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7 Feb 2011, 9:17 am
District Court in Bangor, ruled that a jury could reasonably find that Correctional Medical Services, Inc. fired a whistleblower named Thomas Halkett because he blew the whistle on Correctional Medical Services' (CMS) allegedly unlawful activity. [read post]
17 Feb 2020, 10:46 am
The Centers for Medicare & Medicaid Services (CMS) has proposed updates to its standards for health plan issuers offering plans through federally-facilitated and state-based Exchanges for 2021. [read post]
5 Dec 2014, 7:42 am
Under this model, CMS will require that all relevant clinical or medical documentation requirements are met before services are rendered to beneficiaries and before claims are submitted for payment; no new clinical documentation requirements will be created. [read post]
21 Feb 2013, 3:58 am
Posted on CMS Workers Compensation Agency Services Read more about WCMSA and workers' compensation Workers' Compensation: Annual Reporting of WCMSA Account ... [read post]
8 Jun 2011, 8:08 am
In February, the Centers for Medicare and Medicaid Services ("CMS") settled the first Stark matter since the publication of the CMS Voluntary Self-Referral Disclosure Protocol ("SRDP"). [read post]
5 Jul 2018, 2:41 am
Citing an interest in improving its processes and eliminating unnecessary requirements, CMS is hosting July 13, 2018 “Provider Compliance Focus Group” meeting regarding Medicare fee-for-service compliance topics, including medical review, targeted probe and educate, and Recovery Audit Contractors. [read post]
31 Oct 2013, 10:30 am
Lastly, on September 10, 2013, CMS reached a settlement with an acute care hospital located in North Carolina which disclosed Stark law violations due to the following three arrangements: (1) its arrangement with a physician to provide medical director services; (2) its arrangement with a physician group to provide medical coding and consulting services; and (3) its arrangement with a physician and a physician group practice for the lease of office space,… [read post]
14 Aug 2023, 10:00 am
On July 21, 2023, the Centers for Medicare & Medicaid Services (CMS) announced a new payment model for providers furnishing dementia care, called Guiding an Improved Dementia Experience (GUIDE). [read post]
27 Apr 2009, 7:35 am
The Centers for Medicare and Medicaid Services ("CMS") recently published a final rule addressing termination of non-random prepayment complex medical review, which became effective January 1, 2009. [read post]
17 Nov 2023, 5:26 am
The Centers for Medicare & Medicaid Services (CMS) has published its final rule that requires nursing homes enrolled in Medicare and Medicaid to disclose additional ownership and management information to CMS and state Medicaid agencies. [read post]
19 Feb 2023, 7:23 pm
On January 26, 2023, the Centers for Medicare and Medicaid Services (CMS) issued guidance for Rural Emergency Hospitals (REHs), through which CMS outlined requirements on eligibility, the conversion process for eligible facilities, and other related information. [read post]
4 Jul 2016, 8:30 am
The Centers for Medicare & Medicaid Services (CMS) has published its proposed rule to update the Medicare end-stage renal disease (ESRD) prospective payment system (PPS) for calendar year (CY) 2017. [read post]
22 Nov 2011, 12:00 am
CMS will also perform an independent evaluation of the program’s effects on patient care and medical costs. [read post]
8 Apr 2014, 2:36 pm
CMS has released its preliminary decisions on potential changes to outpatient supervision level requirements for a number of medical services in response to recommendations made last month by the Hospital Outpatient Payment (HOP) Panel. [read post]
15 Nov 2016, 12:54 pm
CMS has announced a February 14, 2017 town hall meeting to discuss FY 2018 applications for add-on payments for new medical services and technologies under the Medicare hospital inpatient prospective payment system (IPPS). [read post]
6 Jun 2019, 3:55 pm
As part of its continuing “Patients over Paperwork” initiative, the Centers for Medicare & Medicaid Services (CMS) has released another request for information (RFI) on regulatory or subregulatory changes the agency could make to “reduce unnecessary administrative burdens for clinicians, providers, patients and their families. [read post]
11 Sep 2020, 10:42 am
On September 2, 2020, the Centers for Medicare & Medicaid Services (CMS) finalized fiscal year (FY) 2021 policies in the Inpatient Prospective Payment System (IPPS) for acute care and long-term care hospitals. [read post]
5 Nov 2014, 11:58 am
CMS will require the certifying physician to provide documentation in their medical records, or when applicable the acute/post-acute care facility's medical records, to be used as the basis for certification of the beneficiary's eligibility for home health services. [read post]
14 Aug 2020, 11:45 am
In addition, CMS notes that information included in the medical record should document that the services are reasonable and necessary. [read post]
17 Aug 2010, 8:21 am
(August 17, 2010): The Centers for Medicare and Medicaid Services (CMS) recently issued MLM Matters SE1022, titled “Medical Record Retention and Media Formats for Medical Records” which serves as a helpful reminder regarding a number of medical records retention issues faced by Community Mental Health Centers (CMHCs) around the country. [read post]
