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  • 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 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 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 Guide On Avoiding Readmissions In Diverse Medicare Populations

    The CMS Office of Minority Health has released a "Guide to Preventing Readmissions among Racially and Ethnically Diverse Medicare Beneficiaries."
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Posts July 2015 Medicare Part B Drug Payment Files

    CMS has released the July 2015 update to the Medicare Part B average sales price (ASP) files.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Posts October 2015 Medicare Part B Drug Payment Update

    CMS has posted the October 2015 update to the Medicare Part B drug average sales price (ASP) files, containing the payment rates that will apply for the fourth quarter of 2015.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Proposes Funding Methodology For ACA Basic Health Program For 2017-2018

    On October 22, 2015, CMS published a proposed methodology for determining federal payment amounts to states that elect to establish a Basic Health Program (BHP) to offer health benefits to low-income individuals...
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Proposes Methodology to Implement Statutory Medicaid DSH Reductions

    CMS has issued a proposed rule establishing a methodology to reduce state Medicaid disproportionate share hospital (DSH) allotments annually beginning with fiscal year (FY) 2018, as mandated by the Affordable Care Act (and modified in subsequent legislation).
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Provides More Time To Comment On MACRA Physician Payment Reforms

    CMS has extended the comment period on its October 1, 2015 request for information (RFI) regarding implementation of the Merit-based Incentive Payment System and promotion of alternative payment models in accordance with MACRA.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Releases Documents On Paying For Biosimilars

    The Centers for Medicare and Medicaid Services ("CMS") recently released three documents addressing payments for biosimilars under Medicare Parts B and D and Medicaid.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Jones Day
    Jones Day
  • Article

    CMS Releases January 2016 Medicare Part B Drug Files

    CMS has posted the payment amounts that will apply to Medicare Part B covered drugs for the first quarter of 2016.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Reschedules Call On Home Health Clinical Templates (April 28)

    On April 28, 2015, CMS is hosting its final call to discuss paper and clinical templates intended to assist physicians and practitioners in documenting patient eligibility for Medicare home health benefits.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Schedules Call On MACRA Global Surgery Data Requirement (Jan. 20)

    On January 20, 2016, CMS is holding a call on data collection requirements related to global surgical periods as mandated by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Schedules July 13 Focus Group Meeting On Provider Compliance Issues

    Citing an interest in improving its processes and eliminating unnecessary requirements, CMS is hosting July 13, 2018 "Provider Compliance Focus Group" meeting regarding Medicare fee-for-service compliance topics...
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Schedules July 16 Meeting On Medicare Clinical Laboratory Fee Schedule Payments

    CMS has just announced that it is holding a public meeting on July 16, 2015 to discuss Medicare clinical laboratory fee schedule (CLFS) payment for new or substantially revised HCPCS codes for calendar year 2016.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Schedules Meetings On HCPCS Code Applications

    CMS is holding meetings in May and June 2016 to discuss pending applications for new and revised Healthcare Common Procedure Coding System (HCPCS) codes.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Steps Up Efforts To Recover Overpayments From Providers/Suppliers Sharing TINs

    The policy is discussed in an educational article entitled "Recovering Overpayments from Providers Who Share Tax Identification Numbers" issued on June 22, 2016.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS To Host Call On Implementation Of The IMPACT Act

    On October 21, 2015, CMS is hosting a provider call to discuss the Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS To Host November 2 Call On Clinical Diagnostic Lab Test Payment System Data Reporting

    CMS is hosting an educational call on November 2, 2016 to discuss reporting obligations under the June 23, 2016 Clinical Diagnostic Test Payment System final rule. As previously reported, under the Protecting Access to Medicare Act (PAMA),
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    GAO Seeks Stronger CMS Measurement Of State Medicaid Program Integrity System Effectiveness

    Based on a review of 10 state Medicaid Management Information Systems used to process claims and support program integrity efforts, the GAO has concluded that the effectiveness of these systems is not known.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith

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