Search for: "CMS MEDICARE CLAIMS OFFICE"
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18 Sep 2013, 8:36 am
Department of Health and Human Services (HHS) Office of Inspector General (OIG) issued a study addressing problems and vulnerabilities in Recovery Audit Contractor (RAC) activities, as well as their oversight by Centers for Medicare & Medicaid Services (CMS). [read post]
6 Aug 2013, 4:03 pm
Work with the Office of the Inspector General to resolve the remaining 10,915 non-sampled claims and recover overpayments to the extent feasible and allowed under the law; 4. [read post]
5 Sep 2013, 8:41 pm
The 9th Circuit Court of Appeals has vacated a Federal District Court Order enjoying CMS from seeking reimbursement for Medicare Conditional Payments under the Medicare Secondary Payer Act (MSP). [read post]
26 Feb 2013, 5:00 am
The CMS (Medicare) propaganda line is as follows. [read post]
23 Apr 2019, 9:01 am
The MAOs, in turn, submitted the diagnosis codes to CMS from the beneficiaries’ medical encounters, such as office visits and hospital stays. [read post]
22 Jul 2010, 7:14 pm
Or, You Snooze, You Lose 'Cause Medicare Don't Play DatIf you have clients with pending personal injury claims, you likely have already run across the new Medicare reporting rules. [read post]
5 Oct 2009, 6:00 am
Providers' back offices are used to sending bills off to anyone and everyone who might pay, and inadvertant billing of Medicare is common. [read post]
19 May 2015, 8:23 am
Despite the staggering amount of claims, only 60 officers are assigned to handle cases. [read post]
27 Jan 2012, 10:19 am
Under 42 CFR § 424.57(d)(5)(i), a surety is liable to CMS for 1) the amount of any unpaid claim, plus accrued interest, for which the supplier of DMEPOS is responsible, and 2) the amount of any unpaid claim, civil monetary penalty (CMP) or assessment imposed by CMS or the Office of Inspector General (OIG) on the DMEPOS supplier, plus interest. [read post]
25 May 2010, 4:43 pm
Medicare, Prescription Drugs, and the MSA On May 14, 2010 CMS Central Office published some important changes about the way Medicare will view prescription drugs in MSAs. [read post]
19 Dec 2021, 3:08 am
Implementing a threshold facilitates CMS' efficient use of its resources.To fulfill the requirements of Section 202 of the SMART Act, in 2021 CMS reviewed all of the costs related to collecting data and determining the amount of Medicare's recovery claim. [read post]
22 Sep 2013, 9:50 pm
The proposed CMS Rules can be reviewed at: https://www.federalregister.gov/articles/2013/09/20/2013-22934/medicare-program-obtaining-final-medicare-secondary-payer-conditional-payment-amounts-via-web-portal …. [read post]
23 Nov 2011, 12:36 pm
SMP is operated by the Administration on Aging in close partnership with CMS and the HHS Office of Inspector General. [read post]
7 Aug 2012, 6:05 am
In the initial phase of the claim, plaintiff's counsel should report the potential claim to CMS. [read post]
7 Aug 2012, 6:05 am
In the initial phase of the claim, plaintiff's counsel should report the potential claim to CMS. [read post]
1 Jul 2016, 1:55 pm
Earlier this month, the United States General Accounting Office (GAO) issued its monthly anticipated report (the Report) to Congress about the status of the Medicare Appeals backlog. [read post]
5 May 2014, 9:46 am
CMS claims it released this information “to make our healthcare system more transparent, affordable, and accountable. [read post]
9 Dec 2014, 6:36 am
The AMA noted that while it appreciated the recent efforts of the Office of Medicare Hearings and Appeals ("OMHA") to address the issue, the problem does not lie with the OMHA. [read post]
27 Sep 2010, 8:28 am
The obligation to protect Medicare’s interests is the same in a WC or liability claim. [read post]
8 Dec 2011, 7:26 am
CMS argues that the physicians’ lawsuit is without merit, and it has made a preliminary motion to dismiss the claim. [read post]
