Search for: "US Department of Health and Human Services Center for Medicare & Medicaid Services"
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21 Oct 2014, 5:16 am
With the November 5, 2014 deadline for “controlling health plans” CHPs (except small health plans) to obtain the Health Plan Identifier (HPID) required by the Department of Health and Human Services (HHS) Administrative Simplification: Adoption of a Standard for a Unique Health Plan Identifier Final Rule (Final Rule) the Centers for Medicare & Medicaid Services (CMS)… [read post]
13 Oct 2014, 9:00 am
Using the AMP and Best Price information, the Centers for Medicaid and Medicare Service will tell the manufacturer what rebate the state is owed. [read post]
29 Sep 2014, 8:08 pm
Written by Tyler Philippi The Department of Health and Human Services (“HHS”) recently released guidance on the application process to obtain a Health Plan Identifier (“HPID”). [read post]
25 Sep 2014, 12:27 pm
On August 29, 2014, the Department of Health and Human Services (HHS) published a Centers for Medicare & Medicaid Services (CMS) final rule allowing providers more flexibility in meeting the meaningful-use requirements for the electronic health records (EHR) incentive program. [read post]
9 Sep 2014, 9:04 am
On September 4, 2014, the Department of Health & Human Services, Centers for Medicare & Medicaid Services ("CMS"), published a final rule (See, 79 FR 52910) modifying the Medicare and Medicaid Electronic Health Record Meaningful Use Incentive Program ("EHR Meaningful Use Incentive Program"). [read post]
21 Aug 2014, 6:30 am
It is very likely that counsel for the Department of Health and Human Services is looking for a test case on Medicare to use in its enforcement of the Medicare Secondary Payer Act in liability cases. [read post]
15 Aug 2014, 8:15 pm
Part of the problem stems from the sheer number of claims that must be reviewed for verification purposes: at the Centers for Medicare and Medicaid Services, the agency responsible for overseeing the vetting process, only 3 million claims of an estimated 1.2 billion claims per year are reviewed. [read post]
12 Aug 2014, 2:53 pm
The Department of Health and Human Services (HHS) announced in 2009 that ICD-10 would be the standard code set (required by HIPAA) to replace ICD-9. [read post]
11 Aug 2014, 4:14 am
Department of Health and Human Services, effective July 31, 2014. [read post]
8 Aug 2014, 5:40 am
The Centers for Medicare and Medicaid Services (CMS) plans to run the first risk adjustment and reinsurance calculation estimates in mid-December, 2014 using data to be collected from insurers and TPAs on the EDGE system. [read post]
28 Jul 2014, 1:24 pm
And since 2011, according to the Department of Health and Human Services, consumers have saved $9 billion on their health insurance premiums as a result of the ACA. [read post]
9 Jul 2014, 6:59 am
Recently, the Department of Health and Human Services (HHS) announced its new pilot program - Settlement Conference Facilitation (SCF) Pilot - to provide an alternative dispute resolution process for settling appealed Medicare claims denials. [read post]
16 Jun 2014, 5:42 am
On July 1, Gainesboro Med applied for a national provider identification (NPI) number, which are unique identifiers issued by the Centers for Medicare and Medicaid Services to healthcare providers such as doctors and medical clinics. [read post]
9 Jun 2014, 9:00 am
Medicare Eyes Highest Billing Doctors In December, the Office of the Inspector General for the Department of Health and Human Services filed a report titled “Reviews of Clinicians Associated With High Cumulative Payments Could Improve Medicare Program Integrity Efforts. [read post]
7 Jun 2014, 7:45 am
Department of Health, Medicaid Program: Medicaid Payments Made Pursuant to Medicare Part C (2012-S-133) During the audit period, auditors found Medicaid could have saved up to $69 million if it limited payments of Medicare Part C cost-sharing liabilities such that the total Medicare and Medicaid payment for a service did not exceed Medicaid's normal service fee. [read post]
4 Jun 2014, 1:51 pm
Also on May 2, 2014, the Department of Health & Human Services (HHS) Centers for Medicare & Medicaid Services (CMS) issued guidance establishing special enrollment periods for individuals seeking to enroll in a health care plan through the federally-facilitated health insurance exchange established under the Affordable Care Act (the Federal Exchange). [read post]
4 Jun 2014, 1:51 pm
Also on May 2, 2014, the Department of Health & Human Services (HHS) Centers for Medicare & Medicaid Services (CMS) issued guidance establishing special enrollment periods for individuals seeking to enroll in a health care plan through the federally-facilitated health insurance exchange established under the Affordable Care Act (the Federal Exchange). [read post]
19 May 2014, 11:32 am
Last week’s report from the Centers for Medicare & Medicaid Services (CMS, or Medicare), was good news for monitors of two thorny problems associated with being in the hospital — the high incidence of injury, and the large numbers of "bounce backs" -- readmissions within 30 days of discharge. [read post]
16 May 2014, 8:39 am
In December of 2013, the Centers for Medicare & Medicaid Services (CMS) issued a Request for Quotes for new Recovery Auditor (RAC) contracts. [read post]
13 May 2014, 3:41 am
Department of Health and Human Services (HHS) Inspector General Daniel R. [read post]
