Search for: "Center for Medicare/Medicaid Services"
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10 Nov 2022, 10:00 pm
The Centers for Medicare & Medicaid Services (CMS) delayed the publication of the final rule on the use of extrapolation and the application of a fee-for-service adjuster (FFS Adjuster) in risk adjustment data validation (RADV) audits of Medicare Advantage organizations (MAOs). [read post]
14 Jan 2014, 2:58 pm
Department of Health and Human Services (HHS) Centers for Medicare and Medicaid Services (CMS) announced a new policy that would allow CMS to disclose information regarding Medicare reimbursement data for individual physicians in response to Freedom of Information Act (FOIA) requests.The new policy replaces a 1980 policy (45 Fed. [read post]
18 Oct 2021, 10:00 pm
The Centers for Medicare and Medicaid Services (CMS) announced that it had restarted the Targeted Probe and Educate (TPE) audit process, effective September 1, 2021. [read post]
29 Sep 2021, 3:23 am
The Center for Medicare & Medicaid Services (“CMS”) posted the annual update of the Post-Acute Care and Hospice Provider Public Use File (herein known as “PAC PUF”) with data for 2019 resulting in the PAC PUF now populated with data for years 2013-2019. [read post]
7 Aug 2014, 2:00 am
The Centers for Medicare and Medicaid Services (CMS) is restarting audits of Medicare fee-for-service claims on … … Continue reading → [read post]
22 Feb 2023, 10:00 pm
The Centers for Medicare and Medicaid Services (CMS) issued a final rule on the use of extrapolation to determine overpayments in risk adjustment data validation (RADV) audits of Medicare Advantage organizations (MAOs) and for audits conducted by the Office of Inspector General (OIG), effective for payment year 2018. [read post]
5 Dec 2014, 5:06 pm
The Centers for Medicare & Medicaid Services (CMS) is choosing not to pay for new advance care planning codes in this year’s Medicare Physician Fee Schedule. [read post]
18 Nov 2021, 1:13 pm
As featured in #WorkforceWednesday: The Centers for Medicare & Medicaid Services (CMS) issued an interim final rule outlining vaccine requirements for staff at Medicare- and Medicaid-certified providers and suppliers. [read post]
14 Mar 2012, 6:07 am
The Centers for Medicare and Medicaid Services (CMS) has released a proposed rule for Stage 2 of its Electronic Health Records (EHR) “meaningful use” program. [read post]
3 Jun 2011, 1:47 pm
The Centers for Medicare and Medicaid Services (CMS) today released a proposed rule regarding the release and use of Medicare claims data to measure and produce public reports on physicians, hospitals, and other health care providers. [read post]
11 Jul 2007, 10:27 am
The Center for Medicare and Medicaid Services has proposed a new rule that will require hospitals to pay for their own mistakes instead of profiting. [read post]
27 Mar 2023, 2:56 pm
The Maryland Primary Care Program is part of the Maryland Total Cost of Care Model that has been agreed to by the state of Maryland and the Centers for Medicare and Medicaid Services. [read post]
3 Jun 2011, 1:47 pm
The Centers for Medicare and Medicaid Services (CMS) today released a proposed rule regarding the release and use of Medicare claims data to measure and produce public reports on physicians, hospitals, and other health care providers. [read post]
12 Oct 2009, 3:17 pm
The Centers for Medicare & Medicaid Services (CMS) recently announced a proposed rule intended to improve prescription drug and health plans performance by strengthening Medicare program participation standards. [read post]
3 Apr 2012, 9:41 am
Yesterday, the Centers for Medicare and Medicaid Services (CMS) issued a final rule which impacts the Medicare Advantage (Part C) and Prescription Drug (Part D) programs. [read post]
16 Oct 2020, 12:23 pm
The Centers for Medicare & Medicaid Services (CMS) announced today it will allow Medicare-enrolled pharmacies and other immunizers to bill directly and receive direct reimbursement from the Medicare program for vaccinating skilled nursing facility residents under its COVID-19 discretionary enforcement. [read post]
3 Apr 2012, 9:41 am
Yesterday, the Centers for Medicare and Medicaid Services (CMS) issued a final rule which impacts the Medicare Advantage (Part C) and Prescription Drug (Part D) programs. [read post]
13 Dec 2011, 7:05 am
The Centers for Medicare & Medicaid Services (CMS) recently issued a final rule giving consumers and employers access to Medicare claims data for provider performance reports. [read post]
2 May 2024, 10:22 pm
Reports released by the Centers for Medicare & Medicaid Services share data on health care disparities and patient care quality in the Medicare Advantage and Prescription Drug Plan Consumer Assessment of Healthcare Provider and Systems survey. [read post]
28 Feb 2006, 10:00 pm
The Medicare Modernization Act (“MMA”) requires that health plans that currently provide prescription drug coverage to Medicare Part D eligible individuals disclose to the Centers for Medicare & Medicaid Services (“CMS”) whether that coverage is “creditable prescription drug coverage” (“Disclosure Notice”). [read post]
