In CMS
Mar 31st, 2017
The Centers for Medicare & Medicaid Services (CMS) issued on March 31 a proposed rule (CMS-3819-P2) to delay the effective date for the Medicare and Medicaid Programs: Conditions of Participation for Home Health Agencies (HHA CoPs) final rule. The current effective date for the final rule is July 13. The proposed rule would delay the effective ...
In MACRA
Mar 22nd, 2017
Section 3021 of the Affordable Care Act gives the Center for Medicare and Medicaid Innovation (CMMI) the authority to test alternate payment models (APMs). The goals of these APMs are to reduce program expenditures while preserving or enhancing the quality of care for Medicare, Medicaid, and Children’s Health Insurance Program (CHIP) beneficiaries. Pediatric Alternative Payment ...
In CMS
Mar 13th, 2017
House plans to replace Obamacare through a proposed Congressional reconciliation bill would reduce federal deficits by $323 billion of on-budget savings and $13 billion in off-budget by 2026, but the human cost will be high, according to the Congressional Budget Office (CBO). The bipartisan agency said 14 more people would be uninsured in 2018 under ...
In Billing
Jan 6th, 2017
U.S. Attorney for the District of Maryland, Rod J. Rosenstein announced December 20 that Elma Myles pled guilty to defrauding Medicaid and other health benefit programs by conspiring to have durable medical equipment provider RX Resources and Solutions (RXRS) bill for supplies that were never provided or were medically unnecessary, and to overcharge for materials ...
In MACRA
Aug 23rd, 2016
What does MACRA mean for physician practices? On May 9, 2016, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule to put in place key parts of MACRA. CMS proposes to make these changes through a single framework called the Quality Payment Program. This infographic will inform you of what we know, ...