In CMS
Dec 2nd, 2008
Comments Off on Inventory of HHS Quality Measures Released
An inventory of quality measures used for reporting, payment, or quality improvement by its agencies and operating divisions was recently announced by Health and Human Services (HHS). The HHS measures inventory is available on the National Quality Measures Clearinghouse, an Agency for Healthcare Research and Quality (AHRQ), Web site. Inventory of HHS Quality Measures Released ...
In Billing
Dec 2nd, 2008
Comments Off on Arm Yourself Against Improper Payments
Although the Medicare fee-for-service (FFS) error rate has dropped from 14 percent in 1996 to 3.6 percent in 2008, that’s still billions of dollars—$10.4 billion to be exact—in improper payments. The news is always the same. “For Medicare FFS, most improper payments are due to claims for services that were medically unnecessary or incorrectly coded,” ...
In CMS
Dec 1st, 2008
Comments Off on NCDs Add to Never Event List
The Centers for Medicare & Medicaid Services (CMS) posted, Dec. 2, proposed decision memos for three national coverage determinations (NCDs) — adding to the list of “Never Events” Medicare will no longer reimburse as of March 2, 2009. Unlike Hospital Acquired Conditions (HACs), which only pertain to hospitals, these NCD-described events could also affect payment ...
In CMS
Nov 18th, 2008
Comments Off on CMS Proposes to Limit Bariatric Surgery Coverage
In a proposed decision memo, the Centers for Medicare & Medicaid Services (CMS) states that there is little evidence to support open and laparoscopic Roux-en-Y gastric bypass, laparoscopic adjustable gastric banding, or open and laparoscopic biliopancreatic diversion with duodenal switch as reasonable and necessary in patients with type 2 diabetes mellitus (T2DM) and a body-mass ...
In CMS
Nov 18th, 2008
Comments Off on OIG: States are Unprepared for Emergencies
In 2002, less than a year after 9/11, the U.S. Department of Health and Human Services (HHS) made available more than $7 billion in funding to increase state and local public health preparedness and emergency response capabilities. In 2006, the Centers for Disease Control (CDC) allocated $766 million of that to 62 awardees to meet ...