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17 Apr 2012, 3:47 am
CMS ANNOUNCES FIRST ACO PARTICIPANTSOn April 10, the Centers for Medicare & Medicaid Services (CMS) announced the first 27 accountable care organizations (ACOs) that will participate in the Medicare Shared Savings Program (MSSP), established under the Patient Protection and Affordable Care Act (PPACA). [read post]
16 Apr 2012, 10:00 am
Highmark had the contract with the Centers for Medicare & Medicaid Services (CMS) to be the Medicare Administrative Contractor (MAC), formerly known as a "Carrier" or "Fiscal Intermediary," for Jurisdiction 12, which includes Delaware, New Jersey, Pennsylvania, Maryland and Washington, D.C.... [read post]
16 Apr 2012, 10:00 am
Highmark had the contract with the Centers for Medicare & Medicaid Services (CMS) to be the Medicare Administrative Contractor (MAC), formerly known as a "Carrier" or "Fiscal Intermediary," for Jurisdiction 12, which includes Delaware, New Jersey, Pennsylvania, Maryland and Washington, D.C.... [read post]
5 Apr 2012, 12:03 pm
Redetermination by Fiscal Intermediaries, Carriers or Medicare Administrative Contractors The Centers for Medicare & Medicaid Services (CMS) contracts with private insurance companies (called “carriers” for Part B, “fiscal intermediaries” for Part A, or “Medicare administrative contractors”) to perform many processing functions on behalf of Medicare, including local claims… [read post]
5 Apr 2012, 5:00 am
For example, recently the organization released a statement raising awareness of a new Centers for Medicare and Medicaid Services’ (CMS) initiative that seeks to address the ever-present problem of over-medication of nursing home residents. [read post]
3 Apr 2012, 1:34 pm
” The House vote is insignificant because the Senate won’t confirm eliminating the advisory panel, but, Goozner notes, there’s irony in the fact that the vote occurred only a day after a different advisory panel at the Centers for Medicare and Medicaid Services (CMS) convened to discuss coverage issues. [read post]
3 Apr 2012, 9:41 am
Yesterday, the Centers for Medicare and Medicaid Services (CMS) issued a final rule which impacts the Medicare Advantage (Part C) and Prescription Drug (Part D) programs. [read post]
3 Apr 2012, 9:41 am
Yesterday, the Centers for Medicare and Medicaid Services (CMS) issued a final rule which impacts the Medicare Advantage (Part C) and Prescription Drug (Part D) programs. [read post]
3 Apr 2012, 8:40 am
The federal minority offices are embedded in the following agencies; the Centers for Disease Control and Prevention (CDC); the Agency for Healthcare Research and Quality (AHRQ); the Centers for Medicare & Medicaid Services (CMS); the Food and Drug Administration (FDA); the Health Resources and Services Administration (HRSA); and the Substance Abuse and Mental Health Services Administration (SAMHSA). [read post]
29 Mar 2012, 7:00 am
The ACA dictates that if the Centers for Medicare and Medicaid Services anticipate increases in Medicare spending that will exceed annual targets, IPAB must propose corresponding spending reductions. [read post]
Cypress Pharmaceutical, Inc. pays $2.8 million to settle False Claims Act suit over unapproved drugs
27 Mar 2012, 11:43 pm
The government also alleged that Cypress, Hawthorn and Draughn caused the submission to the Centers for Medicare and Medicaid Services (CMS) of false quarterly reports that misrepresented these products’ regulatory status and failed to advise CMS that the drugs did not qualify as outpatient drugs that were covered for payment. [read post]
26 Mar 2012, 3:03 pm
BETTY ANN BOWSER: Neera Tanden was a health policy adviser for the Obama administration. [read post]
21 Mar 2012, 7:38 pm
Rafael has been responsible for all areas of Medicare Set Aside Allocations (MSAs) including the preparation of MSAs and their approval by the Center for Medicare & Medicaid Services. [read post]
16 Mar 2012, 8:06 am
The Acting Administrator of the Centers for Medicare & Medicaid Services (CMS), Marilyn Tavenner, announced the redesign of the statement that informs Medicare beneficiaries about their claims for Medicare services and benefits. [read post]
14 Mar 2012, 5:00 am
The IDPH explains that it intends to forward its findings to the Centers for Medicare and Medicaid Services to determine if the federal agency wishes to impose any sanctions on the facility for its caregiving problems. [read post]
8 Mar 2012, 12:50 pm
The Centers for Medicare & Medicaid Services (CMS) is preparing to collect health insurance exchange construction progress reports from the states. [read post]
6 Mar 2012, 11:16 am
For instance Medicare has separate prospective payment systems, participation requirements, and even cost sharing requirements for each discrete type of service it covers. [read post]
4 Mar 2012, 4:00 am
However, if allowed to dig deeper into services provided nationwide, the Medicare and Medicaid fraud suit could implicate hundreds of millions of dollars. [read post]
29 Feb 2012, 8:53 am
While the amendments were under review by the Centers for Medicare & Medicaid Services (“CMS”), a group of providers and beneficiaries brought suit under the Supremacy Clause. [read post]
28 Feb 2012, 5:13 pm
"The newly enacted statutory changes to the New Jersey Workers’ Compensation Act and promulgated Rules permitting Emergent Medical Care Motions, new registration requirements for insurers, and new judicial enforcement powers of Judges of Compensation, including sanctions and contempt powers, are contained in this supplemental material.An analysis of the newly adopted procedures for the reimbursement of conditional payments established by Medicare and the protocols to… [read post]
