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16 Jan 2023, 10:00 pm
In a proposed rule issued on December 27, 2022 to make technical changes to the Medicare Advantage Program, the Centers for Medicare and Medicaid Services (CMS) buried in the regulatory arcana a material legal change to the 60-day overpayment rule that impacts entities participating in Medicare Parts A and B, not just the Medicare Advantage Program (i.e., Medicare Part C). [read post]
16 Jan 2023, 10:00 pm
In a proposed rule issued on December 27, 2022 to make technical changes to the Medicare Advantage Program, the Centers for Medicare and Medicaid Services (CMS) buried in the regulatory arcana a material legal change to the 60-day overpayment rule that impacts entities participating in Medicare Parts A and B, not just the Medicare Advantage Program (i.e., Medicare Part C). [read post]
16 Jan 2023, 10:00 pm
In a proposed rule issued on December 27, 2022 to make technical changes to the Medicare Advantage Program, the Centers for Medicare and Medicaid Services (CMS) buried in the regulatory arcana a material legal change to the 60-day overpayment rule that impacts entities participating in Medicare Parts A and B, not just the Medicare Advantage Program (i.e., Medicare Part C). [read post]
16 Jan 2023, 10:00 pm
In a proposed rule issued on December 27, 2022 to make technical changes to the Medicare Advantage Program, the Centers for Medicare and Medicaid Services (CMS) buried in the regulatory arcana a material legal change to the 60-day overpayment rule that impacts entities participating in Medicare Parts A and B, not just the Medicare Advantage Program (i.e., Medicare Part C). [read post]
26 Jul 2016, 7:52 pm
Medicaid fraud includes, but is not limited to: Billing for medical services that were never performed, known as phantom billing Billing for a more expensive service than was actually performed, known as upcoding Billing for multiple services that should be combined into one billing, known as unbundling Billing several time for the same medical service Dispensing generic drugs and billing for brand-name drugs Giving or accepting something in return for… [read post]
26 Jul 2016, 7:52 pm
Medicaid fraud includes, but is not limited to: Billing for medical services that were never performed, known as phantom billing Billing for a more expensive service than was actually performed, known as upcoding Billing for multiple services that should be combined into one billing, known as unbundling Billing several time for the same medical service Dispensing generic drugs and billing for brand-name drugs Giving or accepting something in return for… [read post]
26 Jul 2016, 7:52 pm
Medicaid fraud includes, but is not limited to: Billing for medical services that were never performed, known as phantom billing Billing for a more expensive service than was actually performed, known as upcoding Billing for multiple services that should be combined into one billing, known as unbundling Billing several time for the same medical service Dispensing generic drugs and billing for brand-name drugs Giving or accepting something in return for… [read post]
22 Nov 2011, 12:00 am
The Centers for Medicare and Medicaid Services (CMS) and the Health Resources and Services Administration (HRSA) have announced a demonstration project intended to evaluate the adoption of Advanced Primary Care (APC) practices by community health centers. [read post]
19 Jun 2019, 8:34 am
On June 17, 2019, the Centers for Medicare & Medicaid Services (CMS) announced a settlement option for certain IRF appeals pending at any of the four fee-for-service Medicare administrative appeals levels: the Medicare Administrative Contractor (MAC), qualified independent contractor (QIC), the Office of Medicare Hearings and Appeals (OMHA) Administrative Law Judge (ALJ), and/or the Medicare Appeals Council… [read post]
8 Aug 2017, 6:30 am
While the Commercial Repayment Center (CRC) has faced some valid criticism over the course of the past year and half in relation to its recovery efforts on behalf of the Centers for Medicare and Medicaid Services’ (CMS), not all problems start with the CRC. [read post]
30 Jun 2009, 3:04 pm
The Centers for Medicare & Medicaid Services recently released a new set of requirements that focus on improving the quality of life for nursing home residents. [read post]
13 Mar 2019, 2:41 pm
The Centers for Medicare & Medicaid Services (CMS) has requested public comments on ways to remove barriers to the sale of health insurance coverage across state lines in order to expand consumer choice. [read post]
6 Oct 2014, 4:19 pm
The base premiums reflected information from data submitted by insurers to the Center for Consumer Information and Insurance Oversight (CCIIO) within the Department of Health and Human Services’ (HHS) Centers for Medicare & Medicaid Services (CMS). [read post]
21 Jun 2012, 4:06 pm
These organizations also strongly oppose CMS (Centers for Medicare & Medicaid Services) plans to cut rates by 1% in 2015 and 2% in 2016 for not meeting ‘meaningful use standards’ by October 2014. [read post]
12 Feb 2017, 9:00 am
On January 9, 2017, the Centers for Medicare & Medicaid Services (“CMS”) issued final rules that establish minimum standards for home health agencies (the “Rules”). [read post]
30 Apr 2017, 6:00 pm
In February, the Jimmo court approved a corrective statement which the Center for Medicare and Medicaid Services (CMS) must now use to disavow the “Improvement Standard”. [read post]
11 Jan 2013, 7:11 am
Yesterday, the Centers for Medicare and Medicaid Services (CMS) announced that 106 new organizations have been selected to participate in CMS’s shared savings program, also known as the ACO program. [read post]
11 Jan 2013, 7:11 am
Yesterday, the Centers for Medicare and Medicaid Services (CMS) announced that 106 new organizations have been selected to participate in CMS’s shared savings program, also known as the ACO program. [read post]
20 Nov 2020, 10:38 am
On November 16, 2020, the Centers for Medicare & Medicaid Services (CMS) released its 2020 Estimated Improper Payment Rates. [read post]
20 Nov 2019, 12:26 pm
On November 12, 2019, the Centers for Medicare & Medicaid Services (CMS) published a proposed rule for public inspection entitled Medicaid Fiscal Accountability Regulation. [read post]
