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1 Mar 2023, 9:29 am by Christine Clements and John Tilton
CMS is finalizing § 422.311(a)(2) to read “CMS may apply extrapolation to audits for payment year 2018 and subsequent payment years,” rather than “CMS will apply extrapolation” as previously proposed. [read post]
10 Jun 2010, 1:20 pm by The Health Law Partners
On May 28, the Centers for Medicare and Medicaid Services (CMS) issued Transmittal 128, which clarifies CMS policies regarding physician supervision of diagnostic and therapeutic services provided to hospital outpatients. [read post]
31 Jan 2019, 1:44 pm by Robert Hill and Debra A. McCurdy
The Centers for Medicare & Medicaid Services (CMS) has announced a new Medicare Part D Payment Modernization Model (Part D Model), which will be tested by the CMS Center for Medicare and Medicaid Innovation. [read post]
6 Apr 2011, 10:03 am
On March 31st the Centers for Medicare and Medicaid Services (“CMS”) released its proposed rule to establish the Medicare Shared Savings Program (the “Shared Savings Program”). [read post]
22 Apr 2009, 3:46 pm
"Effective immediately [April 21, 2009] , submitted rated ages that do not conform to CMS' standards for acceptable proof of Rated Age, which includes being independent, on the letterhead of an insurance carrier or settlement broker, and includes a statement from the submitter that all rated ages obtained on the claimant have been included, will be priced using actual age and CMS will not consider re-pricing the workers' compensation case using the new or corrected… [read post]
1 Feb 2024, 9:00 am by Teresa A. Mason, Wan Q. Zhang
CMS’s New Actions Related to EMTALA On January 22, 2024, the Department of Health and Human Services (HHS) announced that, through the Centers for Medicare & Medicaid Services (CMS), it will launch a comprehensive plan related to the Emergency Medical Treatment and Labor Act (EMTALA). [read post]
6 Apr 2011, 10:03 am
On March 31st the Centers for Medicare and Medicaid Services (“CMS”) released its proposed rule to establish the Medicare Shared Savings Program (the “Shared Savings Program”). [read post]
5 Feb 2010, 5:06 am by Jon L. Gelman
  The recovery action is based upon an alleged failure of the attorneys to honor a claim that CMS had filed in an underlying bankruptcy claim filed in 2003. [read post]
The Centers for Medicare & Medicaid Services (CMS) have recently released updated guidance regarding hospital co-locations arrangements. [read post]
17 May 2016, 5:40 am by Jon Gelman
(workers-compensation.blogspot.com)Insurance Carrier Subject to Lawsuit for Failing to Reimburse CMS (workers-compensation.blogspot.com) [read post]
31 May 2011, 11:58 am
  Here are some suggestions while we all await further guidance from CMS and its contractors: The suspension is temporary—presumably just long enough to allow CMS to re-write the standard letters to comply with the opinion released on May 5th in the Arizona case of Haro v. [read post]
17 May 2017, 6:30 am by Rita Wilson
In October 2016, CMS made an unannounced policy change which effectively eliminated the ability to obtain a Zero MSA approval from CMS based upon a complete denial of the claim, without a supporting judicial decision. [read post]
1 Dec 2021, 6:38 am by Immigration Prof
Please join the Center for Migration Studies of New York (CMS) and the Ready to Stay Coalition from 1:00 – 2:15 ET on December 9th for a webinar and discussion of the forthcoming CMS report, Ready to Stay: A Comprehensive... [read post]
1 Jul 2013, 2:41 pm
This proposed rule defines CMS's transition to ICD-10-CM coding, and states that a draft ICD-10-CM HH PPS Grouper should be on the CMS website today. [read post]