CMS is requesting public comments on how to define service areas for Medicare Quality Improvement Organizations.

As previously reported, CMS announced a Medicare Shared Savings Program/Accountable Care Organization (ACO) "Investment Model" last fall to better coordinate care in rural and underserved areas...

CMS has announced that in light of persistent problems individuals have had enrolling in qualified health plans (QHPs) through some state-run Marketplaces, it will now allow individuals to access premium tax credits and cost-sharing reductions on a retroactive basis in certain circumstances.

On December 19, 2011, the U.S. Centers for Medicare & Medicaid Services (CMS) published a proposed rule to implement the Physician Payments Sunshine Act, which was included as part of the Patient Protection and Affordable Care Act of 2010.

CMS is hosting a Special Open Door Forum on December 18, 2018 to discuss changes to Healthcare Common Procedure Coding System (HCPCS) ...

On November 16, 2016, CMS is hosting a call to provide an update on its latest plans to allow eligible providers to settle their inpatient status claims currently under appeal using the Hospital Appeals Settlement process.

CMS has announced that, in light of the continued delay in awarding new Recovery Auditor contracts, it is modifying current contracts to allow the Recovery Audit Contractors (RACs) to restart some reviews.

CMS is removing the Medicare prior authorization (PA) requirement for several types of medical equipment because the items no longer meet the standard set forth in a 2015 final rule.

The Fifth Circuit has found that the nationwide injunction of the CMS vaccine mandate issued by the Western District of Louisiana should be narrowed to apply only to the 14 states involved in the Louisiana lawsuit.

CMS is seeking input from stakeholders on how it should use data from the durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) competitive bidding program to adjust (cut) Medicare DMEPOS fee schedule amounts outside of bidding areas (CBAs), as required by the 21st Century Cures Act.

A recent GAO report looked at how private health care entities provide performance data to physicians, and how such practices could be used to improve CMS efforts to provide feedback to providers.

On Thursday, April 10, 2008, the Centers for Medicare Medicaid Services (CMS) withdrew its most recent data gathering initiative, the Disclosure of Financial Relationships Report.

According to a recent OIG report, CMS's internal controls did not effectively ensure the accuracy of almost $2.8 billion in advance cost-sharing reduction (CSR) payments made to ACA qualified health plan (QHP) issuers during the period of January through April 2014.

CMS is finally taking steps to implement the Medicare clinical laboratory payment reforms mandated by the Protecting Access to Medicare Act of 2014 (PAMA).

On February 3, 2015, the authority of the Centers for Medicare & Medicaid Services (CMS) to deny Medicare enrollment and revoke Medicare billing privileges of providers and suppliers significantly expanded.

CMS proposes to remove many process details from the current CoPs where they do not achieve the goal of ensuring desired outcomes.

CMS has released data on Recovery Audit Contractor (RAC) operations fiscal year 2012.

In a roundtable discussion of the Senate Special Committee on Aging last week, Senators Chuck Grassley and Herb Kohl called on CMS to issue final regulations implementing the Physician Payment Sunshine Act, which was enacted as part of the Affordable Care Act.

On November 4, 2021, the Biden administration and the Centers for Medicare and Medicaid Services (CMS) at the Department of Health and Human Services (HHS) issued an interim final rule...

Centers for Medicare & Medicaid Services (CMS) recently announced that Medicare will cover drugs that could slow the progression of Alzheimer's disease, if the Food and Drug Administration (FDA) grants...