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2 Apr 2019, 6:36 am
The Centers for Medicare & Medicaid Services (CMS) announced Monday that the US government will increase by 2.53 percent on average 2020 payments to health insurers that manage Medicare Advantage insurance plans for seniors and chronically ill beneficiaries. [read post]
1 Nov 2016, 10:30 am
In addition, drugs, biologicals, and laboratory services that ESRD facilities are certified to furnish, but that are not renal dialysis services, may be paid for separately when furnished by ESRD facilities to individuals with AKI. [read post]
11 Jun 2015, 8:11 am
Create network adequacy standards for medical services and LTSS. [read post]
28 Apr 2017, 10:23 am
The Centers for Medicare & Medicaid Services (CMS) are on a crusade to make private health care accreditation data available to the public, believing that many major issues related to patient safety are being overlooked. [read post]
19 Jan 2021, 8:43 pm
(January 19, 2021): As you will recall, on March 30, 2020, the Centers for Medicare and Medicaid Services (CMS) suspended most Medicare audits and reviews due to the COVID-19 national emergency. [read post]
9 Aug 2011, 5:31 pm
In fact, CMS has initiated a new Hospital Readmissions Reduction Program geared toward improving these figures and reducing medical mistakes. [read post]
31 Jul 2013, 4:38 pm
CMS does not require hospitals to tell patients they are receiving observation services, which the IG's analysis said can include some of the same procedures provided to admitted patients. [read post]
31 Jan 2010, 3:00 pm
When CMS finds out about the work comp claim (and they will), CMS will pursue recovery for the payments they have made for work comp related medical service. [read post]
2 Dec 2010, 5:00 am
Image via Wikipedia The Centers for Medicare and Medicaid Services (CMS) has recently issued a series of Alerts for Implementation of Medicare Secondary Payer Mandatory Reporting Provisions in Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (See 42 U.S.C. 1395y(b)(7) & (8)). [read post]
2 Dec 2010, 5:00 am
Image via Wikipedia The Centers for Medicare and Medicaid Services (CMS) has recently issued a series of Alerts for Implementation of Medicare Secondary Payer Mandatory Reporting Provisions in Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (See 42 U.S.C. 1395y(b)(7) & (8)). [read post]
13 Apr 2011, 4:03 pm
They are also utilized by health insurance companies and CMS (Centers for Medicare and Medicaid Services) for the pricing of medical billing. [read post]
14 Oct 2019, 3:33 pm
” “A physician practice could provide smart pillboxes to patients without charge to help them remember to take their medications on time. [read post]
15 Mar 2020, 3:21 pm
The Centers for Medicare and Medicaid Services (CMS) has announced a new voluntary Part D Senior Savings Model (the Model) intended to reduce Medicare beneficiary cost sharing for insulin. [read post]
29 Jul 2011, 11:52 am
While some of the improper payments were a result of fraud, other improper payments were the result of medically unnecessary claims, miscoded claims, eligibility errors, or insufficient documentation. [read post]
16 May 2011, 12:28 pm
Donald Berwick, the administrator of the Centers for Medicare & Medicaid Services ("CMS"), recently authored an Op-Ed in the Wall Street Journal outlining his view of Medicare reform. [read post]
4 Jun 2008, 3:33 pm
Countryman On May 30, 2008, the Centers for Medicare & Medicaid Services (CMS) issued an Advisory Opinion regarding a proposed arrangement under which a hospital system would license a custom software interface for use by the physicians on its medical staffs. [read post]
17 Oct 2012, 7:47 am
HDI posted the issue for all Region D states, but the pre-payment review program has only been approved by the Centers for Medicare and Medicaid Services (CMS) for 11 states: California, Florida, Illinois, Louisiana, Michigan, Missouri, New York, North Carolina, Ohio, Pennsylvania, and Texas. [read post]
8 Jul 2010, 9:27 am
Donald Berwick as the new Administrator of the Centers for Medicare and Medicaid Services (CMS). [read post]
1 Aug 2012, 1:09 pm
According to an article on InformationWeek.com, CMS's Deputy Chief Medical Officer Shari M. [read post]
29 Oct 2013, 8:25 am
An excerpt: The ACA requires an administrator to provide written notice of facility closure or termination from Medicaid or Medicare to residents and DADS 60 days before the closure date or by the date set by Centers for Medicare and Medicaid Services (CMS) or DADS when CMS or DADS terminates the facility from Medicaid or Medicare. [read post]
