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20 Mar 2012, 4:19 pm
According to McKnight's Long-Term Care News, CMS will promote alternatives to medication to control behaviors among dementia patients that are violent or otherwise difficult for caregivers to handle. [read post]
14 Apr 2014, 7:54 am
The OIG notes that this is especially important given CMS's plans to implement the face-to-face requirement for durable medical equipment. [read post]
29 Nov 2013, 4:12 am
In addition, for CY 2014, we are finalizing 18 codes that we identified and proposed as potentially misvalued services in consultation with Contractor Medical Directors. [read post]
22 Apr 2018, 9:48 pm
CMS rescinds current requirements that prescribers of Part D drugs and providers of MA items/services must enroll in Medicare in order for the Part D drug or MA item/service to be covered. [read post]
27 Jan 2012, 2:27 pm
On December 19, 2011, the Centers for Medicare & Medicaid Services (“CMS”) published a proposed rule (the “Proposed Rule”) related to section 6002 of the Affordable Care Act, commonly referred to as the “Physician Payment Sunshine Act. [read post]
21 Jun 2011, 9:28 am
MedPAC released its highly anticipated proposal calling for a reduction in the use of imaging services, including MRIs, CT scans and nuclear medicine, and, in particular, recommended pre-authorization for medical imaging services as a means to accomplish this objective. [read post]
25 Aug 2011, 10:01 am
According to the Centers for Medicare and Medicaid Services ("CMS"), "a handwritten signature is a mark or sign by an individual on a document signifying knowledge, approval, acceptance or obligation. [read post]
25 Aug 2014, 3:43 pm
The Centers for Medicare and Medicaid Services (CMS) has been investigating physician claims that payments were being attributed erroneously. [read post]
13 Apr 2011, 3:23 am
" At CMS, we are "working together with the hospital and consumer community to bring hospital-acquired conditions into the forefront and do all we can to eliminate harm from the very healthcare system intended to heal us," said Centers for Medicare and Medicaid Services Administrator Donald Berwick in a statement. [read post]
7 Feb 2011, 12:29 pm
Therefore, to ensure compliance with federal law, the parties considered Medicare’s interests as required by 42 C.F.R. 411.46 The Parties agree that they have investigated the Centers for Medicare and Medicaid Services’ (“CMS”) recovery rights pursuant to 42 U.S.C. [read post]
7 May 2024, 9:28 am
In this blog post, we address the standards finalized by CMS for timely access to care, in lieu of services and settings (ILOSs), medical loss ratio (MLR), and a new quality ratings system for Medicaid and CHIP managed care plans. [read post]
10 Sep 2009, 3:25 pm
No medical records for the last two years of treatment 2. [read post]
23 Nov 2015, 5:14 pm
Medicare national and local coverage policies are translated for the new medical coding standard, International Classification of Diseases, version 10 (ICD-10), and to receive payment, providers must bill using ICD-10 codes for services rendered on or after October 1, 2015. [read post]
20 Feb 2024, 5:00 am
Among the plethora of different contractors used by the Centers for Medicare & Medicaid Services (CMS) to administer the Medicare program is the Supplemental Medical Review Contractor, or SMRC. [read post]
13 Sep 2012, 2:26 pm
The Centers for Medicare and Medicaid Services (CMS) recently released Comparative Billing Reports (CBRs) to Skilled Nursing Facility (SNF) providers. [read post]
28 Apr 2015, 2:19 pm
On Friday March 20, 2015, the Centers for Medicare & Medicaid Services ("CMS") announced the release of the new Stage 3 meaningful use proposed rules. [read post]
27 Sep 2024, 5:40 am
CMS's stance on denying payment for medical services if an MSA is not CMS-approved could be challenged as overreaching.Conditional Payments: CMS's procedures for identifying and recovering conditional payments may face increased scrutiny. [read post]
15 Jan 2018, 9:00 am
A designated health service is generally a health facility that provides clinical tests, therapy, medical equipment, hospital services, or home-health services. [read post]
16 Mar 2009, 5:02 pm
On March 6, 2009, the Centers for Medicare and Medicaid Services (CMS) released a CMS Manuals System transmittal implementing a final rule from the hospital inpatient prospective payment system (IPPS) for fiscal year 2008 requiring disclosure of physician ownership or investment in physician-owned hospitals. [read post]
24 Aug 2010, 1:11 pm
While the Centers for Medicare and Medicaid Services (CMS) have prohibited hospitals from recovering payment for the treatment of secondary conditions acquired in the hospital, practically, these charges are often submitted and paid by Medicare long before and attorney becomes involved and makes a claim for medical malpractice. [read post]
