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12 Mar 2008, 3:18 pm
According to a recent alert on the Centers for Medicare and Medicaid Services (CMS) website, physicians and other providers are required to begin using a new ABN form when services are expected to not be covered by medicare. [read post]
8 Jun 2022, 11:08 am
The 2021 embarrassment for federal officials, instead, may turn into inflation anticipation, the federal Centers for Medicare and Medicaid Services (CMS) has said. [read post]
27 Oct 2010, 10:30 am
The Center for Public Integrity recently released an article that suggests Medicare's process for deciding physician payments may also need a second look. [read post]
28 Jun 2024, 12:00 am
Luke’s Medical Center (BSLMC), Baylor College of Medicine (BCM) and Surgical Associates of Texas P.A. [read post]
7 Nov 2014, 6:38 am
Last week, the Centers for Medicare and Medicaid Services (CMS) issued the final Physician Fee Schedule for Fiscal Year 2015. [read post]
20 Sep 2024, 1:46 pm
The workers’ compensation carrier hires a company to prepare and submit the Set-Aside to the Centers for Medicare and Medicaid Services (CMS). [read post]
8 Jul 2022, 11:10 am
Weirton Medical Center allegedly “knowingly submitt[ed] or caus[ed] the submission of claims to Medicare in violation” of the Stark Law. [read post]
1 Mar 2023, 9:29 am
On January 30, 2023, the Centers for Medicare & Medicaid Services (“CMS”) released the long-delayed final rule on risk adjustment data validation (“RADV”) audits of Medicare Advantage (“MA”) organizations (the “Final Rule”). [read post]
30 Oct 2015, 1:02 pm
The Centers for Medicare & Medicaid Services (CMS) and the Office of Inspector General (OIG) have finalized a rule designed to “remove legal and regulatory barriers that can impede care coordination in furtherance of the Shared Savings Program” and “reduce burden on ACOs, ACO participants, and ACO providers/suppliers. [read post]
15 May 2009, 12:17 am
The fiscal remedy maybe their marriage.The Medicare Hospital Fund will be insolvent by 2017. [read post]
19 Jan 2010, 8:38 am
In case you missed it, the Centers for Medicare and Medicaid Services (CMS) eliminated use of the evaluation and management Consultation Codes. [read post]
4 May 2015, 8:00 am
A 2012 report by the Government Accountability Office found the defendants in about 25% of Medicare fraud criminal prosecutions were medical facilities (clinics, practices, and other medical centers) and their affiliates, 16% were suppliers of durable medical equipment, and 3% were beneficiaries. [read post]
16 Feb 2020, 3:53 pm
According to Centers for Medicare and Medicaid Services records accessed on February 26, 2020, that figure numbers more than the statewide average of 12.8 citations, and more than U.S. average of 8.0. [read post]
4 Jul 2015, 8:41 pm
homeNewMember=&gid=1922050/ SUBSCRIBE: Workers Comp Resource Center Newsletter WORKERS’ COMP TRAINING: https://workerscompclub.com Do not use this information without independent verification. [read post]
16 Nov 2010, 1:51 pm
We'd rather write about preemption or Daubert or TwIqbal.Last week, the Centers for Medicare & Medicaid Services, which goes by the confusing acronym CMS instead of the more logical CMMS, announced that the reporting deadline for some but not all entities and some but not all settlements has been postponed for one full year. [read post]
27 Jun 2012, 2:36 pm
Rules under consideration include the proposed Medicare outpatient hospital, ambulatory surgical center (ASC), end-stage renal disease, and home health prospective payment system rules for calendar year (CY) 2013, along with notices updating payment policies for inpatient rehabilitation facilities and hospices for fiscal year 2013. [read post]
24 Jul 2009, 6:00 am
Get ready: the Centers for Medicare and Medicaid Services (CMS or Medicare) Recovery Audit Contractor (RAC) program has been made permanent and is expanding nationwide. [read post]
8 Sep 2021, 6:10 am
The Centers for Medicare and Medicaid Services (CMS), which oversees the Medicare program, adjusts the payments to MA Plans based on demographic information and the specific medical diagnoses of each plan beneficiary. [read post]
4 Mar 2014, 9:51 am
The Centers for Medicare & Medicaid Services (CMS) has revised its guidance in its Non-Group Health Plan (NGHP) User Guide to clarify the reporting threshold for certain liability (including Self-Insurance) Settlements, Judgment Awards, or other Payments under the provisions of the Medicare Secondary Payer Mandatory Reporting Provisions in Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007, 42 U.S.C. 1395y(b)(7)&(b)(8) (the… [read post]
11 Jul 2007, 10:49 am
Unsurprisingly, the American Hospital Association has taken a stance opposite that of the Center for Medicare and Medicaid Services regarding a payment issue. [read post]
