Ready for disaster - checking off the items on the emergency preparedness form

CMS Memo Updates State Operations Manual for Emergency Preparedness

A few weeks ago, the Centers for Medicare and Medicaid (CMS) Quality, Safety, and Oversight Group (QSO) issued a Memo to State Survey Agencies...

Billing Edits for OPPS Providers with Multiple Service Locations Delayed

The Centers for Medicare & Medicaid Services (CMS) has postponed billing edits for outpatient providers with multiple service locations — scheduled to start in April —...

Medicare-Medicaid Crossover Bad Debt Accounting Classification

Providers claiming Medicare bad debt must meet 42 CFR 413.89 and all requirements from Chapter 3 of the Provider Reimbursement Manual. Providers must correctly classify unpaid deductible...

CY2020 Medicare Advantage and Part D Payment Policy Changes Finalized

The Centers for Medicare & Medicaid Services (CMS) has finalized its policy and payment updates for Medicare Advantage (MA) and Part D plans for calendar year...

Seema Verma and CMS are taking a look at Safety & Quality in Nursing...

By Seema Verma, Administrator, Centers for Medicare & Medicaid Services CMS is charged with developing and enforcing quality and safety standards across the...

CMS Releases IRF Proposed Rule FY2020

On April 4 the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule for the Inpatient Rehabilitation Facility (IRF) prospective payment system...

CMS Primary Care Initiative

On April 22, 2019 the Centers of Medicare and Medicaid Services (CMS) introduced the CMS Primary Cares Initiative that will provide primary care practices...

CMS Releases FFY 2020 IPPS Proposed Rule

This week the Centers for Medicare & Medicaid Services (CMS) released its federal fiscal year (FFY) 2020 inpatient prospective payment system (IPPS) proposed rule....

CMS retreats on Medicare Part D protected classes changes

Politico Pro's Sarah Karlin-Smith CMS significantly walked back plans to let Medicare Part D and Medicare Advantage plans limit coverage of drugs in six categories...

Improvements Announced for Medicare RAC Program

The Centers for Medicare & Medicaid Services (CMS) announced several improvements to the Medicare Recovery Audit Contractor (RAC) Program, seeking to reduce providers’ burden by better...

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