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1 Nov 2019, 3:47 pm
The Centers for Medicare & Medicaid Services (CMS) has adopted — with limited changes — its controversial plan to rewrite Medicare pricing rules for new items of durable medical equipment (DME), prosthetics, orthotics and supplies (DMEPOS) as part of its annual DMEPOS policy update for calendar year (CY) 2020. [read post]
23 Oct 2019, 6:30 am
Changes in treatment or services will undoubtedly mean new medications or procedures will be needed, at least in the short term. [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]
22 Oct 2019, 6:30 am
Customer service. [read post]
22 Oct 2019, 6:00 am
Although I feel like I’m condemning myself to an eternity in a very bad place for encouraging such a huge consumption of paper, EVERY injured worker who is going to self-administer a workers’ compensation claim approved by the Center for Medicare and Medicaid Services (“CMS”) should get a copy of this. [read post]
16 Oct 2019, 2:33 pm
Falsifying Dates of Service. [read post]
15 Oct 2019, 10:31 am
” Quality measure thresholds will also be increasing under CMS’ latest efforts. [read post]
14 Oct 2019, 3:33 pm
” “A physician practice could provide smart pillboxes to patients without charge to help them remember to take their medications on time. [read post]
11 Oct 2019, 1:13 pm
The National Health Law Program along with Indiana Legal Services filed suit in the U.S. [read post]
9 Oct 2019, 3:23 pm
In response, on June 25, 2018, the Centers for Medicare & Medicaid Services (CMS) published a Request for Information seeking input on how it could address existing Stark Law barriers to these emerging value-based payment and delivery systems. [read post]
8 Oct 2019, 10:56 am
Medicare Part C, commonly known as Medicare Advantage, is administered by private insurers in which CMS pays the health insurer on a fee per beneficiary basis and the insurer in turn pays providers a negotiated rate for the health care services they provide. [read post]
1 Oct 2019, 9:05 pm
But this veil on health care pricing would be lifted under a new rule proposed by the Centers for Medicare and Medicaid Services (CMS). [read post]
1 Oct 2019, 6:30 am
This not treated as an error when CMS processes the submission as CMS allows for multiple TPOC amounts. [read post]
30 Sep 2019, 2:08 pm
In 2003, the Centers for Medicare & Medicaid Services (CMS) took over responsibility for handling these measurements. [read post]
30 Sep 2019, 7:04 am
His acceptance of that offer terminated his services claim. [read post]
26 Sep 2019, 9:49 am
The Centers for Medicare & Medicaid Services (CMS) has issued an “omnibus burden reduction” rule that finalizes a September 20, 2018 proposed rule intended to streamline various Medicare and Medicaid regulatory requirements, in alignment with the Administration’s “Patients over Paperwork” initiative. [read post]
26 Sep 2019, 9:44 am
CMS also established a new Patients’ Rights CoP ensuring a patient’s right to access his or her own medical information from a hospital. [read post]
18 Sep 2019, 2:08 pm
(September 18, 2019): On September 10, 2019, the Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS), published a Final Rule in the Federal Register entitled “Medicare, Medicaid, and Children’s Health Insurance Programs; Program Integrity Enhancements to the Provider Enrollment Process. [read post]
18 Sep 2019, 2:08 pm
Big Changes to CMS Form 855 are on the Horizon (September 18, 2019): On September 10, 2019, the Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS), published a Final Rule in the Federal Register entitled “Medicare, Medicaid, and Children’s Health Insurance Programs; Program Integrity Enhancements to the Provider Enrollment Process. [read post]
17 Sep 2019, 1:21 pm
A Civil Investigative Demand Issued to You or Your Medical Practice is Serious Business. [read post]