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  • Article

    CMS Extends Comment Period On SNF Case Mix Methodology ANPRM

    CMS is extending the comment period on its May 4, 2017 advance notice of proposed rulemaking discussing plans to revise the basis for the Medicare skilled nursing facility prospective payment system.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Extends EHR Incentive Program Hardship Application Deadline to July 1, 2016

    CMS is allowing eligible professionals, eligible hospitals, and critical access hospitals to apply for Medicare Electronic Health Record (EHR) Incentive Program hardship exceptions ..
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS, FDA Establishing Interagency Task Force On LDT Quality Oversight

    CMS and FDA are establishing an interagency task force to reinforce their collaboration regarding the oversight of laboratory-developed tests (LDTs), which are tests intended for clinical use and designed, manufactured, and used within a single lab.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Finalizes 2019 Medicare Clinical Lab Payment Determinations

    CMS has released its final 2019 Medicare clinical laboratory fee schedule (CLFS) payment determinations for new and reconsidered clinical lab test codes.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Finalizes ACA Exchange Program Integrity & Financial Oversight Standards

    On October 30, 2013, CMS published a final rule that sets forth financial integrity and oversight standards for participants in Affordable Care Act (ACA) Insurance Exchanges/Marketplaces.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Finalizes ACA Exchange/Qualified Health Plan Financial Integrity And Oversight Standards

    CMS has finalized its financial integrity and oversight standards for ACA Affordable Insurance Exchanges.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Finalizes Changes To Payment Error Rate Measurement (PERM) & Medicaid Eligibility Quality Control (MEQC) Programs

    CMS has published a final rule that modifies PERM and MEQC regulations to align with changes to how states adjudicate Medicaid and CHIP eligibility under the Affordable Care Act (ACA).
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Finalizes CJR Extreme And Uncontrollable Circumstances Policy

    CMS has finalized an "extreme and uncontrollable circumstances policy" for the Comprehensive Care for Joint Replacement (CJR) payment model.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Finalizes DSH Allotment Reductions Starting In FY 2020

    The Centers for Medicare & Medicaid Services (CMS) has issued a final rule implementing the agency's methodology for making statutory reductions to Medicaid disproportionate share hospital
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Finalizes SMART Act MSP Appeals Provisions

    The Centers for Medicare & Medicaid Services has published a final rule that implements Medicare Secondary Payer appeals provisions under the Strengthening Medicare and Repaying Taxpayers Act of 2012
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Fraud Prevention System Credited With $820 Million In Medicare Savings To Date

    CMS has announced that its Fraud Prevention System identified or prevented $820 million in inappropriate Medicare payments during its first three years, including $454 million in 2014 alone.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Gears Up For ACA Health Insurance Marketplace/Exchange Launch

    The Obama Administration is stepping up its outreach efforts in preparation for consumer enrollment for health coverage through the ACA Health Insurance Marketplace/Exchanges later this year.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Independence At Home Demonstration Yields $25 Million In Savings In First Year

    The CMS Independence at Home Demonstration saved more than $25 million during its first performance year while delivering high-quality patient care, according to a June 18, 2015 CMS announcement.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Invites Comments On Sunshine Act "Open Payments" Dispute Resolution/Corrections Process

    CMS is inviting comments on the Physician Payment Sunshine Act "Open Payments Program" dispute resolution and corrections process.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Invites Nominees For Members Of Advisory Panel On Hospital Outpatient Payment

    The Centers for Medicare & Medicaid Services (CMS) is soliciting nominations for new members to the Advisory Panel on Hospital Outpatient Payment to fill five current vacancies.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Invites Proposals For Frontier Community Health Integration Demonstration

    CMS has published a notice inviting applications for a new Frontier Community Health Integration Project Demonstration, which will test new models of integrated health care delivery in sparsely-populated rural counties with the goal of improving health outcomes and reducing Medicare expenditures.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Is Tracking Down Clinicians Owed Medicare Advanced Alternative Payment Model (APM) Incentive Payments

    The Centers for Medicare & Medicaid Services (CMS) has issued a "payment advisory" alerting approximately 1,400 clinicians who are Qualifying APM
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Issues Corrections to CJR Rule, Including Clarification of Target Price Methodology

    CMS has published a notice correcting errors in its November 24, 2015 final rule to implement the Comprehensive Care for Joint Replacement (CJR) model.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Issues Corrections to Medicare/Medicaid LTC Conditions of Participation

    CMS has made numerous technical and typographical corrections to its October 4, 2016 final rule revising the requirements that long-term care facilities must meet to participate in the Medicare and Medicaid programs. v
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Issues Final Medicaid Eligibility/Enrollment Rule Under The ACA

    On July 15, 2013, CMS published a final rule to implement various provisions of the ACA related to Medicaid and CHIP essential health benefits, enrollment, and eligibility rules.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith

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