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On August 17, 2020, the Centers for Medicare & Medicaid Services (“CMS”) announced it was resuming inspections of Medicare and Medicaid certified providers and suppliers, which had been suspended in late March in response to the COVID-19 public health emergency. [read post]
Note that if an employer contracts with a health care provider to perform COVID-19 testing onsite at the workplace, it is likely that the health care provider is testing under a CLIA certificate with the workplace being a temporary testing site as permitted by CMS guidance during the public health emergency. [read post]
29 Jun 2016, 10:13 am by Debra A. McCurdy
CMS also proposes to remove 28 Home Health Quality Initiative measures that are “topped out” and/or of limited clinical and quality improvement value. [read post]
15 Jan 2014, 1:12 pm by Debra A. McCurdy
   Instead, CMS will now consider on a case-by-case basis whether exemption 6 of FOIA, which requires CMS to balance the privacy interest of individual physicians against the public interest in disclosure of such information, applies to a given request for information pertaining to Medicare payments to individual physicians. [read post]
14 Aug 2019, 8:26 am by Debra A. McCurdy
CMS proposes limiting the ASC payment rate for low-volume, device intensive procedure to a payment rate equal to the procedure’s OPPS payment rate. [read post]
22 Aug 2016, 2:50 pm by Debra A. McCurdy
CMS is also working closely with federal, state and local law enforcement to investigate instances of potential fraud and abuse, as well as collaborating with private and public health plans on provider fraud in the Healthcare Fraud Prevention Partnership. [read post]
22 Jun 2016, 10:59 am by Debra A. McCurdy and Gail L. Daubert
Publication of preliminary CLFS rates for CY 2018: early September 2017 (with a public comment period of approximately 30 days). [read post]
21 Jul 2023, 9:01 am by Alexis Boaz
CMS Notification CMS to notify the manufacturer whether CMS has accepted the nomination For declined nominations, CMS may hold virtual meetings to discuss potential coverage pathways D. [read post]
CMS plans to finalize the implementation of specific tools for specific HCPCS codes after soliciting public input and providing public notice through a separate subregulatory process. [read post]
29 Jan 2009, 1:22 pm
Receiving nearly 30 million calls in 2007, 1-800-MEDICARE, operated by a contractor, is the most common way members of the public... [read post]
10 May 2018, 9:54 am by Debra A. McCurdy
CMS solicits public comments on the possible establishment of CMS patient health and safety requirements for hospitals and other Medicare-and Medicaid-participating providers and suppliers for interoperable EHR and systems for electronic health care information exchange, along with ways to address barriers that prevent patients from being able to access and control their medical records. [read post]
14 May 2013, 6:56 am by Debra A. McCurdy
The proposed rule addresses, among other things, the payment adjustment, measure selection, risk-adjustment and scoring methodology; performance scoring; public availability of hospital-specific performance information; and limitation of administrative and judicial review. [read post]
Making good on its promises to enhance oversight of Medicare Advantage (MA) and Medicare Part D plans, the Centers for Medicare and Medicaid Services (CMS) has submitted for public inspection its Contract Year 2025 Final Rule. [read post]
To receive consideration, public comments in response to the proposed rule must be submitted to CMS no later than 5 p.m. on November 2, 2020. [read post]
  CMS is also waiving limitations on the types of clinicians that may provide Medicare telehealth services, including physical therapists and speech language pathologists. [read post]
21 Nov 2016, 2:46 pm by Debra A. McCurdy
In particular, CMS will not use G-codes for this data collection; the data collection will be limited to larger practices in selected states and certain high-volume/high-cost procedures; and the mandatory reporting requirement is being delayed until July 1, 2017. [read post]
5 May 2016, 6:06 pm by Debra A. McCurdy
CMS proposes to establish a process by which it will identify and notify the public of the APMs (including specific APM tracks or options) that would be considered Advanced APMs for a performance period. [read post]