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17 Dec 2018, 11:54 am
HHS and CMS Administrator Seema Verma quickly notified the public that the decision did not affect 2019 open enrollment. [read post]
15 Dec 2018, 7:41 am
Stamer’s clients include employers and other workforce management organizations; employer, union, association, government and other insured and self-insured health and other employee benefit plan sponsors, benefit plans, fiduciaries, administrators, and other plan vendors; managed care organizations, insurers, self-insured health plans and other payers and their management; public and private, domestic and international hospitals, health care systems, clinics, skilled nursing,… [read post]
13 Dec 2018, 12:15 pm
Department of Health and Human Services (HHS), Office for Civil Rights (OCR). [read post]
11 Dec 2018, 1:42 pm
The MAOs, in turn, submitted the diagnosis codes to CMS from the beneficiaries’ medical encounters, such as office visits and hospital stays, and these diagnosis codes were used by CMS to calculate a risk score for each beneficiary. [read post]
7 Dec 2018, 8:44 am
Responding to longstanding industry criticisms, the Centers for Medicare & Medicaid Services (CMS) has announced a number of changes to the Healthcare Common Procedure Coding System (HCPCS) coding process for 2019. [read post]
7 Dec 2018, 4:55 am
Businesses and payroll service providers may be asked to file a report with their local law enforcement agency. [read post]
4 Dec 2018, 6:30 am
MSP Through the Years It’s been approximately 15 years since the government ramped up its efforts to ensure Medicare doesn’t pay for medical services that should be funded by some other entity, including the workers’ compensation system. [read post]
1 Dec 2018, 9:00 am
Fee-splitting 101 for medical doctors, chiropractors, acupuncturists, and others Is it fee-splitting to hire another medical doctor, chiropractor, acupuncturist, or other health care practitioner in your office and give them a “cut” of patient revenues? [read post]
27 Nov 2018, 2:41 pm
In the final rule, CMS reiterated its concern that “current payment incentives, rather than patient acuity or medical necessity, are affecting site-of-service decision-making. [read post]
27 Nov 2018, 2:36 pm
The Centers for Medicare & Medicaid Services (CMS) has adopted a CY 2019 ESRD PPS base rate of $235.27, up from $232.37 in 2018. [read post]
27 Nov 2018, 6:40 am
A list of the telehealth services that are currently covered by CMS can be found here. [read post]
26 Nov 2018, 11:41 am
” In support, the approval references Governor Bevin’s assertions that he will end Medicaid expansion along with over-the counter-medications, vision services, and dental services if Kentucky HEALTH is not implemented. [read post]
24 Nov 2018, 8:00 pm
Centers for Medicare & Medicaid Services. [read post]
21 Nov 2018, 9:04 am
Hamil Little PC Our business and healthcare attorneys advise and represent hospitals, medical practices, physicians and other healthcare providers. [read post]
15 Nov 2018, 9:30 pm
The proposed rule gives the Centers for Medicare and Medicaid Services (CMS) regulatory authority over list prices in television advertisements—authority that would typically fall under the ambit of the U.S. [read post]
7 Nov 2018, 3:09 pm
The Centers for Medicare & Medicaid Services has confirmed that it expects to have a “temporary gap” in the durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) competitive bidding program (CBP) during calendar years 2010-2020. [read post]
6 Nov 2018, 2:59 pm
CMS will make payment for items and services furnished in non-excepted off-campus provider-based departments using a PFS Relativity Adjuster of 40%. [read post]
6 Nov 2018, 10:56 am
Stamer’s clients include employers and other workforce management organizations; employer, union, association, government and other insured and self-insured health and other employee benefit plan sponsors, benefit plans, fiduciaries, administrators, and other plan vendors; domestic and international public and private health care, education and other community service and care organizations; managed care organizations; insurers, third-party administrative services… [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]
5 Nov 2018, 2:28 pm
It is reported that the American Hospital Association and the Association of American Medical Colleges on behalf of their member hospitals will file a lawsuit arguing that CMS’s expansion of its site-neutral payment policy to excepted off-campus PBDs is inconsistent with the BBA, Section 603. [read post]
