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21 Jul 2015, 8:05 am by Debra A. McCurdy
  Under the proposed rule, CMS would provide a bundled payment to hospitals in selected geographic areas for an episode of care for lower extremity joint replacement (LEJR) surgery, covering all services provided during the inpatient admission through 90 days post-discharge. [read post]
30 Dec 2021, 12:02 pm by Susan McNear Fradenburg and Terri Harris
Supreme Court should provide clarity regarding whether the CMS Vaccine Mandate is enforceable against covered health care providers. [read post]
15 Jan 2022, 8:18 pm by Matthew Loughran
The CMS Omnibus COVID-19 Health Care Staff Vaccination Interim Final Rule survived its initial trip to the U.S. [read post]
13 Apr 2016, 11:32 am by Debra A. McCurdy
According to CMS, the CPC+ initiative (which builds on the ongoing Comprehensive Primary Care model) will provide “greater cash flow and flexibility for primary care practices to deliver high quality, whole-person, patient-centered care and lower the use of unnecessary services that drive total costs of care,” which in turn will result in a healthier patient population. [read post]
8 Mar 2017, 1:53 pm by Debra A. McCurdy
In particular, CMS is interested in comments on topics such as: The potential to include the pediatric population in integrated service model concepts like accountable care organizations; Flexibilities and supports states and providers may need to offer such care models; and Approaches for states and providers to coordinate Medicaid and CHIP benefits and waivers with other health-related social services for this population. [read post]
4 Dec 2018, 10:00 pm
The Centers for Medicare & Medicaid Services (CMS) finalized new rules for the Home Health Prospective Payment System (HHPPS) to allow for increased utilization of developing technologies that can provide more efficient and cost-effective care, implementation of new patient-driven compensation models, and allow the expansion of home infusion therapy. [read post]
14 Aug 2023, 10:00 am by Wachler & Associates, P.C.
On July 21, 2023, the Centers for Medicare & Medicaid Services (CMS) announced a new payment model for providers furnishing dementia care, called Guiding an Improved Dementia Experience (GUIDE). [read post]
14 Nov 2019, 10:10 am by Debra A. McCurdy
The Centers for Medicare & Medicaid Services (CMS) has finalized the methodology and data sources it will use to determine 2019 and 2020 federal payment amounts to individual states that establish a Basic Health Program (BHP) under the Affordable Care Act. [read post]
16 Dec 2020, 8:32 am by Wachler & Associates, P.C.
The PFS final rule will make certain non-physician provider flexibilities that were established during the COVID-19 pandemic permanent so they may continue to provide care without additional Medicare restrictions. [read post]
3 Jul 2010, 6:08 am by Cynthia Marcotte Stamer
August 24, 2010 is the deadline for concerned health care providers or others to submit comments on regulations that the Centers for Medicare & Medicaid Services (CMS) recently proposed to implement key provisions in the Affordable Care Act of 2010 concerning Medicare reimbursement preventive services, primary care services, certain rural health care services, imaging and certain other services. [read post]
6 Jun 2014, 10:00 am
., The Health Law Firm Under a rule finalized by the Centers for Medicare and Medicaid Services (CMS) on May 19, 2014, doctors and other health care professionals will be required to enroll in the Medicare program, or have a valid opt-out affidavit on file, for prescriptions to be covered under Part D. [read post]
6 Jun 2014, 10:00 am
., The Health Law Firm Under a rule finalized by the Centers for Medicare and Medicaid Services (CMS) on May 19, 2014, doctors and other health care professionals will be required to enroll in the Medicare program, or have a valid opt-out affidavit on file, for prescriptions to be covered under Part D. [read post]
16 May 2018, 7:58 am by Debra A. McCurdy
” The Strategy has five objectives: Apply a rural lens to CMS programs and policies (e.g., apply a new checklist to relevant policies, procedures, and initiatives that impact rural communities) Improve access to care through provider engagement and support (e.g., maximize scope of practice) Advance telehealth and telemedicine (e.g., address reimbursement, cross-state licensure issues, and administrative/financial burdens) Empower patients in rural communities to make… [read post]
5 Nov 2021, 9:35 am by Matthew Loughran
Should you have any questions related to this CMS rule, or any other health care compliance issues, please do not hesitate to reach out to the health care attorneys at Reed Smith. [read post]
12 Nov 2010, 4:04 am by The Health Law Partners
According to CMS, "this final rule reflects CMS' ongoing efforts to improve quality of care provided by home health agencies to Medicare beneficiaries. [read post]
10 Sep 2010, 4:59 am by The Health Law Partners
CMS recently issued guidance on Section 2302 of the Patient Protection and Affordable Care Act--the 2010 healthcare reform law. [read post]
25 Apr 2018, 6:57 am by Debra A. McCurdy
For instance, under a primary care-focused DPC model, CMS could pay primary care practices a fixed per beneficiary per month (PBPM) payment to cover applicable primary care services (e.g., office visits, certain office-based procedures, and other non-visit-based services covered under the physician fee schedule), and CMS would provide “flexibility in how otherwise billable services are delivered. [read post]
18 Sep 2020, 12:11 pm by Andrew Lu and Kelly Kearney
On September 15, 2020, the Centers for Medicare & Medicaid Services (CMS) issued guidance to state Medicaid directors on how to advance value-based care (VBC) across their health care systems, with an emphasis on Medicaid populations, and how to share pathways for adoption­ of such approaches. [read post]
30 Aug 2011, 12:05 pm
The Centers for Medicare and Medicaid Services (CMS) will require nearly 1.4 million health care providers to re-validate their Medicare provider enrollment, or risk deactivation of their Medicare billing privileges. [read post]