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8 Aug 2014, 4:25 am by Bob Briskman
The information was released by the Centers for Medicare and Medicaid Services (CMS), which administers Medicare. [read post]
29 Jun 2015, 4:40 pm by Debra A. McCurdy
Specifically, OMB is reviewing proposed rules to update the Medicare physician fee schedule, the hospital outpatient PPS, and the home health PPS for CY 2016. [read post]
23 May 2024, 10:00 pm
At a time when pharmaceutical drug prices are at the height of political scrutiny, manufacturers can breathe a small sigh of relief as the Centers for Medicare and Medicaid Services (CMS) announced on May 15, 2024 that it will not, at this time, finalize its best price stacking provision in its May 23, 2023 Medicaid Drug Rebate Program (MDRP) proposed rule . [read post]
23 May 2024, 10:00 pm
At a time when pharmaceutical drug prices are at the height of political scrutiny, manufacturers can breathe a small sigh of relief as the Centers for Medicare and Medicaid Services (CMS) announced on May 15, 2024 that it will not, at this time, finalize its best price stacking provision in its May 23, 2023 Medicaid Drug Rebate Program (MDRP) proposed rule . [read post]
8 Jun 2023, 8:48 am by Cynthia Marcotte Stamer
The Centers for Medicare & Medicaid Services (“CMS”) announced it will test a new primary care model – the Making Care Primary (MCP) Model – in eight states. [read post]
23 May 2024, 10:00 pm
At a time when pharmaceutical drug prices are at the height of political scrutiny, manufacturers can breathe a small sigh of relief as the Centers for Medicare and Medicaid Services (CMS) announced on May 15, 2024 that it will not, at this time, finalize its best price stacking provision in its May 23, 2023 Medicaid Drug Rebate Program (MDRP) proposed rule . [read post]
23 May 2024, 10:00 pm
At a time when pharmaceutical drug prices are at the height of political scrutiny, manufacturers can breathe a small sigh of relief as the Centers for Medicare and Medicaid Services (CMS) announced on May 15, 2024 that it will not, at this time, finalize its best price stacking provision in its May 23, 2023 Medicaid Drug Rebate Program (MDRP) proposed rule . [read post]
23 May 2024, 10:00 pm
At a time when pharmaceutical drug prices are at the height of political scrutiny, manufacturers can breathe a small sigh of relief as the Centers for Medicare and Medicaid Services (CMS) announced on May 15, 2024 that it will not, at this time, finalize its best price stacking provision in its May 23, 2023 Medicaid Drug Rebate Program (MDRP) proposed rule . [read post]
23 May 2024, 10:00 pm
At a time when pharmaceutical drug prices are at the height of political scrutiny, manufacturers can breathe a small sigh of relief as the Centers for Medicare and Medicaid Services (CMS) announced on May 15, 2024 that it will not, at this time, finalize its best price stacking provision in its May 23, 2023 Medicaid Drug Rebate Program (MDRP) proposed rule . [read post]
15 Nov 2023, 8:32 am by Sarah Cummings Stewart and Ryan Pate
DOJ alleged that the MAO received more than $53 million in overpayments from the Centers for Medicare & Medicaid Services (“CMS”) due to false diagnoses submitted on reimbursement claims for beneficiaries enrolled in the MAO’s plans. [read post]
22 Apr 2016, 11:30 am by Laura Ray
Centers for Medicare & Medicaid Services (CMS) recently sent a letter to State Medicaid Directors “on protecting the right of Medicaid beneficiaries to receive covered services from any qualified provider willing to furnish such services when the state exercises its authority to take action against providers that affects beneficiary access to those providers…. [read post]
14 Oct 2014, 5:16 pm by Daniel E. Cummins
According to a press release from The American Association for Justice, the Centers for Medicare & Medicaid Services (CMS) has withdrawn its proposed rule in tort actions on future medicals called “Medicare Secondary Payer and Future Medicals. [read post]
8 Sep 2023, 5:00 am by Wachler & Associates, P.C.
The Centers for Medicare & Medicaid Services (CMS) recently announced that it intends to increase scrutiny on hospice providers as a result of increased reports and CMS findings suggesting potential hospice services fraud. [read post]
7 Jan 2015, 2:14 pm by Elizabeth Litten
Medicare beneficiaries whose healthcare providers participate in an Accountable Care Organization (ACO) under the Medicare Shared Savings Program (MSSP) may want to add the Centers for Medicare & Medicaid Services (CMS) website, “Medicare & You”, to their lists of favorite internet links if they don’t want their Medicare claims data shared. [read post]
On June 3, 2020, Centers for Medicare & Medicaid Services (“CMS”) Administrator Seema Verma announced adjustments to the Center for Medicare and Medicaid Innovation (“CMMI”) models in light of the COVID-19 public health emergency. [read post]
20 Dec 2008, 8:08 am by Philip J. Berenz
The Centers for Medicare & Medicaid Services ("CMS") has just launched "Nursing Home Compare" which provides quality ratings for each of the nation’s 16,000 Medicare and/or Medicaid-certified nursing homes. [read post]
On Wednesday, September 15, 2021, the Centers for Medicare & Medicaid Services (“CMS”) issued a proposed rule that would, among other things, repeal the pending new definition for items and services that are considered “reasonable and necessary” under Medicare Parts A and B scheduled to go into effect on December 15, 2021. [read post]
20 Oct 2010, 3:46 am by Bob Kraft
The SMP programs, also known as Senior Medicare Patrol programs, help Medicare and Medicaid beneficiaries avoid, detect, and prevent health care fraud. [read post]
8 Jun 2012, 10:00 am
., Board Certified by The Florida Bar in Health Law The Centers for Medicare & Medicaid Services (CMS) is planning to move forward with the Recovery Audit Prepayment Review (RAPR) Demonstration Project on [stat.] [read post]
24 Dec 2017, 1:18 pm by Nursing Home Law Center Staff
Attorneys Representing Injured Casa Real Nursing Facility Residents The state of New Mexico and the Centers for Medicare and Medicaid Services (CMS) routinely conduct scheduled visits and unannounced inspections of nursing homes throughout the state. [read post]