor administrative audits[1], many state and federal law enforcement agencies (such as the Federal Bureau of Investigation (FBI), the Department of Health and Human Services, Office of Inspector General (OIG), state Medicaid Fraud Control Units (MFCUs) have continued to investigate allegations of wrongdoing against sober home and recovery residence… [read post]
8 Sep 2020, 1:50 pm
In response, on September 1, 2020, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule (85 FR 54,327) that would establish an expedited Medicare coverage pathway for innovative medical devices, and codify, with some modification, the long-standing Program Integrity Manual standards to be used in making “reasonable and necessary” determinations under Section 1862(a)(1)(A) of the Social Security Act. [read post]
4 Sep 2020, 12:30 pm
On September 1, 2020, the Centers for Medicare & Medicaid Services (“CMS”) published a proposed rule that would establish a new Medicare coverage pathway, Medicare Coverage of Innovative Technology (“MCIT”), for medical devices that are designated by the Food and Drug Administration (“FDA”) as breakthrough devices. [read post]
4 Sep 2020, 6:23 am
On August 31, 2020, the Centers for Medicare and Medicaid Services (“CMS”) released an announcement regarding their newest proposed rule, the Medicare Coverage of Innovative Technology (“MCIT”). [read post]
27 Aug 2020, 9:05 pm
” The Centers for Medicare and Medicaid Services (CMS) announced that nursing homes are now required to test staff for COVID-19, offer testing to residents for COVID-19, and report testing data to the U.S. [read post]
27 Aug 2020, 8:19 am
Despite the ongoing public health emergency from the 2019 Novel Coronavirus (“COVID-19” or “COVID”), the Centers for Medicare & Medicaid Services (“CMS”) were encouraged by the Center for Program Integrity (“CPI”) to resume conducting Recovery Audit Contractor (“RAC”) and Medicare Administrative Contractor (“MAC”) audits. [read post]
Why is HHS blocking FDA from regulating some diagnostics, and how will this affect COVID-19 testing?
25 Aug 2020, 4:50 pm
And under the 1988 Clinical Laboratory Improvement Amendments (CLIA), most laboratories conducting LDTs need a certificate of compliance or accreditation every two years from the Centers for Medicare and Medicaid Services (CMS). [read post]
24 Aug 2020, 9:05 pm
Relying on the APA’s exemption of normal rulemaking requirements in emergency circumstances, the Centers for Medicare and Medicaid Services issued an interim final rule in late March granting flexibility for health providers to use telehealth services during the COVID-19 pandemic to reduce hospitalizations and visits to medical centers. [read post]
24 Aug 2020, 1:37 pm
On June 19, 2020, the Department of Health and Human Services’ (HHS) Office for Civil Rights (OCR) and the Centers for Medicare & Medicaid Services (CMS) published a final rule scaling back nondiscrimination regulations first released in 2016 to implement Section 1557 of the Affordable Care Act (ACA). [read post]
17 Aug 2020, 2:21 pm
The Centers for Medicare and Medicaid Services recommends this if a nursing home has had no cases for two weeks, provided that visitors are tested prior to entry. [read post]
11 Aug 2020, 9:24 am
The proposed rule is scheduled for publication in the Federal Register on Wednesday, August 12, 2020 and would revise the Medicare hospital OPPS and the Medicare Ambulatory Surgical Center (“ASC”) payment systems for calendar year (“CY”) 2021. [read post]
6 Aug 2020, 9:05 pm
Seema Verma, Centers for Medicare and Medicaid Services administrator, applauded the executive order and stressed the importance of telehealth in improving access to quality health care. [read post]
5 Aug 2020, 1:00 pm
On Monday, the Trump Administration issued executive orders permanently expanding Telehealth services beyond the COVID-19 pandemic, as well as directing HHS to create a new voluntary pilot payment model through CMS' Centers for Medicare and Medicaid Innovation. [read post]
4 Aug 2020, 3:10 am
Seema Verma, the administrator for the Centers for Medicare and Medicaid Services (CMS), asserts that nursing homes following federal infection control guidelines were largely able to contain the coronavirus. [read post]
4 Aug 2020, 3:10 am
Seema Verma, the administrator for the Centers for Medicare and Medicaid Services (CMS), asserts that nursing homes The post The Blame Game Surrounding Nursing Homes and COVID-19 Deaths appeared first on Rochester Elder Law. [read post]
