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26 Mar 2013, 5:58 am
Public Notices HHSC intends to submit an amendment to the Texas State Plan for Medical Assistance to update the fee schedules in the current state plan by including fees for new services and modifying fees for existing services: Dental Services; Durable Medical Equipment, Prosthetics, Orthotics, and Supplies; Early and Periodic Screening, Diagnosis, and Treatment Services; and Physicians and Certain Other Practitioners. [read post]
8 Nov 2006, 12:13 pm
The defintion of SCT in the regs (42 CFR 414.605) reads as follows:Specialty care transport (SCT) means interfacility transportation of a critically injured or ill beneficiary by a ground ambulance vehicle, including medically necessary supplies and services, at a level of service beyond the scope of the EMT-Paramedic. [read post]
30 Mar 2020, 8:15 am
The Centers for Medicare and Medicaid Services (CMS) has issued a proposed regulation that specifies how and when it will impose financial penalties. [read post]
24 May 2012, 5:30 am
In support of Medicare's recovery rights, CMS submitted a declaration by Sally Stalcup of the Dallas regional office asserting that the mother was a Medicare beneficiary at the time in question and that Medicare made $10,757.44 in related conditional payments for Part A medical services which she asserted were "the responsibility of liability insurance, including self-insurance, as a primary plan under the Medicare Secondary Payer provisions. [read post]
27 Dec 2011, 7:32 am
Medicare paid for plaintiff’s medical expenses related to the accident. [read post]
21 Aug 2019, 6:00 am
Don't know how I missed this [ed: yes I do, it flew completely under the radar] but:"Simple Health claimed to offer comprehensive health insurance or PPOs that would cover many medical needs, but instead sold only medical discount memberships, limited benefit plans, and other products that provide a small reimbursement or discount for a few services. [read post]
11 Feb 2010, 8:47 am
Recently, the Centers for Medicare & Medicaid Services (CMS) approved the following three national accreditation organization to provide the accreditation services for suppliers of the TC of advanced diagnostic imaging procedures: (1) the American College of Radiology; (2) the Intersocietal Accreditation Commission; and (3) the Joint Commission. [read post]
26 May 2011, 2:30 am
On the heels of a report reviewing New Mexico’s payment of medical services for dead people, the OIG-HHS issued a report on May 17 that reviewed the Centers for Medicare and Medicaid Services’ payment for Part D benefits to deceased beneficiaries. [read post]
15 Oct 2019, 10:31 am
” Quality measure thresholds will also be increasing under CMS’ latest efforts. [read post]
18 Nov 2021, 4:00 am
Attorney General Jeff Landry of Louisiana and eleven other states filed a lawsuit against the Biden administration and the Centers for Medicare and Medicaid Services (CMS), questioning their authority to issue a COVID-19 vaccine mandate for healthcare workers. [read post]
30 May 2017, 8:39 am
The alleged insider trading scheme involved tips related to three announcements by the Center for Medicare & Medicaid Services (“CMS”) regarding non-public rate changing decisions affecting the stock of issuers in the healthcare industry. [read post]
3 Feb 2015, 8:48 am
The conference will feature panels on national policy issues, includingOpportunities and challenges for health care systems, providers, insurers, hospice and palliative care organizations, patient groups, and quality standards organizations The integration of financing for medical and social services near the end of life Improvements to public and private payment systems to facilitate high-quality care Confirmed speakers include:Christine Cassel, President and Chief… [read post]
15 Apr 2013, 9:41 am
A frequent provider question is how to prevent MDS records from being submitted to the Centers for Medicare & Medicaid Services (CMS) when Prospective Payment System (PPS) MDS assessments are completed for private insurance and are marked A0410 = 3 due to bed certification. [read post]
1 Feb 2024, 5:00 am
Both the Centers for Medicare & Medicaid Services (CMS) and its plethora of contractors rely on the mail to notify providers and suppliers of document requests, audit findings, disciplinary actions, and many other important items. [read post]
31 Jul 2014, 10:27 am
As part of the Centers for Medicare and Medicaid Services' (CMS) continued efforts to combat Medicare fraud, federal charges were recently brought against 90 individuals across the nation for false billings to Medicare, totaling $260 million dollars. [read post]
7 Jun 2016, 8:28 am
The folks at CMS (Centers for Medicare & Medicaid Services) emailed to let us know that they have an updated list of the 6 Special Enrollment Period triggers. [read post]
28 Aug 2013, 6:20 am
Further, CMS also suspended certain Medicaid drug data collection. [read post]
9 Nov 2010, 9:00 am
On November 10, 2010, the Centers for Medicare & Medicaid Services ("CMS") published its much-anticipated Proposed Rule regarding the Medicaid Recovery Audit Contractor ("RAC") program. [read post]
14 May 2007, 10:51 pm
Straube M.D., Chief Medical Officer for CMS and Director of the Agency's Office of Clinical Standards and Quality. [read post]
27 Aug 2009, 2:10 pm
The Centers for Medicare and Medicaid Services (CMS) recently issued Transmittal 297, which provides that, as of September 8, 2009, only one durable medical equipment (DME) vendor shall be allowed to store and/or sell DME items at a physician’s or a physician group’s office, and sets forth specific requirements that must be met in connection with these arrangements. [read post]
