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28 Feb 2017, 7:00 pm
Like President Trump’s pick for Centers for Medicare and Medicaid Services (CMS) administrator, Seema Verma, who implemented a nominal fee requirement for Medicaid beneficiaries in the Healthy Indiana Plan, Gov. [read post]
26 Feb 2017, 2:37 pm
To eliminate benefits in such a fashion the injured worker's attorney argued would inappropriately shift the cost of medical care in most cases to Medicare or Medicaid contrary to the Social Security Act and regulations governing the Centers for Medicare and Medicaid Services [CMS] and contrary to the Medicare Secondary Payer Act [MSP].In the case argued, the employer was responsible to provide benefits under the NJ Workers’ Compensation Act for both the… [read post]
16 Feb 2017, 11:53 am
Here is a summary.In this summary, CMS reports that national medical expenditures reached $3.2 trillion in 2015. [read post]
16 Feb 2017, 11:24 am
ECPs include providers serving predominantly low-income and medically underserved individuals. [read post]
14 Feb 2017, 7:08 am
In a recent development, last year the Center for Medicare and Medicaid Services (CMS) passed a “ban” on arbitration agreements in federally funded nursing homes. [read post]
14 Feb 2017, 7:08 am
In a recent development, last year the Center for Medicare and Medicaid Services (CMS) passed a “ban” on arbitration agreements in federally funded nursing homes. [read post]
14 Feb 2017, 6:30 am
Tower’s other services include pre-MSA Triage, physician peer reviews, MSA administration, medical cost projections, and life care plans. [read post]
CMS Provides Sneak Preview of Future DMEPOS Competitive Bidding Plans Before Retracting Announcement
13 Feb 2017, 5:00 am
One week after unveiling the next round of Medicare durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) competitive bidding, the Centers for Medicare & Medicaid Services (CMS) has announced a “temporary delay” in order “to allow the new administration further opportunity to review the program. [read post]
9 Feb 2017, 9:47 am
In response to PennLive’s troubling findings, the Centers for Medicare and Medicaid Services (CMS) began corresponding with the Pennsylvania Department of Health to assess the Department’s existing procedures for investigating, and rating the severity of, nursing home violations in Pennsylvania. [read post]
7 Feb 2017, 6:30 am
If the latter, the MSA should be submitted to the Centers for Medicare and Medicaid Services (CMS) for approval. [read post]
18 Jan 2017, 10:25 am
” CMS is finalizing new CoPs on patient rights; quality assessment and performance improvement; infection protection and control; and care planning, coordination of services, and quality of care. [read post]
18 Jan 2017, 7:06 am
A WCMSA, as CMS states, is a “financial agreement that allocates a portion of a workers’ compensation settlement to pay for future medical services related to the workers’ compensation injury. [read post]
17 Jan 2017, 1:26 pm
On January 17, 2017, the Centers for Medicare & Medicaid Services (“CMS”) finalized certain changes to the Medicare appeals process, with the intent to provide increased transparency and efficiency to cure the current backlog in pending appeals. [read post]
6 Jan 2017, 7:44 am
” Last October, the Centers for Medicare & Medicaid Services (CMS) announced a plan to rewrite the rule for increased transparency. [read post]
1 Jan 2017, 9:30 pm
CMS will provide $9.5 million to support the implementation of Vermont’s new system, which a CMS Chief Medical Officer hailed as “historic in terms of its scope. [read post]
20 Dec 2016, 6:42 am
CMS expects the DSOs to provide direct decision support to about 700,000 beneficiaries annually, focusing on the same medical conditions as under the SDM Model. [read post]
20 Dec 2016, 6:38 am
As previously reported, CMS finalized regulations to require Medicare PA for certain durable medical equipment (DME), prosthetics, orthotics, and supplies (DMEPOS) items that the agency characterizes as “frequently subject to unnecessary utilization. [read post]
20 Dec 2016, 5:00 am
CMS also adopted provisions related to, among many other things: the risk adjustment data validation process; the premium adjustment percentage; limits on cost-sharing; standardized plan options; enrollment periods and options; oversight; changes to child age rating; revisions to the guaranteed renewability regulations related to market withdrawals; and medical loss ratio reporting and rebates. [read post]
19 Dec 2016, 2:58 pm
Overmedicating Nursing Home Patients I’m Ed Smith, A Sacramento Nursing Home Abuse Attorney. [read post]
17 Dec 2016, 7:00 am
The method and manner of reporting, and communication, with the newly established CMS Commercial Repayment Center (CRC) for workers’ compensation conditional payment is reviewed. [read post]
