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20 May 2018, 2:26 pm
As the Centers for Medicare and Medicaid Services (CMS) has expressly noted in Chapter 2, Section 2.3 of the Medicare Program Integrity Manual (MPIM): “Claims data is the primary source of information to target abuse activities. [read post]
15 May 2018, 9:00 am
Among other things, the Roadmap explains the federal anti-kickback statute (AKS) as follows: The AKS is a criminal law that prohibits the knowing and willful payment of “remuneration” to induce or reward patient referrals or the generation of business involving any item or service payable by the Federal health care programs (e.g., drugs, supplies, or health care services for Medicare or Medicaid patients). [read post]
14 May 2018, 3:59 pm
The Centers for Medicare & Medicaid Services (CMS) has issued its annual proposed update to Medicare skilled nursing facility (SNF) PPS rates and policies for fiscal year (FY) 2019. [read post]
11 May 2018, 3:21 pm
Department of Health and Human Services Centers for Medicare and Medicaid Services (CMS). [read post]
11 May 2018, 3:21 pm
Department of Health and Human Services Centers for Medicare and Medicaid Services (CMS). [read post]
11 May 2018, 3:21 pm
Department of Health and Human Services Centers for Medicare and Medicaid Services (CMS). [read post]
11 May 2018, 3:21 pm
Department of Health and Human Services Centers for Medicare and Medicaid Services (CMS). [read post]
11 May 2018, 3:21 pm
Department of Health and Human Services Centers for Medicare and Medicaid Services (CMS). [read post]
11 May 2018, 3:21 pm
Department of Health and Human Services Centers for Medicare and Medicaid Services (CMS). [read post]
10 May 2018, 9:54 am
The Centers for Medicare & Medicaid Services (CMS) has published its proposed rule updating the Medicare acute inpatient prospective payment system (IPPS) and long-term care hospital (LTCH) prospective payment system (PPS) for fiscal year (FY) 2019. [read post]
8 May 2018, 7:30 am
Transplant teams - doctors, nurses, psychologists and social workers - at over 800 U.S. transplant centers have almost full autonomy to make life-or-death decisions about who will get donor organs and who will be denied. [read post]
25 Apr 2018, 6:57 am
CMS notes that it could consider multiple models, including Medicare Advantage and Medicaid models. [read post]
24 Apr 2018, 6:37 pm
Centers for Medicare & Medicaid Services, Federal Register vol. 82 no. 109. (2017, June 8). [read post]
23 Apr 2018, 7:09 am
Centers for Medicare & Medicaid Services (CMS) is a division of the Department of Health and Human Services (HHS). [read post]
21 Apr 2018, 1:00 am
The way this happened by the way, is that Congress required the Centers for Medicare and Medicaid services to remove social security numbers by April of 2019. [read post]
17 Apr 2018, 5:00 pm
So if they don’t do anything about the abuse you can report this inaction – and they may lose Medicare and Medicaid funding as punishment. [read post]
16 Apr 2018, 1:28 pm
On April 9, 2018, the Centers for Medicare and Medicaid Services (CMS) published the Notice of Benefit and Payment Parameters for 2019 final rule (Payment Notice) and related guidance affecting the health insurance markets, including: key dates for calendar year 2018; the final 2019 Letter to Issuers in the Federally-facilitated Exchanges; guidance extending the transitional plans; and guidance creating additional hardship exemptions. [read post]
16 Apr 2018, 11:52 am
The agency’s report, entitled “Medicare Needs Better Controls To Prevent Fraud, Waste, And Abuse Related To Chiropractic Services,”[i] reemphasizes the OIG’s prior findings that the Centers for Medicare and Medicaid Services (CMS) still lacks appropriate safeguards to prevent the submission and payment of improper, sometimes fraudulent claims for chiropractic services to the Medicare program. [read post]
12 Apr 2018, 8:48 am
(April 12, 2018): The Centers for Medicare & Medicaid Services (CMS) utilizes a variety of private contractors to process Medicare claims and conduct both administrative and program integrity audits of claims submitted by healthcare providers and suppliers. [read post]
12 Apr 2018, 3:00 am
The Centers for Medicare and Medicaid Services (CMS) issued guidance, which imposes a new timeline and requirements on these contractors effective March 1, 2018. [read post]
