Search for: "CMS Medical Service"
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30 May 2008, 3:53 pm
A DHS entity is prohibited from seeking or keeping payment for services furnished as a result of a prohibited referral. [read post]
9 Mar 2020, 10:26 am
Under 42 CFR Sec. 424.535(a) (8), CMS can revoke the Medicare billing privileges of a provider or supplier: Submits a claim for services that have not been furnished to a specific individual on the date of service. [read post]
24 Aug 2017, 1:07 pm
The Centers for Medicare & Medicaid Services (CMS) Quality Payment Program (QPP) includes the following pathways: the Merit-Based Incentive Payment System (MIPS) and the Alternative Payment Model (APM) Incentive program. [read post]
11 Nov 2010, 9:53 am
Testimony from medical office personnel as to what services were billed for, the payments received and how the bill was formulated; 12. [read post]
10 Oct 2013, 5:53 am
These medications represent Medicare's largest drug expenditure, and their use has dropped in the past few years due to a variety of reasons. [read post]
23 Jan 2012, 6:07 am
According to CMS, the provision was devised in an effort to prevent conflicts of interest between physicians and the medical device/pharmaceutical industries, and to ensure transparency for patients. [read post]
17 Aug 2012, 8:58 am
Department of Health & Human Services Page. [read post]
22 Jan 2014, 4:45 pm
The American Medical Association, perhaps bowing to the now inevitable, focused on the "reliable and effective use of this information." [read post]
3 Jul 2013, 7:11 am
” – News Medical – “The Commission on Long-Term Care held its first meeting Thursday [June 28] on Capitol Hill with some members acknowledging that their late start adds to their challenges in offering Congress recommendations on how to finance the expensive services for seniors and disabled Americans. [read post]
29 Nov 2016, 8:01 am
The Centers for Medicare and Medicaid Services (“CMS”) recently enacted a new federal regulation [42 C.F.R. [read post]
29 Nov 2016, 8:01 am
The Centers for Medicare and Medicaid Services (“CMS”) recently enacted a new federal regulation [42 C.F.R. [read post]
5 Sep 2012, 5:45 am
Seeking to improve the situation, the Centers for Medicare & Medicaid Services (CMS) recently announced a new initiative to address the use of antipsychotic medication in nursing homes. [read post]
14 Jul 2010, 9:05 am
On July 13, 2010, the Department of Health and Human Services released a pair of final regulations (one from CMS, one from the Office of National Coordinator for HIT ) detailing the “meaningful use” criteria which will determine whether users of electronic health records will qualify for the government subsidies under the HITECH Act during the first two years of the program (2011-2012). [read post]
4 Jun 2014, 6:00 am
Hickey III, JWC (Ret.)The Medicare Secondary Payer Recovery Portal (CMS-6054-IFC) (FR Doc. 2013-22934) and The Right of Appeal for Medicare Secondary Payer Determination Relating to Workers’ Compensation Laws and Plans (CMS-6055-PO) (FR Doc. 2013-78802)7:55pmJon L. [read post]
26 Sep 2013, 10:56 pm
As I explained at these meetings, the MSP and Worker’s Compensation Settlement Act of 2012 is necessary for three reasons: (1) to bring some reasonable and understandable system to CMS’ current uncertain and regulation-less system of establishing Medicare Set-aside Plans for workers’ compensation settlements; (2) to allow for an appeal of CMS’s MSA determination; and (3) to bring some reasonable time limits to CMS’ process of setting the MSA… [read post]
23 Jun 2014, 11:32 am
” The OIG recommends a series of steps to address identified vulnerabilities, including CMS analyses, enforcement, and recoupment of identified overpayments. [read post]
27 Apr 2014, 2:00 am
The ACR, the Lung Cancer Alliance, the Society of Thoracic Surgeons and 38 other medical organizations want CMS to provide full national coverage for high-risk patients as defined in the USPSTF and provide coverage with evidence for other high-risk patients not included in USPSTF recommendations using data collected through existing registries. [read post]
13 Mar 2020, 6:16 pm
According to the Long Term Care Community Coalition, The Knolls is considered a “Special Focus Facility Candidate,” meaning that it has been identified by the Centers for Medicare & Medicaid Services as having a record of poor care that may merit inclusion in CMS’s limited list of facilities that receive enhanced oversight. [read post]
7 Sep 2022, 5:38 pm
Wasserstein —Three patient advocate groups have sued the Department of Health and Human Services (HHS) and the Centers for Medicare and Medicaid Services (CMS), challenging HHS’s 2020 Notice of Benefits and Payment Parameters (NBPP) rule. [read post]
5 Jun 2017, 6:25 am
The Centers for Medicare & Medicaid Services (CMS) is readying a fraud prevention initiative that removes Social Security Numbers (SSN) from Medicare cards to help combat identity theft and safeguard taxpayer dollars. [read post]
