Search for: "Administrator for the Centers for Medicare and Medicaid Services"
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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]
23 Nov 2015, 5:14 pm
Centers for Medicare and Medicaid (CMS) published clarifications regarding National Coverage Determination (NCD) and Local Coverage Determination (LCD) policies. [read post]
12 Nov 2015, 8:52 am
On November 13, 2015, the Centers for Medicare & Medicaid Services (CMS) is publishing its final rule updating the Medicare Hospital Outpatient Prospective Payment System (OPPS) and the Ambulatory Surgical Center (ASC) Payment System rates and policies for calendar year (CY) 2016. [read post]
10 Nov 2015, 11:19 am
In addition, Millennium will pay $19.2 million to the Centers for Medicare and Medicaid Services (CMS) to resolve certain administrative actions related to Millennium’s urine drug test billing practices.Millennium agreed to make significant changes to its board of directors, and most of the board will be comprised of new independent members. [read post]
3 Nov 2015, 11:40 am
The newest additions to the work plan are: • Medical device credits for replaced medical devices • Medicare payments during Medicare Severity Diagnosis Related Groups (MS-DRG) payment window • Content Management System (CMS) validation of hospital-submitted quality reporting data • Skilled nursing facility prospective payment system requirements • Orthotic braces-reasonableness of Medicare payments compared to amounts paid by other payers •… [read post]
2 Nov 2015, 7:40 am
The federal Centers for Medicare & Medicaid Services (CMS) recently received a report from an organization called Public Justice addressing the problem of mandatory arbitration agreements for nursing home patients and residents of long-term care facilities. [read post]
25 Oct 2015, 3:46 am
The Centers for Medicare and Medicaid Services, under the Obama Administration’s direction, is considering cutting off nursing homes from federal funding if they use arbitration clauses in their contracts. [read post]
21 Oct 2015, 12:36 pm
In the last few weeks, we have seen a flurry of activity in Zone Program Integrity Contractor ("ZPIC") audits for the Centers of Medicare and Medicaid Services ("CMS"). [read post]
15 Oct 2015, 6:36 pm
The federal Centers for Medicare & Medicaid Services (CMS) estimates that $17 million in Medicare funds is spent each year on unnecessary hospital readmissions. [read post]
4 Oct 2015, 9:44 am
On October 1, 2015, the Centers for Medicare & Medicaid Services (CMS) published its long-awaited proposed rule to base Medicare clinical laboratory fee schedule (CLFS) reimbursement on private insurance payment amounts beginning January 1, 2017. [read post]
2 Oct 2015, 9:50 am
Slavitt, the acting administrator of the Centers for Medicare and Medicaid Services did not disagree with the findings. [read post]
2 Oct 2015, 9:01 am
His experience includes litigation of administrative proceedings before the Commissioner of Insurance, the Puerto Rico Health Insurance Administration, and the Centers for Medicare and Medicaid Services. [read post]
1 Oct 2015, 9:22 am
Under the SCF pilot program, Medicare providers had 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]
1 Oct 2015, 4:22 am
Under the SCF pilot program, Medicare providers had 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]
23 Sep 2015, 9:30 pm
In addition to health insurance coverage, health programs and activities covered by the proposed rule include health education and delivery of health services, so providers, hospitals, and other health care facilities that receive Medicare and Medicaid funding would be covered. [read post]
18 Sep 2015, 4:09 pm
Recently, the Centers for Medicare & Medicaid Services (CMS) released its 2014 quality and financial performance results for Medicare Accountable Care Organizations (ACO). [read post]
16 Sep 2015, 9:30 pm
States must apply to the Centers for Medicare & Medicaid Services (CMS) for approval of these waiver programs, and they must reapply every three years to renew the waivers. [read post]
15 Sep 2015, 5:37 am
Self-insured group health plan sponsors and fiduciaries, health insurance issuers, third party administrators (TPAs) and administrative services-only (ASO) contractors who may participate in helping contributing entities submit reinsurance contributions required by the Patient Protection & Affordable Care Act (ACA) should consider participating one of the “Module 3: 2015 Reinsurance Contributions: Form Completion, Submission, and Payment” training model… [read post]
15 Sep 2015, 4:42 am
Associations, Consumer Operated and Oriented Plan (CO-OP) Programs, Stand Alone Dental Plans, Federally-faciliated Marketplace (FFM) Issuers, State Based Marketplaces, SBM Issuers, and Small Business Health Options Program (SHOP) issuers should review the Centers for Medicare & Medicaid Services (CMS) Payment Policy & Financial update on CMS’ policies regarding the administration of the enrollment and payment data reporting requirements of… [read post]
8 Sep 2015, 9:30 pm
In 2013, we lamented the lame launch of Obamacare health exchanges, which involved scores of contractors and was overseen by the Centers for Medicare and Medicaid Services, an agency with fewer than 5,000 employees. [read post]
