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12 May 2019, 9:05 pm
” Similarly, the Congressional Budget Office has found that appropriate use of medicines under Part D can “offset” spending for other non-drug medical services by “improving or maintaining an individual’s health,” or helping to “avert hospital admissions and thus reduce the use of medical services. [read post]
12 May 2019, 9:00 pm
Anyone who has eaten any of the recalled product and developed symptoms of Listeria infection should seek medical treatment and tell their doctors about the possible Listeria exposure. [read post]
9 May 2019, 8:06 am
CMS believes patients should know what a drug costs as they discuss their options with their doctor. [read post]
8 May 2019, 2:12 pm
Medical equipment suppliers can submit bids for Round 2021 of the Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CBP) from July 16 through September 18, 2019, the Centers for Medicare & Medicaid Services (CMS) has just announced. [read post]
8 May 2019, 12:44 pm
Strong bi-partisan Congressional support for expanded federal support for paid family leave was evident from statements and testimony at the House Ways and Means Committee Full Committee Hearing on Paid Family and Medical Leave: Helping Workers and Employers Succeed this morning. [read post]
7 May 2019, 9:05 pm
Seema Verma, the current Administrator for the Centers for Medicare and Medicaid Services (CMS), has argued that the growth in Medicaid enrollment is not a cause for celebration, and that “for able bodied adults, we should celebrate helping people move up, move on, and move out” of the Medicaid program. [read post]
6 May 2019, 2:55 pm
On May 3, the Centers for Medicare & Medicaid Services (CMS) published its long-awaited draft “Guidance for Hospital Co-location with Other Hospitals or Healthcare Facilities. [read post]
2 May 2019, 3:00 pm
” Administrator Verma reiterated in remarks to the Medical Device Manufacturers Association that “[t]his means the contractors cannot make local coverage decisions that automatically non-cover an item or service because it has a category III code. [read post]
1 May 2019, 1:09 pm
Currently the NTAP payment is set at the lesser of: (1) 50% of the costs of the new medical service or technology; or (2) 50% of the amount by which the costs of the case exceed the standard diagnosis related group (DRG) payment. [read post]
1 May 2019, 4:39 am
As the person responsible for GAG’s finances, Cooper was required to withhold federal income taxes and Social Security and Medicare taxes from employees’ wages and pay those amounts to the Internal Revenue Service (IRS). [read post]
30 Apr 2019, 7:10 pm
This diagnostic product tests an individual’s genetic predisposition to certain medical diseases or conditions. [read post]
29 Apr 2019, 7:21 am
A Wisconsin employer did not violate the National Labor Relations Act (“NLRA”) by ceasing to deduct union dues from employees’ paychecks for remittance to their certified union in response to Wisconsin’s enactment of a right-to-work law that curtailed dues checkoff, or communicating with employees about this action according the National Labor Relations Board ruling in Metalcraft of Mayville, Inc. [read post]
26 Apr 2019, 9:05 am
To suggest a disease or condition for addition to the Compassionate Allowance list you will need to submit: Your contact information Name of the medical condition Alternate names for the condition Description of the condition Diagnostic testing, physical findings and ICD-10-CM coding (International Classification of Diseases) if available Onset date of disease Progression of disease… [read post]
24 Apr 2019, 9:09 am
” Note that the definition of specified non-ancillary service would not include: (1) services furnished in an urban area to an individual who resides in a rural area on the same day as the patient’s initial office visit; (2) services furnished as part of a Medicare shared savings program or accountable care organization; (3) services provided under a CMS Innovation Center model; or (4) services provided by an integrated… [read post]
23 Apr 2019, 2:28 pm
The Centers for Medicare & Medicaid Services (CMS) is expanding the types of durable medical equipment (DME), prosthetic, orthotics, supplies (DMEPOS) that are subject to Medicare prior authorization requirements on the basis of being “frequently subject to unnecessary utilization. [read post]
23 Apr 2019, 9:01 am
The MAOs, in turn, submitted the diagnosis codes to CMS from the beneficiaries’ medical encounters, such as office visits and hospital stays. [read post]
19 Apr 2019, 11:15 am
The Centers for Medicare & Medicaid Services (CMS) is proposing to increase Medicare inpatient psychiatric facility (IPF) payments by $75 million – a 1.7% boost – in fiscal year (FY) 2020. [read post]
19 Apr 2019, 9:43 am
The MAOs, in turn, submitted the diagnosis codes to CMS from the beneficiaries’ medical encounters, such as office visits and hospital stays. [read post]
11 Apr 2019, 9:05 pm
Department of Health and Human Services (HHS), Alex Azar, acted “arbitrarily and capriciously” in allowing them to move forward. [read post]
10 Apr 2019, 5:48 am
Additionally, the Center for Medicare Services (CMS) and Center for Program Integrity (CPI) announced that it took action against 130 DME companies “that had submitted over $1.7 billion in claims and were paid over $900 million. [read post]
