Search for: "Administrator for the Centers for Medicare and Medicaid Services"
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17 Jun 2013, 9:30 pm
The Centers for Medicare and Medicaid Services (CMS) recently proposed a rule that would substantially increase the potential reward for individuals who report Medicare fraud. [read post]
9 Dec 2015, 12:12 pm
In fiscal year 2014, the Centers for Medicare & Medicaid Services (CMS), conducted audits of more than one billion claims in an effort to curb approximately $60 billion in improper Medicare payments. [read post]
9 Dec 2015, 12:12 pm
In fiscal year 2014, the Centers for Medicare & Medicaid Services (CMS), conducted audits of more than one billion claims in an effort to curb approximately $60 billion in improper Medicare payments. [read post]
16 Apr 2018, 11:52 am
The agency’s report, entitled “Medicare Needs Better Controls To Prevent Fraud, Waste, And Abuse Related To Chiropractic Services,”[i] reemphasizes the OIG’s prior findings that the Centers for Medicare and Medicaid Services (CMS) still lacks appropriate safeguards to prevent the submission and payment of improper, sometimes fraudulent claims for chiropractic services to the Medicare program. [read post]
22 Oct 2019, 8:01 am
This should include minimizing steps between Food & Drug Administration (FDA) approval and Centers for Medicare & Medicaid Services (CMS) coverage decisions; facilitating parallel FDA and CMS review; and clarifying Medicare coverage standards. [read post]
9 Jan 2021, 2:00 pm
As UPIC clinical reviewers of both Medicare and Medicaid claims are quick to state in hearings before an Administrative Law Judge, “If it isn’t documented, it didn’t happen. [read post]
14 Jun 2016, 6:30 am
The series explores the issue of long-term opioid use for noncancerous pain in workers’ compensation MSAs and how the Centers for Medicare and Medicaid Services are addressing it. [read post]
11 Aug 2010, 6:45 am
Stone alleges that Omnicare filed reimbursement claims for ancillary services that didn't conform with the Centers for Medicare and Medicaid Services (CMS) regulations. [read post]
20 May 2020, 9:41 am
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]
16 Feb 2016, 11:34 am
Juneau On February 12, 2016, the Department of Health and Human Services, Centers for Medicare and Medicaid Services (“CMS”) promulgated the final rule on the requirement that providers and suppliers receiving funds under the Medicare program report and return overpayments by the later of sixty (60) days after the date on which the overpayment was identified or the date any corresponding cost report is due, if applicable. [read post]
16 Dec 2014, 8:00 am
CDHS submitted false statements pertaining to the reviews to the Center for Medicaid and Medicare Services (“CMS”) through a computer system (the PERM Eligibility Tracking Tool) designed to track and measure Medicaid payment error rates. [read post]
5 Oct 2022, 4:11 am
The Centers for Medicare and Medicaid Services (CMS) initially suspended most audit activity as a result of the Public Health Emergency (PHE). [read post]
12 Nov 2019, 6:39 am
On November 1, 2019, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that updates the Medicare Physician Fee Schedule (PFS) rates and policies for calendar year (CY) 2020 and expands Medicare coverage to opioid treatment programs (OTPs) that treat beneficiaries with opioid use disorder (OUD). [read post]
20 Oct 2022, 7:05 pm
Department Health and Human Services Centers for Medicare & Medicaid Services (CMS) published a Request for Information (RFI) on October 7, 2022, seeking input on creation of a national provider directory for use by patients, regulators, and insurers. [read post]
1 Dec 2008, 11:33 pm
Department of Health and Human Services' Centers for Medicare and Medicaid Services. [read post]
17 Jan 2014, 7:44 am
In a memorandum to Office of Medicare Hearings and Appeals ("OMHA") applicants, the Centers for Medicare and Medicaid Services ("CMS") announced that it will temporarily suspend the assignment of new requests for Administrative Law Judge ("ALJ") hearings for two years. [read post]
28 Jun 2010, 2:40 am
In advance of a June 18 deadline for comments, top hospital groups expressed strong opposition to proposed payment cuts issued by the Centers for Medicare and Medicaid Services (CMS). [read post]
4 Dec 2008, 4:28 pm
If the reporting for any claimant is not done in a timely manner, the Medicare Medicaid and SCHIP Extension Act (signed December 29, 2007) authorizes the Department of Health and Human Services (through its agency, the Center for Medicare and Medicaid Services "CMS") to enforce a civil penalty of $1000 per day. [read post]
17 Aug 2019, 11:56 am
In this case, a well-respected state university health science center filed a self-disclosure with the OIG for submitting claims to Medicare using the NPIs of multiple physicians who did not render or supervise the services at issue. [read post]
22 Aug 2018, 1:41 pm
The $8.6 million in State Flexibility Grants announced by the Centers for Medicare & Medicaid Services (CMS) that would be allocated to 30 states and the District of Columbia comes with the Trump Administration’ approval despite recent attempts to disassemble the ACA. [read post]