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4 Dec 2019, 8:46 am
Senators Cory Booker (D-N.J.) and Ron Wyden (D-Ore.) on Tuesday issued letters to the Federal Trade Commission, the Centers for Medicare and Medicaid Services (CMS), and the five largest US health insurers asking about bias in the algorithms used to make healthcare decisions. [read post]
1 Dec 2019, 5:00 pm
Medical treatment is focused on curing a condition. [read post]
1 Dec 2019, 5:00 pm
Medical treatment is focused on curing a condition. [read post]
26 Nov 2019, 6:30 am
” While MSA professional administration is recommended for most MSAs, CMS is correct in asserting it is of special value for a claimant utilizing opioid medications. [read post]
26 Nov 2019, 4:08 am
The Supreme Court found that the scope of the medical examination in 2013 would not have taken place under the DTI Scheme and Mr Watkins’ entitlement to a services award would not have been considered under the DTI Scheme by reference to the type of medical examination carried out in 2013. [read post]
24 Nov 2019, 3:38 pm
John Whyte, Chief Medical Officer of WebMD, who will be discussing “Artificial Intelligence in Health Care: Disrupt but Don’t Be Disruptive. [read post]
22 Nov 2019, 10:16 am
CMS limits patient eligibility for CCM services. [read post]
22 Nov 2019, 5:43 am
CMS identified 70 shoppable services (the same as identified in the proposed rule) and the hospital must select the rest. [read post]
21 Nov 2019, 1:28 pm
John Whyte, Chief Medical Officer of WebMD, as our keynote this year. [read post]
21 Nov 2019, 12:00 pm
CMS finalized a policy to exempt procedures removed from the IPO list from Recovery Audit Contractor referrals and certain other medical review activities for two years (rather than one year as proposed). [read post]
21 Nov 2019, 9:17 am
Both the Office of Inspector General (OIG) as well as the Centers for Medicare and Medicaid Services (CMS) have proposed changes. [read post]
20 Nov 2019, 3:16 pm
” CMS finalizes the term “shoppable services” to mean “services that can be scheduled by a healthcare consumer in advance. [read post]
20 Nov 2019, 12:26 pm
” According to CMS, these arrangements appear to obfuscate the source of non-federal share and avoid required reductions to state medical assistance expenditures. [read post]
19 Nov 2019, 11:51 am
CMS streamlined documentation requirements for such physician supervision by allowing the physician, PA, or advanced practice registered nurse who furnishes and bills for his or her professional services to review and verify — rather than fully re-document — information included in the medical record by physicians, residents, nurses, medical, PA, and advanced practice registered nurse students, or other members of the medical team. [read post]
14 Nov 2019, 11:00 am
The Centers for Medicare & Medicaid Services (CMS) is seeking public input on surveys that are intended to “further strengthen the monitoring, outreach, and enforcement functions” of the Medicare durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) competitive bidding program – even though the agency has asserted that the program “has maintained beneficiary access to quality products from accredited suppliers in all… [read post]
14 Nov 2019, 10:47 am
Aggregate Medicare home health prospective payment system (HH PPS) payments in calendar year (CY) 2020 will increase by 1.3%, or $250 million, compared to 2019 levels, under the Centers for Medicare & Medicaid Services’ (CMS) final CY 2020 rule. [read post]
14 Nov 2019, 10:15 am
As part of this rulemaking, CMS adopted significant changes to Medicare payment policies for durable medical equipment, prosthetics, orthotics, and supplies; these provisions are summarized in a separate post. [read post]
12 Nov 2019, 6:39 am
When there are not relevant state laws governing physician supervision of PA services, CMS clarifies that the physician supervision of PAs requirement will be met if there is “documentation in the medical record of the PA’s approach to working with physicians in furnishing their services. [read post]
11 Nov 2019, 1:50 pm
The final rule finalizes changes to the IPO list, removing total hip arthroplasty, six spinal surgical procedures, and certain anesthesia services from the list and thus making these procedures eligible to be paid by Medicare in both the hospital outpatient and inpatient setting, provided the services are medically necessary and the applicable coverage requirements are met. [read post]
4 Nov 2019, 11:51 am
According to CMS’ press release, home infusion therapy is “the administration of certain types of medication, through a durable medical equipment (DME) pump, in the patient’s home. [read post]
