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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]
26 Mar 2013, 6:41 am
The fact is that if you find yourself or your practice at the center of a Medicare audit, there is some item you have claimed as a Medicare provider or the amount of claims Medicare has paid in a certain category that has caused the audit. [read post]
27 Sep 2011, 6:47 am
Recently in a case in Arkansas dealing with the Longshore and Harbor Workers' Compensation Act, a Federal Court ruled that Medicare’s interests were considered and protected based on a Medicare Set-Aside (MSA) allocation despite the fact that the settlement was over the $25,000.00 threshold and the Center for Medicare and Medicaid Services (CMS) refused to review it. [read post]
24 Aug 2010, 8:11 am
While the Centers for Medicare and Medicaid Services (CMS) have prohibited hospitals from recovering payment for the treatment of secondary conditions acquired in the hospital, practically, these charges are often submitted and paid by Medicare long before and attorney becomes involved and makes a claim for medical malpractice. [read post]
27 Dec 2010, 4:42 pm
Berwick, Administrator of the Centers for Medicare and Medicaid Services, has said that “using unwanted procedures in terminal illness is a form of assault. [read post]
9 Apr 2018, 2:00 pm
The Center for Medicare and Medicaid Services (“CMS”) is the private corporation contracted to protect Medicare’s interests in workers’ compensation and personal injury claims. [read post]
17 May 2021, 7:42 am
On May 14, 2021, the Centers for Medicare & Medicaid Services (CMS) released a new final rule that further delays until December 15, 2021, the effective date of the final rule titled “Medicare Program; Medicare Coverage of Innovative Technology (MCIT) and Definition of ‘Reasonable and Necessary’” (the January 2021 Rule), which was published in the final days of the Trump Administration. [read post]
5 Aug 2008, 3:29 pm
At the same time, even for traditional reimbursement, the Centers for Medicare & Medicaid Services (CMS) increasingly is demanding evidence of effectiveness in the Medicare population, rather than simply in the general population, to support a coverage decision. [read post]
Whistleblower Physician Exposes Medicare Fraud in Two Pain Management Clinics; Feds Settle for $3.3M
16 May 2019, 1:21 pm
The National Spine and Pain Centers (NSPC) and Physical Medicine Associates (PMA) have agreed to pay a $3.3M to settle government claims that the two pain management clinics committed Medicare Fraud, violating the False Claims Act. [read post]
6 Sep 2010, 5:05 pm
Medicare Chief Donald Berwick, a fan of Britain's failing National Health Service, has been given $10 billion to find new ways to save dollars spent under the Medicare system. [read post]
2 Oct 2010, 12:20 pm
What is surprising is the degree of consensus that Medicare’s shift to auctions is fatally flawed and must be fixed for the Medicare auctions to succeed in lowering costs while maintaining quality for medical equipment and supplies.For the last ten years, the Centers for Medicare and Medicaid Services has been testing an auction approach that is incredible in the inefficiency of its flawed design. [read post]
18 Apr 2016, 11:44 am
After the arrests, a number of providers were suspended by the Centers for Medicare & Medicaid Services as well. [read post]
18 Apr 2016, 11:44 am
After the arrests, a number of providers were suspended by the Centers for Medicare & Medicaid Services as well. [read post]
27 Nov 2018, 2:42 pm
The Centers for Medicare & Medicaid Services (CMS) has issued its final Medicare physician fee schedule (PFS) rule for calendar year (CY) 2019. [read post]
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]
27 Jul 2005, 11:00 pm
Congress required publication of the safe harbor in the Medicare Prescription Drug Improvement and Modernization Act of 2003. [read post]
27 Jul 2005, 11:00 pm
Congress required publication of the safe harbor in the Medicare Prescription Drug Improvement and Modernization Act of 2003. [read post]
27 Jul 2017, 1:21 pm
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]
9 Mar 2020, 10:26 am
(March 9, 2020): Last September, the Centers for Medicare and Medicaid Services (CMS) published a Final Rule titled “Medicare, Medicaid, and Children’s Health Insurance Programs; Program Integrity Enhancements to the Provider Enrollment Process. [read post]
10 Apr 2018, 7:58 am
Medicare Advantage Plans May Soon Offer Personal Care Services (April 10, 2018): On April 2, the Centers for Medicare and Medicaid Services (CMS) announced an expansion of the benefits that private health plans may offer Medicare beneficiaries under the Medicare Advantage (MA) program in 2019. [read post]
