The Centers for Medicare and Medicaid (CMS) announced on March 10, 2015 that it is adding a new Accountable Care Organization (ACO) model to its cadre of innovative models.
Despite the efforts of the Department of Health and Human Services (HHS) to combat fraud and contain costs in federal healthcare programs, Medicare’s fee-for-service program (Parts A and B) and Medicaid were two of the top three culprits for the billions reported to have been improperly paid by the federal government in fiscal year 2014.
One of the most challenging compliance changes brought about by the Affordable Care Act (ACA) is the provision mandating the reporting and refunding of Medicare and Medicaid overpayments within 60 days of the date they are identified, or the date that the corresponding cost report is due, if applicable. See ACA Section 6402(a); Section 1128J(d) of the Social Security Act.
On February 2, 2015, the Obama Administration released its proposed federal budget for fiscal year (FY) 2016.
Earlier this week, the American Telemedicine Association reported an important clarification regarding the Centers for Medicare & Medicaid Services’ (“CMS’s”) plans for expanding reimbursement for telehealth services provided to Medicare beneficiaries.
Through the procedures of CMS under the statute governing regarding Medicare, there is news that Medicare is highly likely to start paying for low dose CT scans seeking to find early stage lung cancers before they become malignant.
The Centers for Medicare & Medicaid Services (CMS) issued the 2015 Medicare Physician Fee Schedule (Medicare PFS) on October 31, 2014.
While the rest of us were heading out the door for trick-or-treating, the Centers for Medicare & Medicaid Services (CMS) in the late afternoon of October 31 posted the final 2015 Medicare Physician Fee Schedule.
The owner and operator of a Miami home health care company recently was sentenced for her part in a $6.5 million Medicare fraud scheme, after falling into the cross-hairs of the federal government’s Health Care Fraud Prevention and Enforcement Action Team (“HEAT”).