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18 Jun 2015, 2:45 pm
Department of Health and Human Services ("HHS") arrested 243 individuals for allegedly participating in Medicare/Medicaid fraud schemes. [read post]
11 Mar 2014, 9:06 am
Additionally, the bill would require CMS to develop a payment methodology for the shorter inpatient stays. [read post]
8 May 2012, 12:21 pm
Such agencies tasked with Nursing Home regulation include, but are not limited to, the Illinois Department of Public Health (IDPH) and the United States Department of Health and Human Services' Centers for Medicare and Medicaid Services (CMS). [read post]
21 Nov 2010, 11:39 am
(Note that CMS removed the requirement that the practice obtain the patient's signature on the notice and maintain a copy in the patient's medical record. [read post]
30 Jun 2015, 12:20 pm
CMS highlighted billing codes submitted by the American Medical Association to acknowledge advance care planning services as of 2015, but did not approve their use for Medicare reimbursement. [read post]
31 Jul 2012, 10:07 am
The changes are adopted to conform rules to CMS guidance. [read post]
26 Jan 2015, 6:30 am
Special consideration should be given to services, treatment modalities and prescription medications covered by Medicare. [read post]
23 Sep 2013, 12:00 pm
Public Notices HHSC intends to submit an amendment to the Texas State Plan for Medical Assistance to adjust fees for the following existing services: Hearing and Audiometric Evaluations; Durable Medical Equipment, Prosthetics, Orthotics, and Supplies; Physicians and Other Practitioners; and Home Health Services. [read post]
18 Sep 2019, 2:08 pm
Big Changes to CMS Form 855 are on the Horizon (September 18, 2019): On September 10, 2019, the Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS), published a Final Rule in the Federal Register entitled “Medicare, Medicaid, and Children’s Health Insurance Programs; Program Integrity Enhancements to the Provider Enrollment Process. [read post]
25 Sep 2014, 6:36 pm
Last month we wrote about the Centers for Medicare and Medicaid Services (CMS) quietly deciding to withhold some information about hospitals that make medical errors, but the feds apparently saw the error in that, and corrected their poor judgment. [read post]
19 Feb 2014, 12:09 pm
A federal grand jury indicted White on charges of making false statements to the Centers for Medicare and Medicaid Services ("CMS") and aggravated identity theft. [read post]
4 Apr 2014, 10:10 am
The two-midnight rule, which took effect October 1, 2013, provides that inpatient hospital admissions are generally appropriate when the physician expects the beneficiary will require medically necessary hospital services for 2 or more midnights. [read post]
18 Sep 2019, 2:08 pm
(September 18, 2019): On September 10, 2019, the Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS), published a Final Rule in the Federal Register entitled “Medicare, Medicaid, and Children’s Health Insurance Programs; Program Integrity Enhancements to the Provider Enrollment Process. [read post]
26 Mar 2014, 10:00 pm
Services, Inc. [read post]
15 Jun 2015, 1:57 pm
In addition to reviewing CMS’ oversight of the program generally, the OIG intends to determine the number and nature of financial interests reported to CMS. [read post]
17 Apr 2018, 6:30 am
However, submission of an MSA to CMS for approval creates a “safe-harbor” to ensure that CMS will not come back in the future and refuse to make payment for services or pursue its right of recovery. [read post]
11 Aug 2014, 9:03 am
That’s contrary to what the Centers for Medicare and Medicaid Services (CMS) is supposed to do, which is making available to the public data on hospital-acquired conditions (HACs). [read post]
13 Apr 2011, 3:36 am
” At CMS, we are “working together with the hospital and consumer community to bring hospital-acquired conditions into the forefront and do all we can to eliminate harm from the very healthcare system intended to heal us,” said Centers for Medicare and Medicaid Services Administrator Donald Berwick in a statement. [read post]
1 Apr 2011, 12:10 am
Here is a mirrored copy: Medicare Program; Medicare Shared Savings Program: Accountable Care Organizations - Proposed rule. // CMS Administrator Don Berwick introduced the regulations as implementing a vision of spreading the benefits of integrated health care systems through coordinated care, common medical records, patient education and investments in prevention -- in patient-centered organizations where there is shared decisionmaking among patients and providers. [read post]
2 Mar 2011, 3:01 am
The Center for Medicare and Medicaid Services (CMS) later determined that additional sums would be required to fund the MSA trust and both parties looked to the other for the additional contribution. [read post]
