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MedPAC recommends Medicare payment updates for 2021 – but all rate bets are off in light of COVID-19
24 Mar 2020, 2:51 pm
Note that the Centers for Medicare & Medicaid Services (CMS) announced on March 22, 2020 that it is granting various exceptions and extensions related to Medicare quality reporting requirements as part of its COVID-19 response. [read post]
15 Apr 2018, 12:22 pm
Appeal Medicare’s decision. [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]
30 Jun 2009, 12:25 pm
In March, Rodriguez plead guilty to healthcare fraud involving a medical center he co-owned--Midway Medical Center--stating he and his co-conspirators knowingly billed Medicare for procedures they did not administer and for drugs he did not prescribe. [read post]
8 Apr 2018, 7:19 pm
Because workers’ compensation has primary responsibility [for covering medical care associated with work-related injuries] versus Medicare’s secondary payor status, failing to adequately account for Medicare’s imperatives may keep the Centers for Medicare & Medicaid Services (CMS), a branch of the Department of Health and Human Services (HHS), the federal agency that runs the Medicare… [read post]
9 Aug 2012, 3:37 am
Auburn Regional Medical Center, et al. [read post]
12 Jan 2014, 6:01 pm
The Centers for Medicare & Medicaid Services has updated the program manuals used by Medicare contractors in order to “clarify” that coverage of skilled nursing and skilled therapy services does not depend on a beneficiary’s potential for improvement but rather on the beneficiary’s need for skilled care. [read post]
5 Nov 2018, 3:06 pm
The Centers for Medicare & Medicaid Services’ (CMS) final calendar year 2019 Medicare home health prospective payment system (HH PPS) rule boosts rates by 2.2% next year and ushers in broader case-mix methodology reforms for 2020. [read post]
16 Nov 2017, 5:55 am
CMS has published a final rule updating Medicare Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System rates and policies for calendar year (CY) 2018. [read post]
9 Mar 2021, 6:30 am
Section 111 Penalties There remains uncertain where the Centers for Medicare and Medicaid Services (CMS) will go in terms of proposed rulemaking related to civil money penalties for Non-Group Health Plans (NGHP) who fail to report claims properly. [read post]
30 Nov 2020, 7:02 am
It’s imperative to make sure that making changes or eliminating anything from the proposed MSA is done in a way that meets the approval of treating physicians — especially if seeking the approval from the Centers for Medicare and Medicaid Services. [read post]
8 Jan 2009, 7:21 am
Through their website, Medicare.gov, the Centers for Medicare & Medicaid Services (CMS) and Medicare are now publishing what they describe as Nursing Home Resident Rights. [read post]
16 Nov 2007, 7:14 am
From the Center for Medicare Advocacy, via ABA Senior Lawyers Division newsletter: An August 13, 2007 press release from the Centers for Medicare & Medicaid Services (CMS) declared victory for Medicare Part D, claiming that the average premium of $25... [read post]
7 Nov 2018, 3:09 pm
The Centers for Medicare & Medicaid Services has confirmed that it expects to have a “temporary gap” in the durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) competitive bidding program (CBP) during calendar years 2010-2020. [read post]
18 Dec 2023, 5:00 am
The Centers for Medicare & Medicaid Services (CMS) recently issued the final rule for the physician fee schedule (PFS) for calendar year (CY) 2024, which implements new evaluation and management (E/M) policies and solidifies certain existing telehealth policies. [read post]
18 Mar 2012, 2:12 am
According to the Centers for Medicare and Medicaid Services (“CMS”), between October of 2008 and June of 2010, more than 11,000 Medicare-eligible patients received care and treatment at Crouse Hospital in Syracuse, New York. [read post]
28 Oct 2014, 8:39 am
The agency has already submitted to the White House Office of Management and Budget (OMB) for regulatory clearance the final 2015 rules updating Medicare payments for outpatient hospitals, ambulatory surgical centers, home health agencies, and end-stage renal disease facilities, along with reimbursement policy updates impacting suppliers of durable medical equipment, prosthetics, orthotics, and supplies. [read post]
29 Sep 2016, 5:45 am
On September 28, 2016, the Centers for Medicare & Medicaid Services (CMS) released a highly-anticipated final rule to strengthen requirements that long-term care (LTC) facilities must meet to participate in the Medicare and Medicaid programs. [read post]
8 Jan 2019, 9:36 am
” The government’s arguments center more on administrative law implications than statutory interpretation. [read post]
1 May 2014, 10:52 am
The biggest response has come from the Center for Medicare and Medicaid Services (CMS). [read post]
