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  • Article

    CMS Finalizes Medicare Conditions Of Participation For Community Mental Health Centers

    On October 29, 2013, CMS published a final rule establishing conditions of participation (CoPs) that community mental health centers (CMHCs) must meet to participate in the Medicare program.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Guidance On Provider Timeframes For Responding To Additional Documentation Requests

    CMS has updated the Medicare Program Integrity Manual to clarify that providers and suppliers have 45 days to produce documents in response to a pre-payment review Additional Documentation Request...
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Proposes ACA Marketplace Benefit And Payment Parameters For 2018

    CMS has proposed its annual Notice of Benefit and Payment Parameters, which would apply to participation in Affordable Care Act (ACA) Health Insurance Marketplaces for 2018.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Publishes Medicare QIO Criteria

    CMS has published notices setting forth the criteria it will use to evaluate the effectiveness and efficiency of Quality Innovation Network.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Releases 2015 HCPCS Files

    CMS has posted the 2015 update to the alphanumeric HCPCS files.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Releases 2015 Medicare DMEPOS Fee Schedule

    CMS has released the Medicare DMEPOS fee schedule files that are effective January 1, 2015.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Releases Data On Medicare Outpatient Hospital Payments

    CMS has posted estimated hospital-specific charges and average Medicare payments for 30 Ambulatory Payment Classification Groups paid under the Medicare Outpatient Prospective Payment System for calendar year 2011.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Releases Standard Consumer Notices Under ACA Grandfathering/Transitional Policy

    CMS has posted the standard notice that insurers issuers must provide to policyholders if they intend to allow individuals to continuing existing health insurance coverage in 2014 under the Administration’s "transitional policy" (even if the plan does not meet all ACA insurance standards).
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Solicits Suggestions For Potential PQRS Measures

    CMS is inviting quality measure suggestions for potential use in the Physician Quality Reporting System (PQRS) and other physician quality measures.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Special Open Door Forum On Hospital Inpatient Criteria/2-Midnight Benchmark (Feb. 4)

    On February 4, 2014, CMS will host a follow-up Special Open Door Forum call on the two-midnight benchmark for inpatient hospital admissions included in the FY Medicare inpatient prospective payment system final rule.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Special Open Door Forum On LTCH Quality Reporting (Nov. 21)

    A November 21, 2013 CMS call will provide an update on data collection and reporting requirements, time frames, and submission deadlines under the Medicare Long-Term Care Hospital (LTCH) Quality Reporting Program.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Teleconference to Discuss SNF Value-Based Purchasing Program (March 15)

    On March 15, 2017, CMS is hosting a call to discuss the Skilled Nursing Facility (SNF) Value-Based Purchasing (VBP) Program, which is scheduled to begin in fiscal year 2019.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS To Educate Drug Manufacturers On Navigating New ASP Reporting System

    CMS is requiring prescription drug manufacturers that report average sales price (ASP) data to use a new automated system, beginning with the second quarter 2018 ASP data submission (due April 30, 2018).
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS To Help SNFs Prepare For Value-Based Purchasing Program Rules (Nov. 16)

    A November 16, 2017 CMS call will focus on how the Medicare SNF Value-Based Purchasing Program will affect Medicare's payments to SNFs beginning October 1, 2018.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS To Use Power Of Purse To Mandate Vaccines For Nursing Home Staff

    The Biden Administration has announced that CMS is drafting a new rule to take effect as early as September 2021 that would condition continued Medicare and Medicaid funding for nursing homes on their staffs being vaccinated.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Katten
    Katten
  • Article

    CMS Town Hall Meeting On IPPS New Technology Add-On Payments (Feb. 12)

    CMS is holding a meeting on February 12, 2014 to discuss fiscal year (FY) 2015 applications for add-on payments for new medical services and technologies under the Medicare hospital inpatient prospective payment system (IPPS).
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Update On Medicare IVIG Demonstration (Nov. 22)

    On November 22, 2013, CMS is hosting a Special Open Door Forum to discuss the design and implementation of the Medicare Intravenous Immune Globulin Demonstration.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Wants Physicians To Speak Up On Reducing E/M Services Documentation Burden (March 21)

    CMS is hosting a call on March 21, 2018 to get feedback from physicians and non-physician practitioners on Evaluation and Management (E/M) services.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    Nov. 10 CMS Call Will Review Clinical Lab Test Payment Proposed Rule

    On November 10, 2015, CMS is hosting a public call to discuss its October 1, 2015 proposed rule that would make significant changes to the Medicare clinical diagnostic laboratory test payment system.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    Open Payments/Sunshine Act: CMS Registration Overview Call

    On June 12, 2014, CMS is hosting a National Provider Call to explain Physician Payment Sunshine Act "Open Payments Program" registration requirements.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith

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