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12 Dec 2017, 4:43 am
“Many of the incidents of potential abuse or neglect that we identified may not have been reported to law enforcement,” states the report, which was sent to Seema Verma, administrator of the Centers for Medicare & Medicaid Services (CMS.) [read post]
12 Dec 2017, 4:43 am
“Many of the incidents of potential abuse or neglect that we identified may not have been reported to law enforcement,” states the report, which was sent to Seema Verma, administrator of the Centers for Medicare & Medicaid Services (CMS.) [read post]
12 Dec 2017, 4:18 am
The Centers for Medicare & Medicaid Services (CMS) has officially cancelled a planned program to require certain hospitals to participate in Medicare episode payment models (EPMs) for acute myocardial infarction, coronary artery bypass graft, and surgical hip/femur fracture treatment procedures furnished in designated areas of the country, along with a Cardiac Rehabilitation (CR) Incentive Payment Model. [read post]
11 Dec 2017, 8:25 am
On December 6, the Office of the Actuary at the Centers for Medicare and Medicaid Services (CMS) published a report on the health spending of the United States in 2016. [read post]
7 Dec 2017, 6:15 am
” The DC and states attorneys general “sent comments to the Centers for Medicare and Medicaid Services (CMS) opposing its proposal to reverse [course] on an Obama-era rule that banned nursing homes from putting language in resident contracts that require disputes to be settled by a third-party arbitrator rather than a court. [read post]
4 Dec 2017, 9:56 am
On December 1, the Centers for Medicare & Medicaid Services (CMS) published a final rule cancelling the mandatory hip fracture and cardiac bundled payment models that were to be operated by the CMS Innovation Center and implemented changes to the Comprehensive Care for Joint Replacement (CJR) model. [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]
29 Nov 2017, 2:18 am
At the federal level alone, there will be several different agencies focusing on this: i.e., the Justice Department (FBI); the Department of Health & Human Services’ Office of Inspector General (OIG); and the Centers for Medicare & Medicaid Services (CMS). [read post]
27 Nov 2017, 8:54 am
The dispute arose from a CVS Caremark technical workaround that allowed the company to submit reimbursement claims to the Centers for Medicare & Medicaid Services (“CMS”). [read post]
24 Nov 2017, 5:15 am
CMS intends “to further engage with stakeholders to move towards a system that shifts the focus from volume of services to a more patient-centered model. [read post]
22 Nov 2017, 8:00 am
According to CMS (Centers for Medicare and Medicaid Services), antibiotics should be given to patients with sepsis within three hours. [read post]
21 Nov 2017, 10:12 am
The Centers for Medicare & Medicaid Services (CMS) issued a final rule this month for the 2018 Physician Fee Schedule and final rule with comment period for the Quality Payment Program (QPP). [read post]
20 Nov 2017, 10:36 am
The proposed legislation reverses policy finalized on November 1 by the Centers for Medicare & Medicaid Services (CMS) in the hospital outpatient prospective payment system and the ambulatory surgical system final rule for calendar year 2018. [read post]
20 Nov 2017, 9:21 am
When a Medicare beneficiary is hurt in an accident and receives treatment, hospitals and health care providers must submit their bills to the Centers for Medicare and Medicaid Services (CMS) for payment or file a claim against the injured party’s settlement proceeds. [read post]
16 Nov 2017, 5:57 am
Delays AUC Requirement until 2020, Cuts Off-Campus Hospital Department Payments The Centers for Medicare & Medicaid Services (CMS) has published its final Medicare physician fee schedule (PFS) rule for CY 2018. [read post]
16 Nov 2017, 5:55 am
CMS has published a final rule updating Medicare Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System rates and policies for calendar year (CY) 2018. [read post]
13 Nov 2017, 3:50 pm
Eugene Freund will serve as the Center for Medicare and Medicaid Services (CMS) Provider Ombudsman, CMS announced today. [read post]
13 Nov 2017, 9:25 am
The letter details that the Centers for Medicare and Medicaid Services (CMS) requires that Medicare-certified home health agencies (HHAs) meet the Medicare Conditions of Participation (CoPs) for all clients being served by the agency, regardless of a client’s payment source. [read post]
11 Nov 2017, 11:10 am
Attorneys general for the District of Columbia, California, Connecticut, Delaware, Hawaii, Illinois, Iowa, Maine, Maryland, Massachusetts, Minnesota, New York, North Carolina, Oregon, Pennsylvania, Vermont, and Washington have sent comments to the Centers for Medicare and Medicaid Services (CMS) opposing its proposal to reverse an Obama-era rule that banned nursing homes from putting language in resident contracts that require disputes to be settled by a… [read post]
8 Nov 2017, 1:46 am
The Centers for Medicare & Medicaid Services (CMS) today (November 7, 2017) published the CY 2018 Home Health Prospective Payment System Rate Update and CY 2019 Case-Mix Adjustment Methodology Refinements; Home Health Value-Based Purchasing Model; and Home Health Quality Reporting Requirements (Final Rule), updating the home health prospective payment system (HH PPS) payment rates, including […] [read post]
