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1 Sep 2016, 2:00 pm
The Centers for Medicare & Medicaid Services (CMS) released their new hospital grading system in July, called the Overall Hospital Quality Star Rating. [read post]
28 May 2014, 12:14 pm
July 28, 2014 is the deadline for concerned persons to comment on the Centers for Medicare & Medicaid Services (CMS) proposed rule requiring prior authorization for certain durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS). [read post]
28 May 2014, 12:14 pm
July 28, 2014 is the deadline for concerned persons to comment on the Centers for Medicare & Medicaid Services (CMS) proposed rule requiring prior authorization for certain durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS). [read post]
31 Mar 2020, 6:30 am
This article was originally published at: https://ametros.com/blog/cms-revises-its-consent-to-release-form-requiring-claimants-sign-off-of-understanding-the-wcmsa-process/ Starting April 1, 2020, Workers’ Compensation Medicare Set Asides (WCMSAs) that are submitted to the Centers for Medicare and Medicaid Services (CMS) will need to include a new Consent to Release form. [read post]
14 Oct 2016, 10:47 am
The Centers for Medicare and Medicaid Services (CMS) has released the 2398 page final rule implementing the Medicare Access & CHIP Reauthorization Act of 2105 (MACRA) reforms that Congress has adopted to replace the Sustainable Growth Rate (SGR) rules for determining physician and other clinician payments under Medicare with the new MACRA Quality Payment Program. [read post]
14 Oct 2016, 10:47 am
The Centers for Medicare and Medicaid Services (CMS) has released the 2398 page final rule implementing the Medicare Access & CHIP Reauthorization Act of 2105 (MACRA) reforms that Congress has adopted to replace the Sustainable Growth Rate (SGR) rules for determining physician and other clinician payments under Medicare with the new MACRA Quality Payment Program. [read post]
26 Mar 2019, 1:34 pm
For instance, the budget calls for: simplifying the Merit-based Incentive Payment System and Advanced APM rules for physicians; authorizing the Centers for Medicare & Medicaid Services (CMS) not to impose the requirement for a face-to-face provider visit for all DME orders; and aligning the End Stage Renal Disease Quality Incentive Program with CMS’s Meaningful Measures initiative. [read post]
7 Jun 2017, 10:44 am
by Mark Kantor and Karl Bayer The Centers for Medicare and Medicaid Services (CMS), an arm of the United States Department of Health and Human Services, released an announcement on June 5th withdrawing its 2016 Rule prohibiting pre-dispute arbitration agreements for long-term care nursing home contracts. [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]
7 Nov 2011, 6:04 am
CMS Announcements on Fixed Percentage Option for Settlements of $5,000 or less, $300 Threshold Limit for Reimbursement, and Identification of Contractor for Medicare Secondary Payer Recovery The Centers for Medicare and Medicaid Services (“CMS”) announced an option which will allow for payment of a simple fixed percentage on small dollar liability insurance or self-insurance settlements for physical trauma-based injuries. [read post]
7 Nov 2011, 6:04 am
CMS Announcements on Fixed Percentage Option for Settlements of $5,000 or less, $300 Threshold Limit for Reimbursement, and Identification of Contractor for Medicare Secondary Payer Recovery The Centers for Medicare and Medicaid Services (“CMS”) announced an option which will allow for payment of a simple fixed percentage on small dollar liability insurance or self-insurance settlements for physical trauma-based injuries. [read post]
13 Jul 2010, 8:57 am
The Center for Medicaid and Medicare Services (CMS) proposed new regulations yesterday for civil money penalties for nursing homes that violate CMS participation rules. [read post]
26 Jan 2015, 11:43 am
I had an interesting conversation with Mike Barrett, Chairman of the National Association of ACOs, as a result of my January 7th post on the Medicare beneficiary opt-out process described in Medicare Shared Savings Program (“MSSP”) regulations proposed by the Centers for Medicare & Medicaid Services (“CMS”). [read post]
14 Apr 2017, 12:07 pm
The Centers for Medicare & Medicaid Services has published a final rule intended to help improve the risk pool and stabilize the Affordable Care Act (ACA) Insurance Exchanges for 2018 – even as CMS contends that consumers “have faced double-digit premium increases, fewer plans to choose from, and a market that continues to be threatened by insurance issuer exits. [read post]
28 Feb 2006, 10:00 pm
The Medicare Modernization Act (“MMA”) requires that health plans that currently provide prescription drug coverage to Medicare Part D eligible individuals disclose to the Centers for Medicare & Medicaid Services (“CMS”) whether that coverage is “creditable prescription drug coverage” (“Disclosure Notice”). [read post]
27 Oct 2016, 7:22 pm
The Centers for Medicare & Medicaid Services (CMS) has developed several ACO models under the Affordable Care Act, including the Medicare Shared Savings Program (MSSP) and the Next Generation ... [read post]
28 Feb 2006, 10:00 pm
The Medicare Modernization Act (“MMA”) requires that health plans that currently provide prescription drug coverage to Medicare Part D eligible individuals disclose to the Centers for Medicare & Medicaid Services (“CMS”) whether that coverage is “creditable prescription drug coverage” (“Disclosure Notice”). [read post]
29 Mar 2020, 9:00 pm
The Centers for Medicare and Medicaid Services has issued Guidance for Laboratories during the current […] Source [read post]
29 Mar 2020, 9:00 pm
The Centers for Medicare and Medicaid Services has issued Guidance for Laboratories during the current […] Source [read post]
31 May 2008, 2:38 pm
In its May 28th Advisory Opinion, the Centers for Medicare & Medicaid Services (CMS) found that a hospital system's proposal to pay for customized software to facilitate communication between its electronic health record (EHR) system and EHR software used by physicians affiliated with the hospital would not constitute a prohibited compensation arrangement under the Stark Law. [read post]
