Search for: "Center for Medicare and Medicaid Services"
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18 Sep 2014, 7:46 am
Last year CMS quit reporting life-threatening conditions acquired by patients during hospital stays. [read post]
16 Mar 2009, 5:42 am
., will pay the federal government $6.8 million to resolve allegations that the San Mateo Medical Center (SMMC) submitted false claims to Medicare and Medicaid.The U.S. [read post]
23 Dec 2010, 1:39 pm
However, the Centers for Medicare and Medicaid Services (CMS) is in position to make substantially more effective use its database to identify fraud. [read post]
5 Jul 2023, 5:46 am
On June 6, 2023, the Center for Medicare and Medicaid Services (“CMS”) released a Quality Safety & Oversight memorandum (“QSO Memo”) reminding state survey agencies, accrediting organizations, and hospitals of the requirements for discharges and transfers to post-acute care (“PAC”) providers. [read post]
17 Mar 2020, 6:55 pm
Effective retroactively to March 6, 2020, the Centers for Medicare & Medicaid Services (CMS) will allow providers to bill Medicare for a range of telehealth services. [read post]
8 Feb 2024, 8:23 pm
Ars Technica: “Health insurance companies cannot use algorithms or artificial intelligence to determine care or deny coverage to members on Medicare Advantage plans, the Centers for Medicare & Medicaid Services (CMS) clarified in a memo sent to all Medicare Advantage insurers. [read post]
19 Dec 2017, 4:17 pm
Lawyers Representing Neglected Residents at The Grove at Irwin To ensure the health and well-being of all residents at a nursing facility, the Centers for Medicare and Medicaid Services (CMS) and the state of Pennsylvania routinely conduct investigations and surveys. [read post]
24 Dec 2017, 3:43 am
Lawyers for SFF San Fernando Post-Acute Hospital Injured Victims The State of California and Centers for Medicare and Medicaid Services (CMS) routinely make unannounced visits at nursing facilities throughout the state to ensure they are providing every resident the highest quality of care as defined by nursing home regulations. [read post]
10 May 2019, 8:16 am
In order to secure a new Beneficiary and Family Centered Care Quality Improvement Organization (BFCC-QIO) contractor, the Centers for Medicare and Medicaid Services (CMS) has temporarily paused both Short Stay and Higher Weighted Diagnosis-Related Group (HWDRG) reviews. [read post]
18 Apr 2017, 7:33 am
As many people are discussing methods to improve healthcare, the Centers for Medicare & Medicaid Services (CMS) is giving stakeholders an opportunity to send in their thoughts on this topic. [read post]
19 Feb 2010, 5:04 am
So we were dismayed by a Jan. 27 USA Today article showing that about a fifth of nursing homes have consistently received poor ratings from the Centers for Medicare and Medicaid Services. [read post]
2 Apr 2020, 5:46 am
The Centers for Medicare and Medicaid Services (CMS) has issued a Frequently Asked Questions (FAQs) Sheet responding to eight (8) FAQs regarding provider burden relief for COVID-19. [read post]
14 Dec 2018, 12:15 pm
After approval from the federal Centers for Medicare & Medicaid Services, which oversees the safety net program, the 30-day policy will go into effect Feb. 1 and remain in place until June 30 unless state lawmakers vote to extend the change. [read post]
17 Feb 2012, 9:12 am
In 2011, MassHealth (the Massachusetts Medicaid program) was criticized by the federal Centers for Medicare and Medicaid Services for its failure to follow federal law, which allows previous medical bills to be paid out of a MassHealth recipient’s income. [read post]
4 Dec 2014, 8:30 am
Department of Health: Medicaid Program – Excessive Medicaid Payments to Federally Qualified Health Centers for Group Therapy Services (2013-S-51)With approval from the federal Centers for Medicare and Medicaid Services, DOH amended the Medicaid State Plan in 2008 to allow Federally Qualified Health Centers (FQHCs) to provide group therapy services, including group therapy provided by… [read post]
25 Aug 2011, 11:42 am
In a press release issued August 23, 2011, the Centers for Medicare & Medicaid Services (CMS) invited health care providers to apply to help test and develop four models of bundling payments. [read post]
5 Jun 2018, 12:25 pm
The Office of the Actuary in the Centers for Medicare & Medicaid Services (CMS) prepares the report under the direction of the Boards. [read post]
27 Nov 2012, 12:30 pm
The numbers are fairly enlightening: In 2010, 40 percent of Part A appeals and 53 percent of Part B appeals were granted, according to the Centers for Medicare & Medicaid Services, which administers Medicare (CMS). [read post]
12 Dec 2011, 6:23 pm
Auditors will begin the pilot program by focusing on inpatient hospital claims, especially those for short stays, and conduct the reviews before payment is authorized, said Deborah Taylor, director of the Office of Financial Management at the Centers for Medicare & Medicaid Services. [read post]
9 Oct 2012, 10:00 am
., Board Certified by The Florida Bar in Health Law In September 2012, the Centers for Medicare and Medicaid Services (CMS) made the decision to allow Recovery Audit Contractors (RACs) to begin reviewing the billing codes for office visits for healthcare providers. [read post]
