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5 Dec 2019, 12:25 pm
The federal Centers for Medicare and Medicaid Services issued last month a proposed rule that would require hospitals to disclose to ... [read post]
26 Nov 2019, 1:32 pm
On November 21, an internal HHS memorandum addressed to Centers for Medicare & Medicaid Services (CMS) Principal Deputy Administrator Demetrios Kouzoukas entitled “Impact of Allina on Medicare Payment Rules” became publicly available. [read post]
26 Nov 2019, 1:32 pm
On November 21, an internal HHS memorandum addressed to Centers for Medicare & Medicaid Services (CMS) Principal Deputy Administrator Demetrios Kouzoukas entitled “Impact of Allina on Medicare Payment Rules” became publicly available. [read post]
22 Nov 2019, 9:00 am
For example, Medicare does require that patients use telehealth services from an “originating site” located in: A county outside of a Metropolitan Statistical Area (MSA) or A rural Health Professional Shortage Area (HPSA) located in a rural census tract Originating sites include the doctor’s offices, hospitals, critical access hospitals, rural health clinics, federally qualified health centers, and other listed facilities. [read post]
22 Nov 2019, 5:43 am
The Centers for Medicare & Medicaid Services (CMS) finalized a “price transparency” rule that requires hospitals to make detailed charge data – including payer-specific negotiated charges – available for all inpatient and outpatient services. [read post]
22 Nov 2019, 3:00 am
The application was designed to collect information regarding utilization management and review activities and report the information to the Centers for Medicare and Medicaid Services, and typically contained the names, addresses, Social Security and Medicaid numbers, and treatment and diagnosis information for beneficiaries of the program. [read post]
21 Nov 2019, 12:00 pm
The Centers for Medicare & Medicaid Services (CMS) has finalized Medicare hospital outpatient prospective payment system (OPPS) and ambulatory surgical center (ASC) payment system rates and policies for 2020. [read post]
20 Nov 2019, 12:26 pm
On November 12, 2019, the Centers for Medicare & Medicaid Services (CMS) published a proposed rule for public inspection entitled Medicaid Fiscal Accountability Regulation. [read post]
15 Nov 2019, 3:00 am
They charged up to $380 per hour for work traditionally handled by dozens of career civil servants in the Centers for Medicare and Medicaid Services’ communications department. [read post]
14 Nov 2019, 10:54 am
Specifically, in conformance with the Federal Civil Penalties Inflation Adjustment Act Improvements Act of 2015 (“the Act”), HHS is applying a 1.02522 inflation “multiplier” (i.e., a 2.522% increase) to all its applicable monetary penalties in 45 CFR § 102.3, including CMPs assessed by the Office of Inspector General, the Centers for Medicare & Medicaid Services, the Office for Civil Rights, and the Food and Drug… [read post]
12 Nov 2019, 6:39 am
On November 1, 2019, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that updates the Medicare Physician Fee Schedule (PFS) rates and policies for calendar year (CY) 2020 and expands Medicare coverage to opioid treatment programs (OTPs) that treat beneficiaries with opioid use disorder (OUD). [read post]
7 Nov 2019, 10:01 pm
Davila granted the defendants’ motion to compel federal prosecutors to produce material responsive to six requests from the Food and Drug Administration (FDA) and the Centers for Medicare and Medicaid Services (CMS), disagreeing with the prosecution’s contention that it could not be compelled to produce documents from under Rule 16 because it lacked access to...Read the whole entry... [read post]
7 Nov 2019, 9:30 am
A former administrator an orthopedic center in Oklahoma that did business with Tenet, Wayne Allison, initiated the case in a whistleblower lawsuit under the qui tam provisions of the False Claims Act. [read post]
6 Nov 2019, 6:57 am
Department of Health and Human Services; department Secretary Alex Azar; the Centers for Medicare and Medicaid Services; and agency Administrator Seema Verma. [read post]
4 Nov 2019, 11:51 am
On October 31, 2019, the Centers for Medicare & Medicaid Services (CMS) released its final rule with comment period that sets forth updates to the home health prospective payment system (HH PPS) for calendar year (CY) 2020 and includes other policy changes for home health agencies (HHA). [read post]
4 Nov 2019, 5:41 am
This legislation would give the Medicare Payment Advisory Commission (MedPAC) and the Medicaid and CHIP Payment and Access Commission (MACPAC) access to Medicare Part D drug pricing and rebate data for purposes of monitoring, making recommendations, and analyzing the Medicare, Medicaid, and CHIP programs. [read post]
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]
31 Oct 2019, 9:05 pm
House of Representatives passed the Prescription Drug Pricing Reduction Act (PDPRA) that would require the Centers for Medicare and Medicaid Services (CMS) to release payment information about prescription drugs and pharmacy benefit managers. [read post]
25 Oct 2019, 2:23 pm
Collyer denied the government’s request to modify the Court’s previous ruling on September 17, 2019, that the Centers for Medicare & Medicaid Services (CMS) exceeded its statutory authority when it reduced Medicare payment rates for clinic visit evaluation and management (E&M) services provided to Medicare patients in hospital excepted off-campus provider-based departments. [read post]
25 Oct 2019, 2:17 pm
” The White House also continues to work on several healthcare proposals in close coordination with the Department of Health and Human Services Secretary Alex Azar and the Centers for Medicare & Medicaid Services Administrator Seema Verma. [read post]
