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17 May 2012, 6:36 am
The Government Accountability Office (GAO) has reported that the Centers for Medicare & Medicaid Services (CMS) could be doing more to ensure its incentive payments under the electronic health record (EHR) program are proper and legitimate. [read post]
23 Nov 2010, 4:29 pm
In response to reports of fatal care, the Centers for Medicare and Medicaid Services launched a new “innovation center” designed to improve the quality of care patients receive and promote cost-effectiveness. [read post]
26 Mar 2020, 1:14 pm
The Center for Disease Control and Prevention (CDC) and the Centers for Medicare and Medicaid Services (CMS) recently announced that about 150 nursing homes were affected but refused to name which ones. [read post]
3 Feb 2022, 6:00 am
The Centers for Medicare & Medicaid Services (CMS) authorizes several types of contractors to conduct audits, such as Medicare Administrative Contractors (MACs), Recovery Audit Contractors (RACs), Unified Program Integrity Contractors (UPICs), and the Supplemental Medical Review Contractor (SRMC). [read post]
14 Aug 2014, 3:06 pm
Once that checks out the claim is paid.Fraud is normally only discovered AFTER the claim is paid and the scoundrels have moved on.The OIG suggests some obvious changes: the Centers for Medicare and Medicaid Services should expand its programs for reviewing and monitoring drug use and prescribing; restrict certain beneficiaries to a limited number of pharmacies or prescribers, and limit the ability of beneficiaries to switch plans, among other things.Sounds good,… [read post]
5 Feb 2016, 1:35 pm
Centers for Medicare & Medicaid Services (CMS) recently issued a mammoth Covered Outpatient Drugs final rule (81 Fed. [read post]
29 Nov 2017, 4:42 am
The Centers for Medicare & Medicaid Services (CMS) approved Texas’ request for a new Medicaiddemonstration waiver entitled “Texas Healthcare Transformation and Quality Improvement Program” in accordance with §1115 of the Social Security Act. [read post]
18 Jun 2019, 9:36 am
For more information, see this link from the Center for Medicare and Medicaid Services, which enforces the MSA requirements. [read post]
19 Dec 2007, 1:11 am
Centers for Medicare and Medicaid Services, which regulates nursing homes. [read post]
29 Nov 2013, 4:12 am
On November 27, 2013, the Centers for Medicare & Medicaid Services (CMS) finalized updates to payment policies and payment rates for services furnished under the Medicare Physician Fee Schedule (PFS) on or after January 1, 2014. [read post]
3 Feb 2011, 6:26 am
The Centers for Medicare and Medicaid Services revised its Hospital Conditions of Participation this past summer to permit a qualified and licensed practitioner who is responsible for the care of the patient to order respiratory care, provided the practitioner is acting within his/her scope of practice under state law. [read post]
24 Feb 2022, 1:38 pm
Department of Health and Human Services and Centers for Medicare and Medicaid Services (have issued new rules modernizing the Stark law. [read post]
23 Nov 2020, 10:00 pm
Powerfully illustrating the efforts of the US Department of Health and Human Services (HHS) to transform the US healthcare system to a value-based model, the Office of the Inspector General (OIG) and the Centers for Medicare & Medicaid Services (CMS) have finalized rules that will alter critical healthcare fraud and abuse regulations to remove or diminish obstacles to value-based enterprises that meaningfully embrace patient care coordination. [read post]
10 Mar 2021, 10:00 pm
We hope you were able to join us for last month's Fast Break on the Regulatory Sprint to Coordinated Care, which has been a longstanding initiative of the Centers for Medicare and Medicaid Services, US Department of Health and Human Services (HHS), and Office of the Inspector General to navigate a path to value-based payment models, culminating in the December 2020 final rules. [read post]
6 Apr 2017, 6:09 am
Long-Term Care Hospitals (LTCHs) should review their quality data contained in the Department of Health & Human Services (HHS) Centers for Medicare and Medicaid Services (CMS) CASPER system here and if necessary, notify CMS of any requested corrections. [read post]
10 Mar 2021, 10:00 pm
We hope you were able to join us for last month's Fast Break on the Regulatory Sprint to Coordinated Care, which has been a longstanding initiative of the Centers for Medicare and Medicaid Services, US Department of Health and Human Services (HHS), and Office of the Inspector General to navigate a path to value-based payment models, culminating in the December 2020 final rules. [read post]
10 Oct 2010, 11:00 pm
Specifically, the OIG conducts audits and evaluations with respect to various programs of the Department of Health and Human Services, including the Center for Medicare and Medicaid Service ("CMS"). [read post]
11 Dec 2014, 9:45 am
On December 11, 2014, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would revise certain conditions of participation for providers, conditions of coverage for suppliers, and requirements for long-term care facilities. [read post]
3 Feb 2011, 6:26 am
The Centers for Medicare and Medicaid Services revised its Hospital Conditions of Participation this past summer to permit a qualified and licensed practitioner who is responsible for the care of the patient to order respiratory care, provided the practitioner is acting within his/her scope of practice under state law. [read post]
23 Nov 2020, 10:00 pm
Powerfully illustrating the efforts of the US Department of Health and Human Services (HHS) to transform the US healthcare system to a value-based model, the Office of the Inspector General (OIG) and the Centers for Medicare & Medicaid Services (CMS) have finalized rules that will alter critical healthcare fraud and abuse regulations to remove or diminish obstacles to value-based enterprises that meaningfully embrace patient care coordination. [read post]
