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15 Jun 2018, 9:38 am
Settlement Conference Facilitation (SCF) is an alternative dispute resolution process which provides appellants and the Center for Medicare and Medicaid Services (CMS) an opportunity to discuss a mutually agreeable resolution for claims appealed to the Administrative Law Judge (ALJ) or Medicare Appeals Council (Council) levels of appeal. [read post]
15 Jun 2018, 9:38 am
Settlement Conference Facilitation (SCF) is an alternative dispute resolution process which provides appellants and the Center for Medicare and Medicaid Services (CMS) an opportunity to discuss a mutually agreeable resolution for claims appealed to the Administrative Law Judge (ALJ) or Medicare Appeals Council (Council) levels of appeal. [read post]
30 Mar 2017, 1:57 pm
The Centers for Medicare & Medicaid Services (CMS) has just announced that it is extending until May 30, 2017 the deadline for certain clinical laboratories to report to CMS private payor reimbursement information. [read post]
1 Dec 2011, 9:02 am
The Centers for Medicare and Medicaid Services (CMS) has announced the creation of an Internet portal for submission of workers compensation Medicare Set-Aside (WCMSA) proposals. [read post]
14 May 2018, 3:59 pm
The Centers for Medicare & Medicaid Services (CMS) has issued its annual proposed update to Medicare skilled nursing facility (SNF) PPS rates and policies for fiscal year (FY) 2019. [read post]
8 Apr 2014, 2:21 pm
Medicaid Quality of Care and Safety Issues: ensure that Medicaid home- and community-based care service providers comply with quality and safety requirements; and ensure that States improve utilization of preventive screening services for eligible children. [read post]
18 Jan 2022, 3:30 am
The Secretary of Health and Human Services administers both Medicare and Medicaid. [read post]
7 Jun 2009, 8:25 am
The Centers for Medicare and Medicaid Services will start running a pilot program to see if cash incentives to nursing homes can improve the care they provide, especially in areas like nurse staffing and preventable hospitalizations. [read post]
4 Jan 2011, 8:53 pm
The Centers for Medicare & Medicaid Services (CMS) is giving patients and their families new resources to learn about physicians and certain other health care providers. [read post]
26 May 2011, 2:30 am
On the heels of a report reviewing New Mexico’s payment of medical services for dead people, the OIG-HHS issued a report on May 17 that reviewed the Centers for Medicare and Medicaid Services’ payment for Part D benefits to deceased beneficiaries. [read post]
20 Feb 2024, 5:00 am
Among the plethora of different contractors used by the Centers for Medicare & Medicaid Services (CMS) to administer the Medicare program is the Supplemental Medical Review Contractor, or SMRC. [read post]
15 Oct 2018, 11:53 am
The Centers for Medicare & Medicaid Services (CMS) is holding a Town Hall Meeting on December 4, 2018 to discuss fiscal year (FY) 2020 applications for add-on payments for new medical services and technologies under the Medicare inpatient prospective payment system (IPPS). [read post]
11 Jul 2011, 3:34 am
CMS RELEASES OUTPATIENT HOSPITAL PAYMENT PROPOSED RULEThe Centers for Medicare and Medicaid Services (CMS) recently released its hospital outpatient prospective payment system (OPPS) proposed rule for 2012, which will impact Medicare reimbursements to more than 4,000 hospital outpatient facilities.The proposed rule, which is scheduled to be published in the July 18 Federal Register, would increase such payments to about $41.9 billion – an increase… [read post]
20 Apr 2023, 7:59 am
In part I, we discussed whether federal district courts could exercise jurisdiction under the federal-question statute over legal challenges to overpayment determinations made by the Centers for Medicare & Medicaid Services (CMS) under the agency’s controversial Risk Adjustment Data Validation (RADV) program for Medicare Advantage (MA) organizations. [read post]
31 Dec 2013, 5:28 am
The Centers for Medicare & Medicaid Services (CMS) is completing its restructuring of the Coordination of Benefits (COB) and Medicare Secondary Payer (MSP) recovery activities. [read post]
26 Dec 2008, 6:37 pm
Nearly one-third of the ranked 319 Tennessee nursing homes received the worst possible rating from the Centers for Medicare & Medicaid Services. [read post]
25 Mar 2015, 6:17 am
A eNews alert sent out today by the Centers for Medicare and Medicaid Services notifies physicians of the following: “The negative update of 21% under current law for the Medicare Physician Fee Schedule is scheduled to take effect on April 1, 2015. [read post]
Healthcare News from Capitol Hill and the Department of Health and Human Services - January 24, 2011
24 Jan 2011, 2:01 am
CMS ISSUES PROPOSED RULE FOR VALUE-BASED PURCHASING:On January 7, the Centers for Medicare and Medicaid Services (CMS) released a proposed rule to establish a value-based purchasing (VBP) program to reward hospitals for providing safe, high-quality care. [read post]
11 Apr 2018, 9:20 am
The goals, aligned with the priorities of the Centers for Medicare & Medicaid Services and federal mandates, were identified to improve care delivery during the next three years. [read post]
25 Oct 2019, 2:23 pm
Collyer denied the government’s request to modify the Court’s previous ruling on September 17, 2019, that the Centers for Medicare & Medicaid Services (CMS) exceeded its statutory authority when it reduced Medicare payment rates for clinic visit evaluation and management (E&M) services provided to Medicare patients in hospital excepted off-campus provider-based departments. [read post]
