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...