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7 Apr 2014, 4:52 am
The Act expressly prohibits CMS from enforcing its previous Oct. 1, 2014 deadline and delays reductions in Medicare reimbursement rates for physician services. [read post]
13 Apr 2023, 8:41 am
In doing so, the agency stated that it will evaluate whether the diagnosis codes for a sample of plan enrollees are supported by the enrollees’ underlying medical records. [read post]
9 Nov 2010, 11:20 am
Some commenters wanted it to apply to all imaging or all designated health services, but CMS declined to expand it. [read post]
16 Apr 2009, 1:53 am
As The Centers for Medicare and Medicaid Services (CMS) continues to roll out reporting requirements and procedures for mandatory reporting of the Medicare Secondary Payer Act (MSP), The National Organization of Social Security Claimants Representatives (NOSSCR) will be holding a workshop at its semi-annual meeting to discuss the issues. [read post]
30 Aug 2010, 3:05 am
DEADLINE SET FOR STATES TO REQUEST ADDITIONAL MEDICAID DOLLARS:The Centers for Medicare and Medicaid Services (CMS) announced on August 18 that states have until September 24 to request an extension of the enhanced Federal Medical Assistance Percentage (FMAP) – the federal government’s share of Medicaid funding.In one of its final acts before breaking for the August congressional recess, the Senate approved legislation to provide a six month continuation of the… [read post]
30 Nov 2011, 11:55 am
Today, CMS held its Open Door Forum related to the CMS A/B Rebilling Demonstration. [read post]
14 Aug 2017, 12:03 pm
On August 3, the Centers for Medicare & Medicaid Services (CMS) approved a five-year extension of the State of Florida’s Managed Medical Assistance Section 1115 Waiver Demonstration. [read post]
5 Nov 2018, 3:06 pm
This benefit covers professional services, including nursing services, patient training and education, and monitoring services associated with administering infusion drugs using an item of durable medical equipment in a patient’s home. [read post]
17 Dec 2015, 3:01 am
Workers' Compensation insurance carriers have a duty to reimburse the Centers of Medicare and Medicaid Services for conditional medical payments. [read post]
6 Aug 2009, 8:37 am
Nonphysicians can include physician assistants, nurses, medical technicians, and medical assistants. [read post]
30 Dec 2013, 10:20 am
Public Notices HHSC intend to submit Transmittal Number 13-055 to the Texas State Plan for Medical Assistance to establish home telemonitoring services as a benefit of the Texas Medicaid program. [read post]
4 Mar 2011, 7:05 am
Drug wastage or discard must be documented in the patient's medical record with date, time, amount wasted, and reason for wastage. [read post]
6 Jun 2013, 3:01 pm
According to the issue's description, CMS has approved auditing providers who have incorrectly billed for SBRT and SRS procedures found to be, upon review, "not medically appropriate." [read post]
9 Jun 2016, 1:08 pm
” In the Bulletin, CMS explains the prevention and treatment services that state Medicaid agencies and stakeholders may choose to cover at their discretion. [read post]
7 Feb 2022, 11:09 am
Per the Centers for Medicare & Medicaid Services (CMS), you can dispute your bill if: The service was provided in 2022, Your actual bill is at least $400 more than the estimate, and You file the dispute within 120 days of the billing date. [read post]
30 Nov 2011, 6:54 am
Anyone may register to access the service: attorneys, Medicare beneficiaries, claimants, insurance carriers and WCMSA vendors alike. [read post]
31 Aug 2014, 8:50 pm
Many physicians recently received a notice from the Centers for Medicare and Medicaid Services (CMS) notifying them of the opportunity to register with the CMS “Open Payments” system and review financial data reported about them by drug and device manufacturers under the federal Physician Payments Sunshine Act (“Sunshine Act”). [read post]
21 Oct 2017, 4:36 pm
Certification that the Provider has served upon the Respondent all its charges for all dates of service and procedures that are in dispute;2. [read post]
15 Nov 2011, 11:46 am
According to an FAQ on the CMS website: Providers can re-bill for Inpatient Part B services, also known as ancillary services, but only for the services on the list in the Benefit Policy Manual. [read post]
12 Feb 2015, 1:07 pm
The GAO makes a series of recommendations to Congress and CMS to address program risks. [read post]
