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3 May 2013, 11:45 am
The provisions that CMS proposes to implement include: Allowing CMS to deny the enrollment of any provider, supplier or owner affiliated with an entity that has unpaid Medicare debt in order to prevent entities with such debt to avoid repayment by leaving the Medicare program and re-enrolling as a new business. [read post]
15 Aug 2019, 1:57 pm by Thomas W. Greeson and Debra A. McCurdy
CMS proposes to streamline documentation requirements by allowing the physician, PA, or advanced practice registered nurse who furnishes and bills for his or her professional services to review and verify — rather than fully re-document — information included in the medical record by physicians, residents, nurses, students or other members of the medical team. [read post]
2 Jul 2014, 6:52 am by Debra A. McCurdy
  Comments should be submitted to hcpcs@cms.hhs.gov, and include the following text in the subject line:  “COMMENT RE: DISCONTINUATION OF CODE _____. [read post]
14 May 2008, 10:24 am
 CM/ECF will be on-line no later than 8:00 a.m., May 19. [read post]
1 Oct 2010, 12:14 pm by Medicare Set Aside Services
CMS is considering retaining an independent consulting firm to help re-engineer the overall MSA review processes. [read post]
18 Apr 2017, 7:33 am by M. Ramana Rameswaran
” Per CMS, some ideas could include recommendations regarding payment system re-designs; elimination or streamlining of reporting; monitoring and documentation requirements; and operational flexibility; amongst others. [read post]
11 Jun 2015, 8:10 am by Debra A. McCurdy
CMS has published a final rule that revises survey, certification, and enforcement procedures related to CMS oversight of national accrediting organizations (AOs), effective July 21, 2015. [read post]
4 Sep 2014, 8:24 am by Debra A. McCurdy
On September 5, 2014, CMS is publishing a final rule that specifies additional options for annual eligibility redeterminations and renewal and re-enrollment notice requirements for qualified health plans (QHP) offered through the ACA insurance Exchange/Marketplace, beginning with annual redeterminations for coverage for plan year 2015. [read post]
Finally, CMS proposes to stop the elimination of the Inpatient Only list and “to re-adopt the ASC Covered Procedures List . . . criteria that were in effect in CY 2020” that were used to add a procedure to the ASC. [read post]
24 Oct 2019, 12:14 pm
Agents and brokers have been better at getting people to sign up for coverage through https://t.co/7lOE348VIK than nonprofit navigators have been, says CMS chief Seema Verma.https://t.co/NxNKbqEgtj— ThinkAdv Life/Health (@TA_LifeHealth) October 24, 2019 Original content copyright © InsureBlog [read post]
1 Sep 2023, 1:40 pm by Matthew Loughran
Additionally, CMS is also seeking input on need to add on a minimum total nurse staffing requirement with the rule. [read post]
15 Mar 2013, 12:42 pm
CMS's Interim Ruling and Proposed Rule differ in many important aspects from the Medicare Appeals Council's longstanding position articulated in In re: O'Connor Hosp., that hospitals are entitled to full Part B payment, including observation and underlying services, following a denial of Part A reimbursement and that any Part B payment is subject to the rules governing administrative finality and will not be time-barred. [read post]
5 Jun 2020, 11:54 am by James F. Hennessy and Taylor Grant
CMS is also encouraging states to expand survey activities for facilities that have entered “Phase 3” of the agency’s Nursing Home Re-opening guidance, including those that: (a) have had no new nursing home COVID-19 cases for 28 days, (b) are not experiencing staffing shortages, and (c) have adequate supplies of personal protective equipment (PPE) and access to COVID-19 testing. [read post]
21 Nov 2016, 2:46 pm by Debra A. McCurdy
In the final rule, CMS is “re-issuing” the physician self-referral “per-click” restrictions related to arrangements involving the rental of office space or equipment. [read post]