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25 Jul 2014, 1:41 pm
On July 14, 2014, the Centers for Medicare & Medicaid Services (CMS) published its proposed rule to update the Medicare Hospital Outpatient Prospective Payment System (OPPS) and the Ambulatory Surgical Center (ASC) Payment System rates and policies for calendar year (CY) 2015. [read post]
14 Jul 2014, 1:23 pm
The program is designed to be an alternate dispute resolution process where the appellant and the Centers for Medicare & Medicaid Services ("CMS") come together to discuss a potential mutually agreeable resolution of claims appealed at the Administrative Law Judge ("ALJ") level. [read post]
14 Jul 2014, 10:05 am
In a report released on July 9, 2014, the Senate Special Committee on Aging criticized the Centers for Medicare and Medicaid Services (CMS) for the increase in improper payments in the Medicare program, despite the increasing amount of audit activity and the resulting burden on Medicare providers. [read post]
9 Jul 2014, 6:59 am
Through the SCF program, providers have the opportunity to discuss with the Centers for Medicare and Medicaid Services (CMS) the potential of a mutually agreeable resolution to the claims appealed to an Administrative Law Judge (ALJ) hearing. [read post]
7 Jul 2014, 12:00 am
The Centers for Medicare & Medicaid Services (CMS) has announced a new pilot program that will hopefully alleviate the backlog of Medicare Part B claims that have been appealed to the Administrative Law Judge level. [read post]
3 Jul 2014, 1:00 pm
The program is designed to be an alternate dispute resolution process where the appellant and the Centers for Medicare & Medicaid Services ("CMS") come together to discuss a potential mutually agreeable resolution of claims appealed at the Administrative Law Judge ("ALJ") level. [read post]
2 Jul 2014, 2:39 am
The giant federal agency that funds Medicare, Centers for Medicare & Medicaid Services (CMS), will tie some of its payments to hospitals to their safety record — which is a good thing, required by ObamaCare. [read post]
24 Jun 2014, 1:52 pm
In February 2013, we reported (on our Healthcare Law Blog) that the Centers for Medicare and Medicaid Services (CMS) announced the final rule for the Physician Payments Sunshine Act. [read post]
7 Jun 2014, 7:45 am
Department of Health, Medicaid Program: Medicaid Payments Made Pursuant to Medicare Part C (2012-S-133) During the audit period, auditors found Medicaid could have saved up to $69 million if it limited payments of Medicare Part C cost-sharing liabilities such that the total Medicare and Medicaid payment for a service did not exceed Medicaid's normal service fee. [read post]
4 Jun 2014, 1:51 pm
Also on May 2, 2014, the Department of Health & Human Services (HHS) Centers for Medicare & Medicaid Services (CMS) issued guidance establishing special enrollment periods for individuals seeking to enroll in a health care plan through the federally-facilitated health insurance exchange established under the Affordable Care Act (the Federal Exchange). [read post]
4 Jun 2014, 1:51 pm
Also on May 2, 2014, the Department of Health & Human Services (HHS) Centers for Medicare & Medicaid Services (CMS) issued guidance establishing special enrollment periods for individuals seeking to enroll in a health care plan through the federally-facilitated health insurance exchange established under the Affordable Care Act (the Federal Exchange). [read post]
2 Jun 2014, 8:03 pm
Today, the Centers for Medicare & Medicaid Services (CMS) is releasing its first annual update to the Medicare hospital charge data, or information comparing the average amount a hospital bills for services that may be provided in connection with a similar inpatient stay or outpatient visit. [read post]
30 May 2014, 1:08 pm
A Centers for Medicare and Medicaid Services (CMS) rule implemented in October of 2012, as the result of the Affordable Care Act, has some doctors very nervous. [read post]
28 May 2014, 12:00 am
The Centers for Medicare & Medicaid Services recently announced new guidelines concerning the use of certain types of reprocessed medical devices in nursing homes. [read post]
21 May 2014, 1:25 pm
On May 19, 2014, Centers for Medicare and Medicaid Services ("CMS") announced that it is considering new ways to define and pay for hospital short-stays. [read post]
21 May 2014, 1:00 pm
The Program for Evaluating Payment Patterns Electronic Report ("PEPPER") is an electronic data report under contract with the Centers for Medicare & Medicaid Services ("CMS") that helps guide hospital's auditing and monitoring services. [read post]
14 May 2014, 9:00 am
On May 7, 2014, the Centers for Medicare and Medicaid Services (“CMS”) issued a Final Rule to reform Medicare regulations identified as “unnecessary, obsolete, counterproductive or excessively burdensome” to hospitals and other health care providers. [read post]
13 May 2014, 6:22 am
The Centers for Medicare & Medicaid Services (CMS) published the fiscal year (FY) 2015 proposed skilled nursing facility (SNF) prospective payment system (PPS) rule on May 6, 2014 (Proposed Rule). [read post]
13 May 2014, 3:41 am
Levinson and Deputy Administrator and Director of the Centers for Medicare & Medicaid Services (CMS) Center for Program Integrity Shantanu Agrawal. [read post]
8 May 2014, 12:37 pm
In an effort to address these issues, the Center for Medicare and Medicaid Services has published a list of recommendations for what to do if you are a nursing home resident or the loved one of a nursing home resident with an issue or a problem. [read post]
