The Centers for Medicare and Medicaid Services (CMS) recently revised their Medicare Claims Processing Manual with the addition of CR 10412, a provision that permits teaching providers to fully bill...doi:10.1007/s11606-019-04853-7Andre Kumar...
On December 16th, Centers for Medicare & Medicaid Services (CMS) announced that 2025 recovery thresholds for physical trauma liability, no-fault and Workers’ Compensation settlements, judgments, awards or other payments by CMS (Settlements) will remain at $750. The full announcementcan be read her...
is intended to ensure that you are reimbursed based on the code or codes that correctly describe the health care services provided. UnitedHealthcare reimbursement policies may use Current Procedural Terminology (CPT®*), Centers for Medicare and Medicaid Services (CMS) or other coding guidelines....
The Centers for Medicare & Medicaid Services (CMS) has released the calendar year (CY) 2024 Revisions to Payment Policies Under the Physician Fee Schedule (MPFS) and Other Revisions to Medicare Part B (CMS-1784-P) Proposed Rule, which includes proposals related to Medicare physician...
Expanded testing for Medicare and Medicaid patients Limitations on reporting audit requirements Expanded home health services The presenters and other subject matter experts will be available to answer questions throughout. About the Series:OurPayer COVID-19 Updateswebinar series focuses on payers’ respo...
In alignment with the Consolidated Appropriations Act, 2023 and to ensure continuous eligibility (CE) in Medicaid and CHIP for children under 19, CMS proposes to make CE mandatory for all states. This change would remove previous state options to limit CE to younger age groups or shorter p...
The Centers for Medicare & Medicaid Services (CMS) is part of the U.S. Department of Health and Human Services. CMS oversees many federal healthcare programs, including those that involve health information technology such as the meaningful use incentive program for electronic health records (EHR...
CMS Administrator Seema Vermastatedearlier this month that the billing codes will “help encourage doctors and laboratories to use these essential tests for patients who need them.” According to the latest data from a newdashboardcreated by the Center for Systems Science and Engineerin...
Consolidated billing and compliance program--Part 2. On February 11, 1998, the Department of Health and Services Office of Inspector General (OIG) released guidelines to assist hospitals and their agents and subproviders to comply with Medicare and Medicaid regulations. While adopting and ... STAHL...
Center for Medicare & Medicaid Services (CMS) to release a definition of "specialty hospitals" indicating what types of facilities will be affected by a moratorium on physician investment in such facilities. Significance of a "change request" on specialty hospitals; Complaints of community hospitals ...