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28 Nov 2021, 4:02 pm
One of those decisions was Legacy Emanuel Hospital and Health Center v. [read post]
24 Jun 2009, 7:44 am
I ran across the Nursing Home Complaint Center website which seems to be an advocacy group to prevent neglect, abuse, and Medicaid/Medicare fraud. [read post]
16 May 2020, 8:06 am
It is a large, 196-bed facility–with for-profit ownership—that participates in Medicaid and Medicare. [read post]
24 Sep 2008, 7:31 pm
The Centers for Medicare and Medicaid Services (CMS) announced that the Part B premium will remain at its 2008 level of $96.40 for 2009 for individuals earning $85,000 or less or couples earning $170,000 or less. [read post]
6 Apr 2011, 8:11 pm
In December, the Centers for Medicare and Medicaid Services delayed implementation until April because of complaints from providers, who claimed that the rule was too stringent and most doctors were unaware of the change. [read post]
25 Aug 2015, 6:30 am
The consolidation of the COBC and the MSPRC into the Benefits Coordination & Recovery Center (BCRC) has resulted in a more efficient system. [read post]
13 Jul 2018, 11:41 am
(Health Quest), and its subsidiary hospital Putnam Health Center (Putnam) based on their submission of inflated and otherwise impermissible claims for payment to Medicare and Medicaid, making Health Quest and Putnam our Catch of the Week. [read post]
23 Apr 2019, 9:01 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 health status of each plan beneficiary. [read post]
25 Aug 2015, 11:22 am
Medicare is a national health insurance program administered by the Centers for Medicare and Medicaid Services (CMS), an agency of the federal government. [read post]
26 Jul 2012, 12:18 pm
The regulations also give Medicare and the Centers for Medicare Services a direct right of action to recover the lien amount from any primary payer. [read post]
23 Mar 2020, 8:48 am
For more information regarding the actions of the Centers for Medicare & Medicaid Services (“CMS”) in this regard, please visit: www.cms.gov/newsroom/fact-sheets/medicare-telemedicine-health-care-provider-fact-sheet.On Tuesday, March 17, 2020, CMS issued further guidance, which can be accessed at: www.medicaid.gov/medicaid/benefits/downloads/medicaid-telehealth-services.pdf. [read post]
22 Mar 2020, 9:18 pm
For more information regarding the actions of the Centers for Medicare & Medicaid Services (“CMS”) in this regard, please visit: www.cms.gov/newsroom/fact-sheets/medicare-telemedicine-health-care-provider-fact-sheet.On Tuesday, March 17, 2020, CMS issued further guidance, which can be accessed at: www.medicaid.gov/medicaid/benefits/downloads/medicaid-telehealth-services.pdf. [read post]
4 Dec 2013, 12:41 pm
The Centers for Medicare and Medicaid Services ("CMS") has released the final version of its 2014 Medicare Physician Fee Schedule ("MPFS") that determines physician reimbursement for services furnished to Medicare beneficiaries. [read post]
29 Nov 2013, 4:12 am
On November 27, 2013, the Centers for Medicare & Medicaid Services (CMS) finalized updates to payment policies and payment rates for services furnished under the Medicare Physician Fee Schedule (PFS) on or after January 1, 2014. [read post]
11 Jan 2016, 3:00 am
The Centers for Medicare & Medicaid Services (CMS) has issued a final rule to require Medicare prior authorization (PA) for certain durable medical equipment (DME), prosthetics, orthotics, and supplies (DMEPOS) items that the agency characterizes as “frequently subject to unnecessary utilization. [read post]
16 Aug 2024, 6:03 am
A Fact Sheet from the Centers for Medicare and Medicaid Services (CMS) reported that the Biden-Harris Administration […] [read post]
14 Aug 2015, 9:53 am
Statistics comparing hospital performance as to the readmission reduction program are available on a website maintained by the Centers for Medicare and Medicaid Services (CMS), called “Hospital Compare. [read post]
4 Jul 2011, 5:33 am
I believe we need to protect and expand Medicare. [read post]
6 Oct 2015, 6:30 am
Recovery of conditional payments by Original Medicare is coordinated through the Benefits Coordination & Recovery Center (BCRC). [read post]
18 Feb 2012, 6:34 pm
On February 16, 2012, the Centers for Medicare and Medicaid Services ("CMS") published a rule requiring Medicare providers and suppliers to report and return Medicare overpayments by the later of 60 days after the date on which the overpayment was identified. [read post]
