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22 Feb 2023, 10:00 pm
In doing so, CMS rejected application of a fee-for-service adjuster (FFS Adjuster) to allow for permissible threshold errors emanating from third-party provider medical record documentation. [read post]
22 Feb 2023, 10:00 pm
In doing so, CMS rejected application of a fee-for-service adjuster (FFS Adjuster) to allow for permissible threshold errors emanating from third-party provider medical record documentation. [read post]
22 Feb 2023, 7:17 am
Allina Health Services, 139 S. [read post]
20 Feb 2023, 5:00 am
CMS, the Centers for Medicare and Medicaid Services, issued a downloadable guidance on this topic. [read post]
19 Feb 2023, 7:23 pm
On January 26, 2023, the Centers for Medicare and Medicaid Services (CMS) issued guidance for Rural Emergency Hospitals (REHs), through which CMS outlined requirements on eligibility, the conversion process for eligible facilities, and other related information. [read post]
15 Feb 2023, 4:25 pm
In addition to the risk of a “clawback,” or having to pay back the insurer for payments found to be in error, practitioners who fail audits face disciplinary actions from the private health insurance company, the Centers for Medicare & Medicaid Services (CMS), and the Illinois Department of Financial and Professional Regulation (IDFPR). [read post]
9 Feb 2023, 1:15 pm
Department of Health and Human Services (HHS) and Centers for Medicare & Medicaid Services (CMS) have taken initiative to “reduce the inappropriate use of antipsychotic medications and to bring greater transparency about nursing home citations to families. [read post]
8 Feb 2023, 10:04 am
” Statement 4 for Providers’ Collective Provision of Non-Fee-Related Information This Statement created a safety zone for the collection of non-fee related information, such as the collection of medical data. [read post]
8 Feb 2023, 7:59 am
District Court for the Eastern District of Texas in a group of challenges to the rule, consolidated under Texas Medical Association v. [read post]
26 Jan 2023, 8:27 am
According to CMS, the error percentage rate required for release from the audit varies based on the service or product under review.[5] It is necessary to ask the educator what the expectations are going into this second round. [read post]
26 Jan 2023, 5:00 am
Around the same time as the Notice of Suspension, the UPIC will request additional medical records, usually for significantly more claims than before. [read post]
23 Jan 2023, 12:59 am
Background Facts DCM is an optician that makes taxable and exempt supplies of medical services. [read post]
19 Jan 2023, 9:03 pm
” The Centers for Medicare and Medicaid Services (CMS) announced that it will begin conducting audits of nursing homes’ use of antipsychotic drugs in an effort to reduce on inappropriate prescriptions. [read post]
19 Jan 2023, 4:27 pm
Late last year, Centers for Medicare and Medicaid Services (CMS) published a searchable list of the names of all nursing homes and the identity of the owners and ownership percentage. [read post]
19 Jan 2023, 7:54 am
HHS in conjunction with the Centers for Medicare & Medicaid Services (CMS) will begin targeted off-site inspections of nursing homes this month. [read post]
18 Jan 2023, 11:43 am
This exception allows those who are part of a Group Practice, as defined by CMS, to order Designated Health Services from the physicians Group Practice. [read post]
17 Jan 2023, 11:09 am
Part D Medication Therapy Management Program CMS proposes several changes to its medical therapy management (“MTM”) program to reduce eligibility gaps so that more Part D enrollees with complex drug regimens at increased risk of medication therapy problems would be eligible for MTM services. [read post]
12 Jan 2023, 9:05 pm
” The Centers for Medicare and Medicaid Services (CMS) announced its plan to implement a Medicare drug pricing negotiation program, which will set maximum fair price ceilings, as authorized by the Inflation Reduction Act. [read post]
6 Jan 2023, 10:37 am
We are particularly supportive of the provisions in the bill that would require the Centers for Medicare & Medicaid Services (CMS) to negotiate with pharmaceutical companies regarding prices for drugs covered under the Medicare prescription drug benefit. [read post]
28 Dec 2022, 6:20 am
Prosecutors said that in a scheme running from 2012 to 2014, Worrall informed Blaszczak of proposed changes to CMS’s rates of reimbursement for certain types of medical care. [read post]
