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2 Jul 2014, 6:52 am by Debra A. McCurdy
CMS will accept public comments on the proposed HCPCS discontinuations until July 21, 2014. [read post]
15 Dec 2021, 3:17 pm by Taylor Appling and Kara Schoonover
  The Fifth Circuit noted that the government is likely to prevail on limiting the scope of the nationwide injunction, and as such, the appellate court “stayed” the injunction with respect to jurisdictions outside of the 14 states included in the lawsuit. [read post]
5 Aug 2021, 5:24 am by Wachler & Associates, P.C.
The FY 2022 request supports ongoing medical review operations, including Targeted Probe and Educate (TPE) reviews, which CMS temporarily suspended for a portion of 2020 in response to the Public Health Emergency (PHE). [read post]
On November 12, 2019, the Centers for Medicare & Medicaid Services (CMS) published a proposed rule for public inspection entitled Medicaid Fiscal Accountability Regulation. [read post]
18 May 2011, 4:03 am by Jon L. Gelman
The Court also issued an Order enjoining CMS from certain collection activities. [read post]
1 Mar 2023, 9:29 am by Christine Clements and John Tilton
CMS further provided that there may be other limited instances in which CMS seeks to collect overpayments associated only with enrollees in a given sample, or wishes to perform only a probe sample of RADV reviews without the use of a statistically valid sample and yet will seek to recover any identified, non-extrapolated overpayments. [read post]
23 Sep 2011, 7:38 am by Medicare Set Aside Services
The unknown is what exactly happens when CMS “goes public” with this new system – sometime in mid October. [read post]
23 Feb 2023, 6:38 pm by Whitney Petrie and Matthew Loughran
CMS first published a proposed rule in 2011 to implement the provision; after receiving public comments, that rule was not finalized. [read post]
27 Aug 2007, 2:05 pm
Prohibition on Certain Referrals by Physicians and Limitations on Billing-- §411.353VI. [read post]
23 May 2012, 11:14 am by Debra A. McCurdy
  CMS is planning a July 23, 2012 public meeting in Baltimore to consult with suppliers and the public about this potential policy. [read post]
12 Aug 2013, 6:11 am by Debra A. McCurdy
CMS believes that local contractor discretion is more appropriate in these cases because “the future utilization for items and services within these policies will be limited. [read post]
27 Mar 2020, 9:07 am by Steven Boutwell
  Providers will need to be mindful of the termination of these expanded benefits at the conclusion of the COVID-19 nationwide public health emergency. [read post]
” A pre-publication copy of the interim final rule is available here, and the expected Federal Register publication date is November 5, 2021. [read post]
17 May 2011, 10:26 am by Medicare Set Aside Services
CMS harps on the fact that it is entitled by statute to recovery and it is of great public interest to protect the fiscal integrity of Medicare, therefore we must pay first and suffer a great inconvenience to try to get it back, if we bother at all and can ultimately make a sufficient case. [read post]
22 May 2014, 4:21 pm by Debra A. McCurdy
Instead, CMS is seeking public comment on the number of items that should be selected initially and in the future, and the frequency with which CMS should select items. [read post]
4 Oct 2015, 9:44 am by Debra A. McCurdy
Other Policy Issues and Comment Opportunity The proposed rule also addresses a variety of other related policy issues, including: the schedule for reporting applicable information to CMS; certification of submitted information; civil monetary penalties for applicable laboratories that fail to report or that make a misrepresentation or omission in reporting applicable information); confidentiality and public release of limited data; temporary coding for new tests; the local… [read post]
  CMS withdrew its proposal to require accrediting organizations to make public provider and supplier survey reports. [read post]
4 Jan 2011, 11:56 am by Cynthia Marcotte Stamer
Stamer, her experience, involvements, programs and publications, see here or contact Ms. [read post]