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  • Article

    CMS Releases ACA Medicaid DSH Funding Final Rule

    CMS has put on display a final rule that implements reductions to state Medicaid Disproportionate Share Hospital allotments mandated by the ACA.
    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 Releases July 2014 Medicare Part B Drug ASP Update

    CMS has released the average sales price (ASP) files that will be used to pay for Medicare Part B drugs for the third quarter of 2014.
    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 Seeks Comments On MSP CMP Policies, Appeals Process

    CMS has published an advance notice of proposed rulemaking soliciting comments on the imposition of civil money penalties (CMPs) for failure to comply with Medicare Secondary Payer (MSP) reporting requirements for certain group health and non-group health plans arrangements.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Seeks Input On Quality Ratings For ACA Exchange Plans

    On November 19, 2013, CMS published a notice seeking comments on its proposed Quality Rating System framework for rating Qualified Health Plans offered through an ACA Affordable Insurance Exchange.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Sets 1% Payment Update For Medicare Ambulance Rates In 2014

    The Medicare ambulance fee schedule will be increased by a 1.0% inflation adjustment for 2014, CMS announced in a recent transmittal.
    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 Calls On Electronic Clinical Template For Home Health Orders

    CMS is hosting Special Open Door Forum calls to solicit feedback on data elements for a new "Suggested Electronic Clinical Template for Home Health."
    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

    CMS To Host "Physician Compare Town Hall Meeting" (Feb. 24)

    On February 24, 2014, CMS is hosting a town hall meeting to discuss the future of the Physician Compare website and how to improve the information presented to consumers.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Update on Status of Final Medicaid FULs

    CMS has announced that while it still has no fixed date for releasing finalized Affordable Care Act (ACA) federal upper limits (FUL) for multiple source prescription drugs.
    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
  • Article

    OIG Urges CMS to Recoup Payments to Medicare Advantage Plans for Unlawfully-Present Beneficiaries

    CMS made $26.2 million in payments to Medicare Advantage organizations for approximately 1,600 unlawfully present beneficiaries from 2010 through 2012.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith

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