Search for: "Administrator for the Centers for Medicare and Medicaid Services"
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15 Mar 2016, 2:14 pm
By choosing not to present such pertinent information to the Hearing Officer, the Office of Medicaid violated its duties of administrative consistency and candor to the tribunal. [read post]
29 Feb 2016, 7:47 am
The Centers for Medicare and Medicaid Services defines an LRP as: • a parent of a child under the age of 18 (natural or adopted); or • the spouse (regardless of age) of an individual receiving waiver services. [read post]
25 Feb 2016, 3:45 pm
On February 25, 2016, the Office of Medicare Hearings and Appeals (OMHA) hosted a Medicare Appellant Forum for Part A and B providers and durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) suppliers with important updates on management of the appeals backlog within OMHA, the Centers for Medicare & Medicaid Services (CMS) and Departmental Appeals Board (DAB) launch of the Appellant Public Portal, and the Phase III rollout… [read post]
25 Feb 2016, 8:49 am
Under the SCF pilot, Medicare providers have the opportunity to enter into open settlement discussions with the Centers for Medicare & Medicaid Service (CMS) with the goal of coming to a mutually agreed upon resolution for the pending ALJ claims. [read post]
25 Feb 2016, 3:49 am
Under the SCF pilot, Medicare providers have the opportunity to enter into open settlement discussions with the Centers for Medicare & Medicaid Service (CMS) with the goal of coming to a mutually agreed upon resolution for the pending ALJ claims. [read post]
24 Feb 2016, 6:59 am
On February 22, the Centers for Medicare and Medicaid Services (CMS) announced its intention to further enhance CMS’s ability to screen providers and suppliers enrolling or currently enrolled in Medicare for compliance with Medicare enrollment requirements. [read post]
OIG Advisory Opinion Examines Radiology Arrangement regarding Transcription Fees Paid to Third Party
23 Feb 2016, 8:25 am
Crucial to the OIG's finding, the Centers for Medicare & Medicaid Services' ("CMS") Medicare Claims Processing Manual provides that with regards to the professional component of a radiology service, the interpretation of the diagnostic procedure includes a written report. [read post]
16 Feb 2016, 11:34 am
Juneau On February 12, 2016, the Department of Health and Human Services, Centers for Medicare and Medicaid Services (“CMS”) promulgated the final rule on the requirement that providers and suppliers receiving funds under the Medicare program report and return overpayments by the later of sixty (60) days after the date on which the overpayment was identified or the date any corresponding cost report is due, if applicable. [read post]
3 Feb 2016, 10:03 am
Additionally, the Center for Medicare and Medicaid Services (“CMS”) has designated newly enrolling HHAs as high-risk providers. [read post]
3 Feb 2016, 7:51 am
According to the Centers for Medicare and Medicaid Services Five Star Rating system, Harts Harbor Health Care Center has an overall rating of four stars; however, it has only two out of five stars on “quality measures. [read post]
3 Feb 2016, 7:51 am
According to the Centers for Medicare and Medicaid Services Five Star Rating system, Harts Harbor Health Care Center has an overall rating of four stars; however, it has only two out of five stars on “quality measures. [read post]
26 Jan 2016, 11:02 am
Well, that would be the lovely and talented Marilyn Tavenner, who came to AHIP directly from her previous gig as Administrator of the Centers for Medicare and Medicaid Services, which is part of the bureaucracy tasked with implementing ObamaCare.So, government bureauweenie to lobbyist for the very industry she was previously responsible for policing.Are we beginning to see a pattern here? [read post]
21 Jan 2016, 9:23 am
A federal anti-kickback statute prohibits exchanging anything of value for the referral of Medicare or Medicaid (called Medi-Cal in California) patients. [read post]
11 Jan 2016, 3:00 am
The Centers for Medicare & Medicaid Services (CMS) has issued a final rule to require Medicare prior authorization (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]
21 Dec 2015, 8:00 am
These cases involved claims that the defendants provided inadequate/unnecessary care, paid inappropriate kickbacks to induce the use of their services/goods, or overcharged one or more federal health care program (e.g., Medicare, Medicaid, Tricare, etc.). [read post]
11 Dec 2015, 12:03 pm
Centers for Medicare & Medicaid Services); as well as clarify provisions of annual consumer satisfaction surveys for long-term care facilities (see Ohio Revised Code 173.47). [read post]
9 Dec 2015, 12:12 pm
In fiscal year 2014, the Centers for Medicare & Medicaid Services (CMS), conducted audits of more than one billion claims in an effort to curb approximately $60 billion in improper Medicare payments. [read post]
9 Dec 2015, 12:12 pm
In fiscal year 2014, the Centers for Medicare & Medicaid Services (CMS), conducted audits of more than one billion claims in an effort to curb approximately $60 billion in improper Medicare payments. [read post]
8 Dec 2015, 2:22 pm
Services provided in violation of the Stark Statute are not reimbursable by Medicare or Medicaid. [read post]
1 Dec 2015, 3:11 pm
Prior to January 1, 2011, the Centers for Medicare and Medicaid Services ("CMS") had not expressly prohibited Medicare providers such as Fresenius from billing for overfill. [read post]
