CMS | JD Supra Law News

CMS Announces $1 Billion in Funding for Innovation Grants

by King & Spalding on 5/21/2013

On May 15, 2013, CMS released a funding opportunity announcement for round two of the Health Care Innovation Awards. The grants are administered by the CMS Innovation Center, which is authorized by the Affordable Care Act to...more

Health Care Reform Update -- May 20th, 2013

by Joseph P. Hammang, Alexander Hecht, Abby Matousek, Jeremy Rabinovitz | Mintz Levin - Health Law on 5/21/2013

In This Issue: Implementation of the Affordable Care Act; Other HHS and Federal Regulatory Initiatives; Other Congressional and State Initiatives; Other Health Care News; and Hearings and Mark-Ups...more

Capital Thinking Updates - May 16, 2013

by Amy Davenport, Tanya DeRivi, Alexis Early, Eugenia Edwards, Jared Fleisher, Norma Krayem, Karen Kudelko, Matthew Kulkin, Jessica Monahan, Amy Budner Smith, Stacy Swanson, Joseph Urso, more +Sarah Vilms, Kristin Wells, Pam Welsh | Patton Boggs LLP on 5/21/2013

In This Issue: - General Legislative - Agriculture and Food - Budget and Appropriations - Cybersecurity - Defense - Education - Energy - Environment - Financial Services - Health...more

CMS Announces Additional Open Period for Bundling Model 1

by King & Spalding on 5/21/2013

On Friday, May 17, 2013, CMS announced that its Center for Medicare and Medicaid Innovation Center (Innovation Center) is providing an open period for additional organizations to be considered for participation in Model 1 of...more

RAC Relief (Sort Of)

by Paul Kim | Ober|Kaler on 5/21/2013

CMS announced that it would reduce the number of additional documentation requests (ADRs) available to its Recovery Audit Contractors (RACs). ...more

NOIs Due Soon to Apply for 2014 ACO Program

by Sarah E. Swank | Ober|Kaler on 5/20/2013

The Medicare Shared Savings Program (MSSP) for accountable care organizations (ACOs) established under the Affordable Care Act is about to kick-off its second year with a new round of applications for the January 1, 2014...more

CMS Proposes New Standard for Hospital Inpatient Admissions

by Leslie Demaree Goldsmith | Ober|Kaler on 5/17/2013

As part of its proposed inpatient prospective payment systems (IPPS) rule for FY 2014, CMS introduced a new standard for determining whether an inpatient admission to an acute care hospital is appropriate. Specifically, CMS...more

Bringing Sunlight to Healthcare Pricing: The CMS Release of Hospital Charge Data

by Robert Wolin | BakerHostetler on 5/17/2013

Former U.S. Supreme Court Justice Louis D. Brandeis once said that "Sunlight is the best disinfectant." The release of charges billed by some 3,337 Medicare hospitals for 100 of the most common inpatient diagnosis related...more

Revisit Surveys To Slow Down Due To Budget Sequestration

by Jason Lundy | Polsinelli on 5/17/2013

As of April 5, 2013 and in response to budget sequestration, the Centers for Medicare & Medicaid Services (CMS) warns that revisit surveys for skilled nursing facilities will be delayed and approval requirements for...more

Increased Spotlight on Emergency Department Facility Coding by CMS, HHS and DOJ

by Gregory Brodek | Duane Morris LLP on 5/16/2013

Although the professional component of coding for evaluation and management services ("E&M Services") has been scrutinized over the years, until recently, little attention has been given to coding practices for the facility...more

CMS Posts Hospital Charge Data

by King & Spalding on 5/16/2013

On May 8, 2013, Secretary of the Department of Health and Human Services (HHS), Kathleen Sebelius, announced the posting by the Center for Medicare & Medicaid Services (CMS) of hospital-specific charges for the more than...more

Health Care Reform Implementation Update - May 15, 2013

by Mark Alderman | Cozen O'Connor on 5/16/2013

Last week the Senate agreed to vote on Marilyn Tavenner’s nomination to lead the Centers for Medicare and Medicaid Services (CMS); the Department of Health and Human Services (HHS) announced an initiative that will give...more

Updated OIG Bulletin on Effect of Exclusion from Federal Health Care Programs

by Thompson Coburn LLP on 5/15/2013

On May 8, 2013, the U.S. Department of Health & Human Services, Office of Inspector General (“OIG”), issued an updated “Special Advisory Bulletin on the Effect of Exclusion from Participation in Federal Health Care Programs”...more

Health Care Reform Update -- May 13, 2013

by Joseph P. Hammang, Alexander Hecht, Abby Matousek, Jeremy Rabinovitz | Mintz Levin - Health Law on 5/15/2013

In This Issue: Implementation of the Affordable Care Act; Other HHS and Federal Regulatory Initiatives; Other Congressional and State Initiatives; Other Health Care News; and Hearings and Mark-Ups...more

CMS Delays Edits to Deny Claims When Ordering/Referring Provider Not Enrolled in Medicare and Issues Proposed Rule on Enrollment...

by Joan Polacheck, Monica Wallace | McDermott Will & Emery on 5/13/2013

The Centers for Medicare & Medicaid Services temporarily delayed the implementation of edits relating to ordering/referring practitioners that were scheduled to go into effect May 1, 2013, and issued a proposed rule with...more

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Centers for Medicare & Medicaid Services

CMS Announces $1 Billion in Funding for Innovation Grants

Health Care Reform Update -- May 20th, 2013

Capital Thinking Updates - May 16, 2013

CMS Announces Additional Open Period for Bundling Model 1

RAC Relief (Sort Of)

NOIs Due Soon to Apply for 2014 ACO Program

CMS Proposes New Standard for Hospital Inpatient Admissions

Bringing Sunlight to Healthcare Pricing: The CMS Release of Hospital Charge Data

Revisit Surveys To Slow Down Due To Budget Sequestration

Increased Spotlight on Emergency Department Facility Coding by CMS, HHS and DOJ

CMS Posts Hospital Charge Data

Health Care Reform Implementation Update - May 15, 2013

Updated OIG Bulletin on Effect of Exclusion from Federal Health Care Programs

Health Care Reform Update -- May 13, 2013

CMS Delays Edits to Deny Claims When Ordering/Referring Provider Not Enrolled in Medicare and Issues Proposed Rule on Enrollment...

Weigh In with Comments on CMS Proposed Rule for Medicare IRP by June 28

Health Reform + Related Health Policy News - May 2013

OIG Revises Special Advisory Bulletin on Exclusions

CMS Issues Proposed Hospice Payment Update for FY 2014

CMS Proposes Two-Percent Net Payment Update for IRFs in FY 2014

Health Care Reform Update -- May 6, 2013

Capital Infusion: Private Equity Update - May 2013

CMS Proposes Increased Rewards for Reporting Fraud and Abuse

CMS Proposes Increase in Payments for SNFs in FY 2014

Health Care Reform Implementation Update - May 6, 2013

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