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The Centers for Medicare & Medicaid Services (CMS) has released its proposed rule to update the Medicare acute inpatient prospective payment system (IPPS) and long-term care hospital (LTCH) prospective payment system (PPS) for fiscal year (FY) 2020. [read post]
24 Jan 2018, 6:30 am by Daniel Anders
On Thursday, January 18, 2018, the Centers for Medicare and Medicaid Services (CMS) held a webinar to introduce the new Commercial Repayment Center (CRC) contractor, Performant Recovery, and Performant’s management team. [read post]
2 Dec 2011, 2:01 pm
The appointment of Marilyn Tavenner to replace Donald Berwick, M.D. as administrator for the Centers for Medicare & Medicaid (CMS) is getting strong support from nursing home groups, according to an article on McKnights.com. [read post]
12 Dec 2016, 3:38 pm by Cynthia Marcotte Stamer
A new Center for Medicare and Medicaid Services (CMS) Rule published on December 12 tries to deter  providers from encouraging Medicare and Medicaid eligible dialysis patients to enroll iprivate health insurance  offered through health insurance exchanges that provide higher reimbursement for providers than Medicare and Medicaid. [read post]
12 Dec 2016, 3:38 pm by Cynthia Marcotte Stamer
A new Center for Medicare and Medicaid Services (CMS) Rule published on December 12 tries to deter  providers from encouraging Medicare and Medicaid eligible dialysis patients to enroll iprivate health insurance  offered through health insurance exchanges that provide higher reimbursement for providers than Medicare and Medicaid. [read post]
26 Aug 2015, 2:22 pm by Debra A. McCurdy
On August 25, 2015, the Centers for Medicare & Medicaid Services (CMS) published technical and typographical corrections to its July 14, 2015 proposed rule to establish a Comprehensive Care for Joint Replacement Model. [read post]
17 Jul 2018, 6:30 am by ohioemployersinjurylawblog
In the course of the rule making to enable the act, the Center for Medicare/Medicaid Services was created. [read post]
21 Oct 2013, 2:13 pm
The OIG made four recommendations to the Centers for Medicare & Medicaid Services (CMS): Implement claims processing edits or improve existing edits to prevent inappropriate payments; Recover payments for claims that did not meet Medicare requirements; Consider using measures of questionable billing from this study to identify providers for further investigations; and Take appropriate action regarding providers that exhibit patterns of… [read post]
Rule Would Delay Appropriate Use Criteria Requirement until 2019, Cut Rates for Off-Campus Hospital Departments The Centers for Medicare & Medicaid Services (CMS) has published its proposed rule to update the Medicare physician fee schedule (PFS) for calendar year (CY) 2018. [read post]
11 Mar 2016, 1:32 pm by Laura Ray
Centers for Medicare & Medicaid Services (CMS) just released a proposed rule on a “Part B Drug Payment Model as a two-phase model that would test whether alternative drug payment designs will lead to a reduction in Medicare expenditures, while preserving or enhancing the quality of care proved to Medicare beneficiaries. [read post]
25 Sep 2017, 3:04 pm by Gail L. Daubert and Debra A. McCurdy
The Centers for Medicare & Medicaid Services (CMS) CMS has announced a “new direction” for the CMS Innovation Center that is intended to “promote patient-centered care and test market-driven reforms. [read post]
18 Jan 2021, 6:45 am by Wachler & Associates, P.C.
On January 15, 2021, the Centers for Medicare & Medicaid Services (CMS) finalized a rule to help strengthen and streamline the Medicare Advantage and Part D prescription drug programs, with the goal to decrease enrollee cost sharing on expensive prescription drugs. [read post]
19 Feb 2023, 7:23 pm by Kristin Parker
On January 26, 2023, the Centers for Medicare and Medicaid Services (CMS) issued guidance for Rural Emergency Hospitals (REHs), through which CMS outlined requirements on eligibility, the conversion process for eligible facilities, and other related information. [read post]
10 Nov 2011, 8:30 am
To achieve the SGR target, each year in its report to the Medicare Payment Advisory Commission, the Centers for Medicare and Medicaid Services ("CMS") includes a conversion factor that will change the payment for physician services for the next year to match the target SGR. [read post]
22 Jul 2013, 10:00 am
Recently Medicare Contractors have reported seeing an increase in errors identified by the CERT Contractor for home health services, according to the Centers for Medicare and Medicaid Services (CMS).... [read post]
22 Jul 2013, 10:00 am
Recently Medicare Contractors have reported seeing an increase in errors identified by the CERT Contractor for home health services, according to the Centers for Medicare and Medicaid Services (CMS).... [read post]
22 Jul 2013, 10:00 am
Recently Medicare Contractors have reported seeing an increase in errors identified by the CERT Contractor for home health services, according to the Centers for Medicare and Medicaid Services (CMS).... [read post]
9 Oct 2019, 8:30 am by Daily Record Staff
An Ellicott City information technology and engineering services firm received a $16.9 million task order from the Centers for Medicare & Medicaid Services. [read post]
29 Jan 2019, 6:20 am by ohioemployersinjurylawblog
On January 9, 2019 the Center for Medicare and Medicaid Services (“CMS”) issued its most recent Workers’ Compensation Medicare Set-Aside Reference Guide (“WCMSA”). [read post]
29 Jan 2019, 6:20 am by ohioemployersinjurylawblog
On January 9, 2019 the Center for Medicare and Medicaid Services (“CMS”) issued its most recent Workers’ Compensation Medicare Set-Aside Reference Guide (“WCMSA”). [read post]