Search for: "Centers for Medicare and Medicaid Services"
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16 Nov 2009, 3:22 pm
The Center for Medicare and Medicaid Services (“CMS”) recently published its 2010 Outpatient Prospective Payment System Final Rule (“Final Rule”). [read post]
16 Nov 2009, 3:22 pm
The Center for Medicare and Medicaid Services (“CMS”) recently published its 2010 Outpatient Prospective Payment System Final Rule (“Final Rule”). [read post]
31 Mar 2011, 4:00 am
On April 23, the Centers for Medicare and Medicaid Services will debut some improvements to its site that allows consumers to compare nursing homes. [read post]
24 Aug 2018, 10:42 am
The Centers for Medicare and Medicaid Services (“CMS”) recently announced that, starting next year, Medicare Advantage (“MA”) plans will be allowed to require step therapy on Part B drugs and other physician-administered drugs. [read post]
2 Nov 2022, 5:00 am
As many healthcare providers may know, UPICs are the primary program integrity contractors for the Centers for Medicare & Medicaid Services (CMS) and the only program integrity contractors with authority to review both Medicare and Medicaid claims. [read post]
16 Dec 2020, 8:32 am
On Tuesday, December 1, 2020, the Centers for Medicare & Medicaid Services (“CMS”) released the 2021 Physician Fee Schedule (PFS) final rule, confirming an expansion to telehealth coverage and the scope of non-physician providers. [read post]
12 Sep 2012, 9:37 pm
On June 1, 2012, the Centers for Medicare & Medicaid Services issued Transmittal No. [read post]
26 Jan 2024, 9:00 am
On January 18th, the Centers for Medicare & Medicaid Services (CMS) announced a new demonstration model called the Innovation in Behavioral Health (IBH) Model, which is designed to improve outcomes for adults with mental health and substance use disorders (MH/SUD) by enhancing behavioral health provider capacity to integrate physical health care into their practice settings and services. [read post]
16 Nov 2007, 7:14 am
From the Center for Medicare Advocacy, via ABA Senior Lawyers Division newsletter: An August 13, 2007 press release from the Centers for Medicare & Medicaid Services (CMS) declared victory for Medicare Part D, claiming that the average premium of $25... [read post]
16 May 2011, 12:28 pm
Donald Berwick, the administrator of the Centers for Medicare & Medicaid Services ("CMS"), recently authored an Op-Ed in the Wall Street Journal outlining his view of Medicare reform. [read post]
5 May 2016, 4:22 pm
On May 6, 2016, CMS will publish a final rule to update Medicaid and Children’s Health Insurance Program (CHIP) managed care regulations to more closely align with Medicare Advantage (MA) and private health plan standards, promote quality, and strengthen the actuarial soundness of payment provisions. [read post]
31 Oct 2012, 7:46 am
The Centers for Medicare & Medicaid Services (CMS) has sent several final Medicare calendar year 2013 payment rules to the White House Office of Management and Budget (OMB) for final regulatory clearance. [read post]
25 May 2011, 5:33 am
CMS UNVEILS THREE NEW ACO INITIATIVESThe Center for Medicare and Medicaid Innovation (CMMI) – part of the Centers for Medicare and Medicaid Services (CMS) – recently announced three new initiatives related to the Medicare Shared Savings Program and Accountable Care Organizations (ACOs).The three initiatives were authorized by the new healthcare reform law and are designed to assist providers on their paths to… [read post]
31 Jul 2014, 10:27 am
As part of the Centers for Medicare and Medicaid Services' (CMS) continued efforts to combat Medicare fraud, federal charges were recently brought against 90 individuals across the nation for false billings to Medicare, totaling $260 million dollars. [read post]
25 Nov 2016, 5:00 am
The CMS (Centers for Medicare and Medicaid Services) instituted its final rule in September 2016 prohibiting nursing homes and long-term care facilities, accepting Medicare and Medicaid, from using mandatory pre-dispute binding arbitration agreements with their residents. [read post]
8 Jul 2019, 9:00 am
On May 28, 2019, the Centers for Medicare & Medicaid Services ("CMS") finalized a rule (the "Final Rule") to update and modernize requirements for the Programs of All-Inclusive Care for the Elderly ("PACE"). [read post]
15 Apr 2009, 1:45 pm
As the deadline for implementation nears, The Centers for Medicare & Medicaid Services (CMS) has made a request for more comments on the implementation of mandatory reporting under Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (See 42 U.S.C. 1395y(b)(7)&(b)(8)). [read post]
24 May 2020, 11:17 am
On May 18, 2020, Centers for Medicare and Medicaid Services (CMS) released a ten-page Memorandum making recommendations to state and local officials for operation of "Medicare/Medicaid certified long term care facilities (hereafter 'nursing homes') to prevent the transmission of COVID-19. [read post]
12 Jul 2010, 10:01 am
The Centers for Medicare & Medicaid Services today (July 12, 2010) proposed regulations that would expand and revise current Medicare and Medicaid regulations regarding the imposition and collection of civil money penalties by CMS when nursing homes are not in compliance with Federal participation requirements in accordance with the Patient Protection and Affordable Care Act of 2010. [read post]
25 May 2009, 6:33 pm
The Centers for Medicare and Medicaid Services allow three revisits to a nursing home to determine if they will terminate funding. [read post]
