MA plans and Part D sponsors are subject to Medicare Communications & Marketing Guidelines (“MCMG”), which provide guidance and examples on what qualifies as marketing material, the procedures for sponsors to submit those marketing materials, and the proper use of ...
Centers for Medicare and Medicaid Services (CMS) has standardized the requirements for enrollment and periodic updates of enrollment information. This aims to maintain billing privileges with the program. Clinical laboratories, pathologists, all other Medicare providers will have to comply with the ...
It states that the new policy requiring the physicians to have an approved enrollment record in the Provider Enrollment, Chain and Ownership System (PECOS) is problematic on medical residents and physicians who opted out of Medicare. It mentions that the new policy represents a logistical nuisance ...
The Centers for Medicare & Medicaid Services (CMS) published aFinal Ruleon April 4, 2024, that makes a number of changes to regulations governing the Programs of All-Inclusive Care for the Elderly (PACE). Among other things, the Final Rule gives CMS additional grounds on which to deny PACE ...
Current definitions in the Medicare payment exclusion rule and eligibility requirements for the special enrollment period (SEP) for formerly incarcerated individuals create potential barriers to healthcare access for individuals returning to the community following incarceration. To remove these barriers, ...
Every year, theCenters for Medicare and Medicaid Services (CMS)provide guidance on theMedicare Communications and Marketing Guidelines (MCMG)for Medicare Advantage Plans (MAs), Medicare Advantage Prescription Drug Plans (MA-PDs), Prescription Drug Plans (PDPs) and 1876 Cost Plans. CQ fluency can ...
On August 31, 2022, CMS issued a proposed rule to reduce coverage gaps by streamlining the application, enrollment, and renewal process for coverage...
Anktiva, approved by the FDA in April 2024, is used with BCG for BCG-unresponsive NMIBC with carcinoma in situ. SHOW MORE The J-code became effective on January 1, 2025. The Centers for Medicare & Medicaid Services (CMS) have issued the Healthcare Common Procedure Coding System (HCPCS) ...
for a Medicare beneficiary with this condition to be covered, they must be enrolled in a study that meets several criteria, including that chronic low back pain is defined as lasting at least 12 weeks, is not associated with surgery within 12 weeks of study enrollment, and has no "identifiab...
On March 15, 2023, the Centers for Medicare & Medicaid Services (CMS) issued an initial guidance memorandum on the Medicare Drug Price Negotiation...