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2 Jun 2009, 12:12 pm
The Centers for Medicare and Medicaid Services (CMS)' Recovery Audit Contractor (RAC) program will begin to send requests for medical records to hospitals as early as this week. [read post]
21 May 2014, 1:00 pm
The Program for Evaluating Payment Patterns Electronic Report ("PEPPER") is an electronic data report under contract with the Centers for Medicare & Medicaid Services ("CMS") that helps guide hospital's auditing and monitoring services. [read post]
1 Feb 2022, 8:00 am
Missouri , the Court ruled that the Centers for Medicare & Medicaid Services (CMS) rule should be allowed to take effect nationwide as the lower courts consider legal challenges. [read post]
18 Mar 2012, 6:12 am
"CMS' report is significant because it lifts the veil of secrecy surrounding medical mistakes at area hospitals," said Syracuse medical malpractice lawyer Michael A. [read post]
17 Mar 2023, 2:51 pm
Regulatory and enforcement agencies, including CMS, the U.S. [read post]
9 Mar 2020, 6:06 am
CMS also released fact sheets about coverage for COVID-19 services in the individual and small group markets, Medicaid and CHIP, and Medicare. [read post]
30 Dec 2011, 11:26 am
CMS estimates that about 150 drug or biologic manufacturers, 1000 device or medical supply manufacturers, and 420 GPOs will be required to submit information to CMS on an annual basis as a result of this new requirement. [read post]
14 Sep 2020, 6:42 am
On August 3, 2020, two issues were approved for review and posted on the Centers for Medicare & Medicaid Services (CMS) Recovery Audit program website: 0184 – Total Hip Arthroplasty: Medical Necessity and Documentation Requirements, and 0185 – Total Knee Arthroplasty: Medical Necessity and Documentation Requirements. [read post]
17 Jul 2014, 6:36 am
On July 15, 2014, the Centers for Medicare & Medicaid Services (CMS) announced its plans to recompete the supplier contracts awarded in Round 2 of the Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program and the National Mail-Order diabetic testing supplies competition, as it is required by statute to do at least every three years. [read post]
25 Jan 2009, 8:41 pm
The seventh worksheet requests information about rental, personal service and recruitment arrangements between hospitals and physicians. [read post]
19 Dec 2022, 5:00 am
Category 3 encompasses services added on a temporary basis during the PHE that would facilitate continued access to medically necessary services during the pandemic, but for which there is insufficient evidence to evaluate the services for permanent addition under Category 1 or Category 2 criteria. [read post]
5 Mar 2013, 12:02 pm
The Centers for Medicare & Medicaid Services (CMS) has published the long-awaited Final Rule to implement the “Sunshine” provisions of the Affordable Care Act of 2010 (ACA). [read post]
16 Mar 2012, 8:06 am
The Acting Administrator of the Centers for Medicare & Medicaid Services (CMS), Marilyn Tavenner, announced the redesign of the statement that informs Medicare beneficiaries about their claims for Medicare services and benefits. [read post]
19 Aug 2006, 11:19 am
Herewith, the table of contents of this week's American Health Lawyers' Health Lawyers Weekly (a free member benefit of AHLA): Top StoriesCMS Issues Final Quality Standards For DMEPOS Suppliers The Centers for Medicare and Medicaid Services (CMS) released August 14 its final quality standards for suppliers of durable medical equipment, prosthetics, orthotics, supplies, (DMEPOS) and other items [read post]
Healthcare News from Capitol Hill and the Department of Health and Human Services - January 24, 2011
24 Jan 2011, 2:01 am
CMS ISSUES PROPOSED RULE FOR VALUE-BASED PURCHASING:On January 7, the Centers for Medicare and Medicaid Services (CMS) released a proposed rule to establish a value-based purchasing (VBP) program to reward hospitals for providing safe, high-quality care. [read post]
12 Jan 2018, 7:46 am
Notably, CMS signaled certain eligibility categories should be exempt from work and community engagement requirements, such as pregnant women and the medically frail. [read post]
4 May 2013, 7:09 am
Centers for Medicare and Medicaid Services (CMS) to set Medicare reimbursement rates for doctors with a formula purportedly tied to economic growth. [read post]
14 Jun 2012, 6:42 am
Shari Ling, CMS Deputy Chief Medical Officer. [read post]
18 Mar 2020, 10:30 am
"She also graciously attached an email from the Medical Group Management Association (MGMA), which says (in part):"Today, the Centers for Medicare & Medicaid Services (CMS) issued guidance on Secretary Azar’s waiver authority that broadens access to Medicare telehealth services ... [read post]
8 May 2013, 8:06 am
Despite this report not containing recommendations to CMS, as OIG reports typically include, the OIG intends to provide CMS with recommendations in a follow-up report after the OIG completes its medical record review. [read post]
