MS is hosting an Open Door Forum call to discuss several Medicare developments impacting hospitals, including changes CMS has made to the recovery audit program to strengthen oversight, reduce the provider burden, and enhance program transparency

CMS is soliciting quality measure suggestions for potential use in the Physician Quality Reporting System (PQRS) and other quality programs in future years.

On June 1, 2015, CMS provided additional guidance to state Medicaid directors on implementation of fingerprint-based criminal background checks as a component of ACA Medicare, Medicaid, and CHIP provider screening requirements.

Applicants are encouraged to submit a letter of intent by November 20, 2014, and applications are due by January 6, 2015.

A federal judge in New Orleans blocked the Interim Final Rule with Comment requiring the vaccination of all staff of health care facilities subject to the health and safety standards under the ...

The Centers for Medicare & Medicaid Services (CMS) again has delayed the deadline for its mandatory provider revalidation program for skilled nursing facilities (SNFs), this time to Aug. 1, 2025.

On January 15, 2015, CMS is hosting an Open Payments Question & Answer Session

CMS has released the final 2017 Medicare CLFS payment determinations for new and reconsidered test codes, including determinations regarding whether CMS will use crosswalking or gapfilling to establish payment rates for specific tests.

CMS has posted the January 2015 update to the Medicare average sales price (ASP) drug pricing files, which contain the payment amounts that CMS will use to pay for Part B covered drugs for the first quarter of 2015.

CMS has posted corrections to the 2016 Medicare physician fee schedule payment files. Among other things, CMS has revised the conversion factor, reducing it slightly from $35.8279 to $35.8043.

CMS has issued a proposed rule to make changes to the PERM and MEQC programs to align with changes to state adjudication of Medicaid and Children's Health Insurance Program eligibility under the Affordable Care Act.

At the same time Republican Congressional leaders are attempting to develop legislation to repeal and replace the ACA, CMS has published a proposed rule that is intended to help stabilize...

CMS is proposing numerous changes to the regulations governing the PACE program, which is a Medicare/Medicaid managed care service delivery model designed to enable nursing home-eligible elderly individuals to remain in the community.

CMS has released the 2016 Medicare Advantage (MA) and Part D Rate Announcement and Call Letter.

CMS has posted its April 2015 update to the Medicare average sales price (ASP) drug pricing files, which contain the payment amounts CMS will use to pay for Part B covered drugs for the second quarter of 2015.

CMS Releases Preliminary 2019 Medicare Clinical Lab Payment Determinations.

CMS has released a new Self-Referral Disclosure Protocol (SRDP) Form for disclosing actual or potential violations of the physician self-referral law (known as the "Stark Act") under CMS's existing self-disclosure process.

In mid-2014, state survey agencies and CMS piloted a short-term focused survey in five states to assess nursing home Minimum Data Set, Version 3.0 (MDS 3.0) coding practices and its relationship to resident care.

CMS recently provided an update on its education and enforcement strategies related to its "Two Midnight" policy, which addresses when surgical procedures, diagnostic tests and other treatments ..

As previously discussed here and on our Health Industry Washington Watch blog here the Centers for Medicare & Medicaid Services (CMS) has released final regulations under the physician self-referral law known as the Stark Law.