Search for: "Centers for Medicare and Medicaid Services (CMS)"
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25 Feb 2016, 4:27 pm
The Centers for Medicare and Medicaid Services (CMS) has issued a proposed rule implementing additional provisions of the Affordable Care Act designed to ensure that questionable providers and suppliers are kept out of or removed from the Medicare program. [read post]
21 Feb 2012, 8:08 am
In response to concerns raised by the American Physical Therapy Association (APTA) and other associations, the Centers for Medicare and Medicaid Services (CMS) has revised interpretative guidelines (Transmittal 72) to eliminate the requirement that rehabilitation services furnished in outpatient hospital settings be ordered by a practitioner with medical staff privileges. [read post]
14 May 2014, 9:00 am
On May 7, 2014, the Centers for Medicare and Medicaid Services (“CMS”) issued a Final Rule to reform Medicare regulations identified as “unnecessary, obsolete, counterproductive or excessively burdensome” to hospitals and other health care providers. [read post]
5 Aug 2021, 5:24 am
The Centers for Medicare and Medicaid Services’ (CMS) FY 2022 Budget Justification request to Congress indicates a greater focus on audit activities, including a doubling of CMS’ medical review budget, and an effort to decrease the number of claim denials overturned through the Medicare appeals process. [read post]
18 Jan 2017, 7:06 am
In its recently released Request for Proposal for the Workers Compensation Review Contractor (WCRC), the Centers for Medicare and Medicaid Services (CMS) includes an option allowing CMS to expand the responsibilities of the WCRC to review of Liability Medicare Set-Asides (LMSAs) and No-Fault Medicare Set-Asides (NFMSAs) effective July 1, 2018. [read post]
17 Nov 2015, 9:00 am
In a prepayment review, health care providers are required to submit documentation to a contractor for the Centers for Medicare & Medicaid Services (CMS) before ever even receiving payment. [read post]
17 Nov 2015, 9:00 am
In a prepayment review, health care providers are required to submit documentation to a contractor for the Centers for Medicare & Medicaid Services (CMS) before ever even receiving payment. [read post]
17 Nov 2015, 9:00 am
In a prepayment review, health care providers are required to submit documentation to a contractor for the Centers for Medicare & Medicaid Services (CMS) before ever even receiving payment. [read post]
7 Aug 2008, 5:54 pm
New Stark Law regulations posted on July 31, 2008 by the Centers for Medicare and Medicaid Services (CMS) revise and expand the prohibition on physician referrals for designated health services (DHS) to entities with which they have financial relationships. [read post]
24 Dec 2017, 3:57 am
Attorneys for SFF Riverside Heights Health Care Center Injured Victims Some nursing homes in California are categorized as Special Focus Facilities by the Centers for Medicare and Medicaid Services (CMS) because they failed to provide minimal standards of care to their residents. [read post]
14 Oct 2016, 12:49 pm
Centers for Medicare & Medicaid Services (CMS) recently rejected the State of Ohio’s proposal for a new Section 1115 Demonstration Waiver program. [read post]
24 Oct 2008, 7:04 pm
In an annual report released October 17, 2008, the Centers for Medicare and Medicaid Services (CMS) predicted that during the next 10 years, spending on Medicaid for low-income seniors will outpace the rate of growth in the U.S. economy. [read post]
1 May 2013, 8:44 pm
The Centers For Medicare & Medicaid Services (CMS) is proposing changes to its Prospective Payment Systems and other reimbursement key reimbursement rules for Hospitals [...] [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]
10 Aug 2012, 8:42 am
The Centers for Medicare and Medicaid Services (CMS) recently announced it will release a national provider Comparative Billing Report (CBR) targeting Skilled Nursing Facility (SNF) Billing Practices. [read post]
29 Jun 2015, 4:39 pm
On June 26, 2015, the Centers for Medicare & Medicaid Services (CMS) released its proposed rule to update the Medicare end-stage renal disease (ESRD) prospective payment system (PPS) for calendar year (CY) 2016. [read post]
22 Apr 2016, 11:30 am
Centers for Medicare & Medicaid Services (CMS) recently sent a letter to State Medicaid Directors “on protecting the right of Medicaid beneficiaries to receive covered services from any qualified provider willing to furnish such services when the state exercises its authority to take action against providers that affects beneficiary access to those providers…. [read post]
9 Jan 2018, 12:31 pm
Injured Purcell Care Center Residents Now Filing Financial Compensation Claims Nursing home regulators working for the State of Oklahoma and the Centers for Medicare and Medicaid Services (CMS) conduct routine inspections, surveys, and investigations on every facility statewide. [read post]
18 Oct 2018, 2:42 pm
The Centers for Medicare & Medicaid Services (CMS) has announced that 1,299 entities have signed agreements to participate in the Administration’s new Bundled Payments for Care Improvement (BPCI) Advanced episode payment model, which runs from October 1, 2018 through December 31, 2023. [read post]
7 Aug 2012, 6:05 am
Nonetheless, because the penalties for non-reporting are severe, it may prove prudent to report the claim in all cases and allow The Center for Medicare and Medicaid Services ("CMS") to make the determination of whether the claimant is a Medicare beneficiary. [read post]
