Search for: "Center for Medicare and Medicaid Services"
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24 Sep 2019, 9:00 pm
On August 14, 2019, the Centers for Medicare and Medicaid Services (CMS) published a Proposed Rule seeking to expand the Open Payments program, including the number and types of covered recipients and payment categories. [read post]
23 Sep 2019, 2:00 pm
The Centers for Medicare & Medicaid Services (CMS) has issued a final rule implementing the agency’s methodology for making statutory reductions to Medicaid disproportionate share hospital (DSH) allotments. [read post]
23 Sep 2019, 2:03 am
This report, Elder Abuse: Federal Requirements for Oversight in Nursing Homes and Assisted Living Facilities Differ reports The Centers for Medicare & Medicaid Services (CMS) oversees the... [read post]
18 Sep 2019, 2:08 pm
(September 18, 2019): On September 10, 2019, the Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS), published a Final Rule in the Federal Register entitled “Medicare, Medicaid, and Children’s Health Insurance Programs; Program Integrity Enhancements to the Provider Enrollment Process. [read post]
18 Sep 2019, 2:08 pm
Big Changes to CMS Form 855 are on the Horizon (September 18, 2019): On September 10, 2019, the Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS), published a Final Rule in the Federal Register entitled “Medicare, Medicaid, and Children’s Health Insurance Programs; Program Integrity Enhancements to the Provider Enrollment Process. [read post]
16 Sep 2019, 11:50 am
By Jennifer Jones Thomas On September 10, 2019, the Centers for Medicare and Medicaid Services (“CMS”) published a Final Rule in the Federal Register which will require Medicare, Medicaid, and Children’s Health Insurance Program (“CHIP”) providers and suppliers to disclose current and previous affiliations with other providers and suppliers who CMS identifies as posing an undue risk of fraud, waste, or abuse. [read post]
11 Sep 2019, 7:22 am
” The Centers for Medicare & Medicaid Services and all 50 states have regulations governing the use of and reimbursement for telehealth services, and commercial payers are increasingly covering these services. [read post]
11 Sep 2019, 6:00 am
[Full disclosure: I am not active in the Medicare Supplement/Advantage market]Recently received this in email:"New for 2020: Lasso Medicare Savings Account Plan"Medicare MSA's appear to be the post-65 version of what we typically see as Health Savings Accounts (HSAs) in the pre-65 market, with some interesting twists:• $0 Premium• MSAs are one type of Medicare Advantage (MA) plan that the Centers for Medicare and… [read post]
9 Sep 2019, 8:22 am
Two U.S. senators from Pennsylvania have just released to the public a government-generated list of several hundred nursing homes that were flagged as among the worst in the country, but whose names until now were being withheld by the Centers for Medicare and Medicaid Services (CMS), the federal entity responsible for oversight of the nursing care industry. [read post]
5 Sep 2019, 2:54 pm
A recent lawsuit alleged that a Kansas hospital violated the False Claims Act (FCA) by manipulating data submitted to the Centers for Medicare and Medicaid Services (CMS) as part of a value-based program. [read post]
CMS Issues Final FY 2020 Medicare IPPS/LTCH Update, Including New Medical Device Technology Policies
29 Aug 2019, 8:12 am
The Centers for Medicare & Medicaid Services (CMS) has finalized Medicare acute inpatient prospective payment system (IPPS) and long-term care hospital (LTCH) prospective payment system (PPS) rates and policies for fiscal year (FY) 2020, which begins October 1, 2019. [read post]
27 Aug 2019, 4:13 am
It includes home care, including by family members, assisted living facilities, nursing homes, adult day care centers, and continuing care communities. [read post]
21 Aug 2019, 9:05 pm
The Centers for Medicare & Medicaid Services (CMS) excluded freestanding psychiatric facilities from its EHR incentives program, which dedicates substantial resources to help certain providers adopt EHR systems. [read post]
21 Aug 2019, 6:17 am
One of the more alarming findings from the study was that 75 percent of nursing homes were rarely in compliance with what the Centers for Medicare & Medicaid Services expected their staffing level to be, based on the needs of their residents. [read post]
20 Aug 2019, 10:37 am
The Center for Medicare and Medicaid Services (“CMS) recently included generic versions of Oxycodone and Lyrica in its “Red Book”. [read post]
20 Aug 2019, 10:32 am
Uradu, sought and received payments from Medicare and Kentucky Medicaid for services that were not actually provided to patients. [read post]
19 Aug 2019, 10:40 am
The Centers for Medicare & Medicaid Services (CMS) has published its final rule to update the Medicare inpatient rehabilitation facility (IRF) prospective payment system (PPS) for fiscal year (FY) 2020. [read post]
19 Aug 2019, 10:29 am
The Centers for Medicare & Medicaid Services (CMS) will increase Medicare inpatient psychiatric facility (IPF) prospective payment system (PPS) payments by 1.5%, or $65 million, in fiscal year (FY) 2020 under a recently-published final rule. [read post]
19 Aug 2019, 4:09 am
The Centers for Medicare & Medicaid Services (CMS) is planning a potentially-significant overhaul of Medicare pricing rules for new items of durable medical equipment (DME), prosthetics, orthotics and supplies (DMEPOS) as part of its proposed annual DMEPOS policy update for calendar year (CY) 2020. [read post]
19 Aug 2019, 4:00 am
The Centers for Medicare & Medicaid Services (CMS) has proposed updating Medicare end-stage renal disease (ESRD) prospective payment system (PPS) rates by 1.7% for calendar year 2020. [read post]
