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8 Sep 2016, 5:38 am by Debra A. McCurdy
CMS has identified errors in its July 2016 update to Medicare durable medical equipment (DME) prosthetic orthotics and supplies (DMEPOS) fee schedule amounts for certain items in non-competitive bidding areas. [read post]
6 May 2013, 9:28 am
Therapy providers will continue to submit claims to their Medicare Administrative Contractor (MAC) but the manual medical review process will be completed by CMS' Recovery Auditors, who began processing manual medical review of PT claims on April 1st, 2013. [read post]
10 Feb 2022, 9:00 am
., Board Certified by The Florida Bar in Health Law Recently it has come to our attention that there may be a nationwide effort by the Centers for Medicare and Medicaid Services (CMS) Medicare Administrative Contractors (MACs) to squelch physicians who prescribe opioids and other narcotic medications. [read post]
28 Jun 2016, 1:11 pm by Debra A. McCurdy
CMS has released the July 1, 2016 update to Medicare durable medical equipment (DME) prosthetic orthotics and supplies (DMEPOS) fee schedule amounts in non-competitive bidding areas, reflecting full implementation of adjustments to nationwide rates based on DMEPOS competitive bidding program (CBP) pricing. [read post]
8 Feb 2016, 7:35 am by Debra A. McCurdy
  CMS explains that it is aligning the timing and scope of the Medicaid medical equipment face-to-face encounter requirements with the parallel rules for Medicare durable medical equipment (DME). [read post]
8 Feb 2016, 7:35 am by Debra A. McCurdy
  CMS explains that it is aligning the timing and scope of the Medicaid medical equipment face-to-face encounter requirements with the parallel rules for Medicare durable medical equipment (DME). [read post]
3 Apr 2013, 11:47 am by S2KM Limited
Compromises: "CMS does not compromise or reduce future medical expenses related to a WC injury." [read post]
12 Dec 2019, 11:44 am by Debra A. McCurdy
The Centers for Medicare & Medicaid Services (CMS) has released the 2020 Medicare fee schedule for durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS). [read post]
21 Feb 2022, 6:25 am by Wachler & Associates, P.C.
The Centers for Medicare & Medicaid Services (CMS) contracts with a Supplemental Medical Review Contractor (SMRC), which performs a variety of Medicare and Medicaid audit and medical review tasks. [read post]
10 Jul 2012, 12:06 pm
Of particular interest to providers, CMS implemented face-to-face requirements as a condition of payment for certain durable medical equipment (DME) items. [read post]
10 Jul 2012, 12:06 pm
Of particular interest to providers, CMS implemented face-to-face requirements as a condition of payment for certain durable medical equipment (DME) items. [read post]
26 May 2021, 6:26 am by Wachler & Associates, P.C.
The new rule, as currently written, provides for four years of national Medicare coverage of innovative medical devices starting on the date of FDA market authorization or a manufacturer chosen date within two years thereafter. [read post]
6 May 2017, 4:25 am by Jon Gelman
A Federal Court in California has prohibited the Center for Medicare and Medicaid Services (CMS) from seeking reimbursement of conditional payments when the medical codes for the conditions are unrelated or not related even if the primary code was for a work-related medical condition. [read post]
12 May 2017, 12:32 pm by Debra A. McCurdy
CMS has announced revised Medicare durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) fee schedule amounts for the period of July through December 2016, as required by the 21st Century Cures Act. [read post]
CMS adopted an alternative IPPS new technology add-on payment (NTAP) pathway for certain “transformative” medical devices beginning in FY 2021. [read post]
25 Sep 2009, 4:02 pm
CMS has announced two changes for the WCMSA submission process:1. [read post]
18 Aug 2008, 11:00 pm
CMS has once again clarified the responsibilities of a Medicare-participating hospital under the Emergency Medical Treatment and Active Labor Act (EMTALA). [read post]
18 Aug 2008, 11:00 pm
CMS has once again clarified the responsibilities of a Medicare-participating hospital under the Emergency Medical Treatment and Active Labor Act (EMTALA). [read post]
28 Feb 2019, 7:02 pm by Debra A. McCurdy
June 11-12, 2019 — Durable Medical Equipment and Accessories, Orthotics and Prosthetics and Supplies, and Other CMS intends to release the agenda and preliminary coding determinations at least four weeks before each meeting on the CMS HCPCS website. [read post]
16 Sep 2013, 1:32 pm
Second, CMS addressed the proper timing of the certification, stating that the inpatient admission begins with certification, which (with some exceptions) must be completed, signed, dated, and documented in the medical record prior to discharge. [read post]