Search for: "Centers for Medicare and Medicaid Services (CMS)"
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22 Mar 2013, 3:07 pm
The Office of Medicare Hearings and Appeals (OMHA) has released its instructions and recommended request form for withdrawing a Part A appeal pursuant to the Center for Medicare & Medicaid Service (CMS) Ruling 1455-R. [read post]
1 Aug 2019, 7:55 am
On July 31, the Centers for Medicare & Medicaid Services (CMS) published two federal fiscal year (FY) 2020 final rules – inpatient rehabilitation facility (IRF) prospective payment system (PPS) and hospice payments. [read post]
13 Aug 2020, 7:18 am
The SCF is an alternative dispute resolution (ADR) process meant to bring certain providers and the Centers for Medicare & Medicaid Services (CMS) together to discuss mutually agreeable resolutions for Medicare Part A and B claims appealed to either the OMHA level or the Department of Appeals Board’s Medicare Appeals Council (Council) level of the Medicare claims appeals process. [read post]
27 Apr 2018, 1:24 pm
On April 24, the Centers for Medicare & Medicaid Services (CMS) released its fiscal year (FY) 2019 inpatient prospective payment system (IPPS) and long-term care hospital prospective payment system (LTCH PPS) proposed rule. [read post]
15 Dec 2021, 6:37 am
Important guidance regarding COVID-19 testing in the workplace was recently issued by the Centers for Medicare & Medicaid Services (“CMS”) in the form of Frequently Asked Questions regarding Over the Counter (“OTC”) Home Testing and CLIA Applicability. [read post]
31 Mar 2020, 5:09 pm
On Monday, March 30, 2020, the Centers for Medicare & Medicaid Services (CMS) issued wide ranging blanket waivers and published an interim final rule intended to “equip the American healthcare system with maximum flexibility” to respond to COVID-19. [read post]
8 Jun 2016, 8:58 am
On June 1, 2016, the US Food and Drug Administration (FDA) published in the Federal Register (81 Federal Register 35032) a draft guidance for sponsors, clinical investigators, industry, IRBs, and FDA staff regarding categorization of Investigational Device Exemption (IDE) devices as either a Category A or Category B device to assist the Centers for Medicare and Medicaid Services (CMS) with making Medicare coverage decisions for such devices.… [read post]
15 Jul 2021, 5:53 am
Now, the Centers for Medicaid and Medicare Services (CMS) seeks to preserve telehealth access with the proposed 2022 Medicare Physician Fee Schedule (MPFS). [read post]
7 Mar 2011, 8:06 pm
The Centers for Medicare & Medicaid Services (CMS) on March 7, 2011 published proposed consumer disclosure notices that it proposes to require insurers proposing rate increases over 10 percent to electronically file in furtherance of CMS’ implementation of the Affordable Care Act premium rate review regulation published by HHS in December of 2010. [read post]
16 Jul 2009, 12:07 pm
According to the 2010 Proposed Physician Fee Schedule (PPFS), as of January 1, 2012, the Center for Medicare and Medicaid Services (CMS) proposes that Medicare payment be made only for the technical component (TC) of advanced diagnostic imaging services to suppliers who have met the accreditation requirements set forth by the Secretary. [read post]
26 Feb 2014, 6:37 am
In a colossal “oh by the way” revelation, last Friday afternoon the Centers for Medicare and Medicaid Services (CMS), a federal agency under the United States Department of Health and Human Services (that would be the executive branch run by President Obama), quietly released a report exposing the fact that under Obamacare, two-thirds of Americans who work at small businesses will see their insurance premiums increase. [read post]
22 Apr 2010, 2:34 pm
Centers for Medicare and Medicaid Services ("CMS") reported yesterday that it realizes that fiscal intermediaries haven't been providing sufficient detail on remittance advices (RAs) when recouping overpayments identified by RACs to allow providers to track and update their financial records. [read post]
9 Oct 2012, 10:00 am
., Board Certified by The Florida Bar in Health Law In September 2012, the Centers for Medicare and Medicaid Services (CMS) made the decision to allow Recovery Audit Contractors (RACs) to begin reviewing the billing codes for office visits for healthcare providers. [read post]
7 Dec 2015, 9:12 am
The Centers for Medicare & Medicaid Services ("CMS") recently announced a proposed rule primarily aimed at discharge planning requirements for hospitals and other service providers, including home health agencies (HHAs). [read post]
30 Aug 2010, 3:05 am
DEADLINE SET FOR STATES TO REQUEST ADDITIONAL MEDICAID DOLLARS:The Centers for Medicare and Medicaid Services (CMS) announced on August 18 that states have until September 24 to request an extension of the enhanced Federal Medical Assistance Percentage (FMAP) – the federal government’s share of Medicaid funding.In one of its final acts before breaking for the August congressional recess, the Senate approved legislation to… [read post]
23 Apr 2019, 9:01 am
The Centers for Medicare and Medicaid Services (“CMS”), which oversees the Medicare program, adjusts the payments to MA Plans based on demographic information and the health status of each plan beneficiary. [read post]
29 Jan 2014, 4:18 am
As previously reported, the Office of Inspector General (OIG) and the Centers for Medicare & Medicaid Services (CMS) published final rules in December amending Anti-Kickback Statute (AKS) and Stark Law regulations permitting certain arrangements involving the donation of interoperable electronic health record (EHR) software or information technology and training services. [read post]
30 Nov 2009, 11:14 am
Last Wednesday the Centers for Medicare and Medicaid Services (“CMS”) published the final rule (subject to comment period) for the 2010 Medicare Physicians’ Fee Schedule. [read post]
28 Feb 2012, 11:48 am
American Association for Justice (AAJ) recently submitted comments to the Centers for Medicare and Medicaid Services (CMS) calling for more transparency of payments made to doctors and hospitals by drug and device manufacturers. [read post]
20 Aug 2020, 6:28 am
Federal data collected by the Centers for Medicare and Medicaid Services (CMS) shows a mounting number of nursing homes have reported staff shortages in every category the agency is tracking. [read post]
