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CMS
CMS Final Inpatient Rule
The Centers for Medicare & Medicaid Services (CMS) recently issued a final rule that updates fiscal year (FY) 2013 Medicare…
Physician Payment Sunshine Act: Senate Aging Committee Roundtable September…
There has not been much public activity regarding the Physician Payment Sunshine Act (“Sunshine Act”)—Section 6002 of the…
CMS Announced 89 New Accountable Care Organizations
The Centers for Medicare and Medicaid Services (CMS) recently announced the selection of 89 new Accountable Care Organizations…
CME Coalitions Comments to CMS on Long Term Care and Consultant Pharmacists…
Recently the CME Coalition submitted comments to the Centers for Medicare and Medicaid Services (CMS) regarding the proposed rule…
GAO Reports Vulnerabilities in CMS Payment Oversight
In 2011, CMS estimated that Medicaid and Medicare had improper payments of $21.9 billion and almost $43 billion,…
CMS Final Rule on Fraud Prevention Includes Mandatory NPI Numbers
The Centers for Medicare & Medicaid Services recently announced a final rule that prevents fraud in Medicare and is estimated…
Centers for Medicare and Medicaid Medi-Medi Fraud Detection Program Falls…
The Medicare-Medicaid Data Match program (Medi-Medi program) enables program safeguard contractors (PSC) and participating State…
Centers for Medicare and Medicaid: Proposed Rules for Hospital Inpatient…
In late April 2012, the Centers for Medicare & Medicaid Services (CMS) proposed a rule (1313 pages!) that would enhance the…
CMS Final Rule on Fraud Prevention
The Centers for Medicare & Medicaid Services recently announced a final rule that prevents fraud in Medicare and is estimated…
HHS Adoption of Standards for Health Care Electronic Funds
The U.S. Department of Health & Human Services (HHS) released a rule that adopts streamlined standards for the format and data…