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20 Feb 2014, 2:12 pm
Recently, the Centers for Medicare and Medicaid Services (CMS) announced that, effective February 22, Recovery Audit Contractors (RACs) may no longer send additional documentation requests (ADRs) to providers for post-payment audits. [read post]
18 Feb 2014, 1:42 pm
On January 15, 2014, the Centers for Medicare & Medicaid Services (CMS), issued revisions to their policy manuals, including the Medicare Benefit Policy Manual, that clarify that "Improvement Standards" are not required for determining claims for Medicare coverage involving skilled care, including skilled nursing facilities (SNF), home health (HH), and outpatient therapy (OPT) benefits. [read post]
14 Feb 2014, 7:51 am
Tavenner, the administrator of the Centers for Medicare and Medicaid Services, said that “recalcitrant providers” would face civil fines and could be expelled from Medicare and other federal health programs. [read post]
7 Feb 2014, 7:22 am
A North Carolina nursing home appealed several monetary fines imposed by the Centers for Medicare and Medicaid Services (CMS), arguing in part that the evidence did not support CMS’s findings. [read post]
5 Feb 2014, 2:46 pm
On January 10, 2014, the Centers for Medicare & Medicaid Services (CMS) proposed significant changes to the Medicare Prescription Drug Benefit (Part D) Program. [read post]
3 Feb 2014, 8:19 am
The ACA also dovetails with the substantial body of Social Security, Medicaid and Medicare law and regulation. [read post]
3 Feb 2014, 7:28 am
Recently, the Centers for Medicare and Medicaid Services (CMS) announced that it has decided to extend the Inpatient Hospital Prepayment "Probe and Educate" reviews. [read post]
24 Jan 2014, 5:00 am
But, in some cases, MSAs are necessary to protect the interests of the Centers for Medicare and Medicaid Services. [read post]
23 Jan 2014, 9:18 am
On January 14, 2014, the Centers for Medicare & Medicaid Services (CMS) modified their policy regarding the disclosure of physician payment information under the Freedom of Information Act (FOIA). [read post]
22 Jan 2014, 10:38 am
Medicaid administrators, he said, might transition from fee-for-service pay models to accountable care organizations (networks of providers that communicate and coordinate patient care to ensure better care) and medical homes (patient-centered primary care), in which payment is based on low-cost, quality-outcome methods. [read post]
17 Jan 2014, 7:44 am
In a memorandum to Office of Medicare Hearings and Appeals ("OMHA") applicants, the Centers for Medicare and Medicaid Services ("CMS") announced that it will temporarily suspend the assignment of new requests for Administrative Law Judge ("ALJ") hearings for two years. [read post]
15 Jan 2014, 8:30 am
– “Dramatic Medicare cuts to skilled nursing facilities played a significant part in keeping healthcare spending low in 2012, the Centers for Medicare & Medicaid Services announced Monday. [read post]
6 Jan 2014, 10:11 am
The Centers for Medicare and Medicaid services (CMS) has proposed rules for the Medicare Secondary Payer (MSP) appeals process that will target the “applicable plan” as the primary responsible party for recovery. [read post]
27 Dec 2013, 7:39 am
On appeal to this court, the facility challenged the Center for Medicare and Medicaid Service's factual findings and determination that the Center's residents were in immediate jeopardy. [read post]
23 Dec 2013, 9:13 am
By 2011, CGI Federal already had been cleared to do government work at the Centers for Medicare and Medicaid Services (CMS), the agency overseeing the rollout of the new health-care law. [read post]
16 Dec 2013, 6:36 am
Individuals generally receive such coverage in one of four ways: (i) through Medicaid, if they’re eligible; (ii) through Medicare, if they’re eligible; (iii) through an employer-provided insurance plan, if their employer offers one; or (iv) on the government “exchange,” if the individual is not covered in one of the other three ways. [read post]
13 Dec 2013, 4:17 am
Centers for Medicare and Medicaid Services National Physician Fee Schedule Relative Value File should be billed “by report. [read post]
30 Nov 2013, 9:55 am
November 30th does not represent a relaunch of HealthCare.gov," said Julie Bataille, a spokeswoman for the government's Centers for Medicare and Medicaid Services, which operates the site. [read post]
29 Nov 2013, 3:16 pm
According to the Centers for Medicaid and Medicare Services, 7.3 million people who... [read post]
25 Nov 2013, 10:45 am
The Centers for Medicare & Medicaid Services — a part of the U.S. [read post]
