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9 Oct 2020, 10:09 am
The Centers for Medicare & Medicaid Services (CMS) released the proposed Outpatient Prospective Payment System (OPPS) 2021 Rule on August 4th 2020. [read post]
2 Feb 2023, 1:45 pm
On February 1, 2023, the Centers for Medicare & Medicaid Services (CMS) published a final rule outlining its audit methodology and related policies for its Medicare Advantage (MA) Risk Adjustment Data Validation (RADV) program. [read post]
12 Dec 2009, 6:20 am
Via Jon Walker, the Center for Medicare and Medicaid Services reports: The tax would be 40 pecent of the excess benefit value above these thresholds. [read post]
3 Jul 2018, 9:00 am
(July 3, 2018): On June 26, 2018, the Centers for Medicare and Medicaid Services (CMS) announced “new and enhanced initiatives designed to improve Medicaid program integrity through greater transparency and accountability, strengthened data, and innovative and robust analytic tools. [read post]
16 May 2011, 9:36 pm
The case challenged two practices of the Center for Medicare & Medicaid Services (CMS) on behalf of a nationwide class of Medicare beneficiaries. [read post]
22 Mar 2019, 10:00 am
MedPAC recommendations are not binding on Congress or the Centers for Medicare & Medicaid Services, but offer a roadmap of options for policymakers. [1] The Hospital Inpatient Quality Reporting Program, Hospital Readmissions Reduction Program, Hospital-Acquired Condition Reduction Program, and Hospital Value-Based Purchasing Program. [read post]
14 Dec 2011, 2:30 pm
Berwick, the now former Administrator of the Centers for Medicare & Medicaid Services ("CMS"), 20 percent to 30 percent of healthcare spending is "waste" with no benefit to patients. [read post]
29 Mar 2013, 2:47 pm
On Tuesday, April 2, 2013, the Centers for Medicare & Medicaid Services (CMS) will be holding an Open Door Forum for stakeholders in the healthcare community to call in and discuss the recent changes to the Medicare Part B payment policy in light of recently issued CMS Ruling. [read post]
26 May 2021, 6:26 am
Recently, the Centers for Medicare & Medicaid Services (CMS) announced another delay of the implementation of the new rule for Medicare Coverage of Innovative Technology (MCIT) and discussed several concerns it had with the new rule, raising doubts that CMS would ever implement the new rule without significant changes. [read post]
28 Dec 2015, 8:10 am
The Centers for Medicare & Medicaid Services (CMS) has stated its intention to move at least 50% of Medicare payments from fee for service to alternative payment systems based on quality and/or value by 2018. [read post]
14 Apr 2011, 10:52 am
Tyree's death, the Centers for Medicare and Medicaid Services stated that the “deficiencies [which led to Mr. [read post]
8 Sep 2011, 10:42 am
In addition, the HHS Centers for Medicare and Medicaid Services, working in conjunction with the HHS-OIG, are taking steps to increase accountability and decrease the presence of fraudulent providers. [read post]
8 Sep 2011, 10:42 am
In addition, the HHS Centers for Medicare and Medicaid Services, working in conjunction with the HHS-OIG, are taking steps to increase accountability and decrease the presence of fraudulent providers. [read post]
3 Jul 2013, 7:11 am
– “A proposed rule released Thursday would cause home health agencies to experience a 1.5 percent reduction in their Medicare payments for 2014, which the Centers for Medicare & Medicaid Services estimates could reduce payments to these facilities by $290 million next year. [read post]
16 May 2023, 10:50 am
This fact sheet, prepared by the Centers for Medicare & Medicaid Services, summarizes this important legislation. [read post]
21 Nov 2016, 2:42 pm
CMS has published its final rule with comment period updating the Medicare Hospital Outpatient Prospective Payment System (OPPS) and the Ambulatory Surgical Center (ASC) Payment System rates and policies for CY 2017. [read post]
7 Jul 2009, 11:00 pm
Regarding services provided as incident to outpatient therapeutic services, the Center for Medicare and Medicaid Services (CMS) added to the confusion by issuing a "clarification" in the CY 2009 Outpatient Prospective Payment System (OPPS) Rule that tightened supervision requirements for on-campus and in-hospital outpatient departments. [read post]
7 Jul 2009, 11:00 pm
Regarding services provided as incident to outpatient therapeutic services, the Center for Medicare and Medicaid Services (CMS) added to the confusion by issuing a "clarification" in the CY 2009 Outpatient Prospective Payment System (OPPS) Rule that tightened supervision requirements for on-campus and in-hospital outpatient departments. [read post]
26 Jul 2011, 6:25 am
When the new system went live in 2009, it was intended for use by the Center for Medicare and Medicaid Services (CMS), contractors, law enforcement and state agencies, with access to the information shared across all states. [read post]
7 Jul 2014, 1:02 pm
On July 2, 2014, the Centers for Medicare & Medicaid Services (CMS) released a proposed rule that would make a series of significant changes to Medicare coverage and payment policies for durable medical equipment (DME), prosthetics, orthotics, and supplies (DMEPOS). [read post]
