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24 May 2013, 2:27 pm
On May 9th, the Centers for Medicare and Medicaid Services (CMS) announced the start of a procurement process for new Medicare Fee for Service Recovery Audit Program contracts. [read post]
15 Jan 2013, 6:33 am
CMS released Transmittal No. 2634 to update the Medicare Claims Processing Manual in connection with the changes to payment for medical and surgical services furnished by CRNAs. [read post]
16 Sep 2013, 1:32 pm
The diagnosis and plan of care in the inpatient admission assessment will satisfy the requirement to certify the reason that hospital inpatient services are medically required. 3. [read post]
21 Feb 2022, 6:25 am
The Centers for Medicare & Medicaid Services (CMS) contracts with a Supplemental Medical Review Contractor (SMRC), which performs a variety of Medicare and Medicaid audit and medical review tasks. [read post]
3 Apr 2015, 2:42 pm
On March 18, 2015, Wachler & Associates attorneys, Andrew Wachler and Jessica Forster, highlighted contradictory guidance released by the Centers for Medicare and Medicaid Services ("CMS") relating to home health agencies ("HHAs") face-to-face encounter documentation. [read post]
29 Apr 2013, 11:09 am
In this rule, CMS proposes a time-based presumption of medical necessity for hospital inpatient services based on the beneficiary's length of stay. [read post]
3 Apr 2013, 11:47 am
"If CMS approves the WCMSA and the account is later appropriately exhausted, Medicare will pay related medical bills for services otherwise covered and reimbursable by Medicare regardless of the amount of care the beneficiary continues to require." [read post]
12 Dec 2019, 11:44 am
The Centers for Medicare & Medicaid Services (CMS) has released the 2020 Medicare fee schedule for durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS). [read post]
8 Sep 2023, 8:24 am
During this period, CMS will conduct a medical review before making payments on claims submitted by newly enrolled hospices. [read post]
26 Jun 2018, 7:28 am
CMS has Confirmed the Coverage of Personal Care Services by Medicare Advantage Plans Starting 2019. [read post]
26 Sep 2019, 9:44 am
CMS also established a new Patients’ Rights CoP ensuring a patient’s right to access his or her own medical information from a hospital. [read post]
28 Jun 2010, 11:17 am
CMS has released the proposed physician fee schedule and other Medicare Part B payment policies to ensure their payment systems reflect the changes in medical practice and relative value services. [read post]
6 May 2013, 9:28 am
In the FAQ, CMS explains that the manual medical review process is triggered when a beneficiary's services for that year exceed one of two threshold caps dictated in Section 603 of the Act. [read post]
26 May 2021, 6:26 am
Recently, the Centers for Medicare & Medicaid Services (CMS) announced another delay of the implementation of the new rule for Medicare Coverage of Innovative Technology (MCIT) and discussed several concerns it had with the new rule, raising doubts that CMS would ever implement the new rule without significant changes. [read post]
10 Feb 2022, 9:00 am
., Board Certified by The Florida Bar in Health Law Recently it has come to our attention that there may be a nationwide effort by the Centers for Medicare and Medicaid Services (CMS) Medicare Administrative Contractors (MACs) to squelch physicians who prescribe opioids and other narcotic medications. [read post]
18 Aug 2008, 11:00 pm
The final rule, effective October 1, 2008 (the "2009 IPPS Final Rule"), follows additional revisions and guidance adopted by CMS in the past several years and is intended to ease the burden on emergency medical services. [read post]
18 Aug 2008, 11:00 pm
The final rule, effective October 1, 2008 (the "2009 IPPS Final Rule"), follows additional revisions and guidance adopted by CMS in the past several years and is intended to ease the burden on emergency medical services. [read post]
17 Jul 2018, 6:30 am
For many of you reading this the Center for Medicare/Medicaid Services (“CMS”) may sometimes feel like the bane of your existence. [read post]
14 Feb 2012, 11:13 am
On February 7, 2012, The Centers for Medicare and Medicaid Services (CMS) released a Request for Comments regarding two demonstration programs it intends to conduct. [read post]
30 Jan 2012, 9:31 am
The Centers for Medicare and Medicaid Services (CMS) publishes quarterly reports identifying improper payment figures and the top audit issues by region. [read post]
