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Results:1-10 of 19

CMS Announces New Medicare Prior Authorization Requirements for Two Types of Power Wheelchairs
  • Reed Smith LLP
  • USA
  • December 20 2016

Beginning in March 2017, CMS is phasing in new Medicare prior authorization (PA) requirements for two types of power wheelchairs under a policy


CMS adopts home health PPS rate cut for 2012
  • Reed Smith LLP
  • USA
  • November 14 2011

Medicare home health PPS rates will be reduced by 2.31 ($430 million) in CY 2012 under a final rule published by CMS on November 4, 2011.


CMS updates delivery timeframes for DMEPOS refills
  • Reed Smith LLP
  • USA
  • October 14 2011

CMS has updated the Program Integrity Manual to specify that supplier contact with a beneficiary regarding DMEPOS refills may take place no sooner than 14 calendar days before deliveryshipping date.


Part D plan mid-year formulary changes reviewed by GAO
  • Reed Smith LLP
  • USA
  • August 16 2011

The GAO has sent a letter to Congress describing how CMS monitors Medicare Part D prescription drug plan sponsors' compliance with mid-year formulary change requirements


States' planned Medicaid Electronic Health Record incentive program oversight
  • Reed Smith LLP
  • USA
  • July 29 2011

recent OIG report describes states' plans to verify that health care practitioners and hospitals meet program eligibility requirements for state Medicaid Electronic Health Record (EHR) incentive programs for 2011 and what limitations, if any, they anticipate in their oversight


CMS proposes home health PPS rate cut for 2012
  • Reed Smith LLP
  • USA
  • July 18 2011

CMS published a proposed rule on July 12, 2011 that would decrease Medicare home health agency (HHA) PPS payments for CY 2012 by 3.35, or $640 million, compared to 2011 levels.


CMS proposes ACA Medicare claims data sharing rule
  • Reed Smith LLP
  • USA
  • June 14 2011

On June 8, 2011, CMS published a proposed rule that would implement an ACA requirement to make standardized extracts of Medicare Parts A, B, and D claims data available to "qualified entities."


National provider calls on attestation for the Medicare EHR incentive program (may 3 & 5)
  • Reed Smith LLP
  • USA
  • April 27 2011

CMS is hosting two national provider calls on attestation requirements for the Medicare Electronic Health Records (EHR) Incentive Program.


CMS schedules meeting on clinical lab code payments for 2012 (July 18, 2011)
  • Reed Smith LLP
  • USA
  • March 2 2011

CMS has announced a July 18, 2011 public meeting to receive comments and recommendations from the public on the appropriate basis for establishing 2012 Medicare payment amounts for a specified list of new CPT codes for clinical laboratory tests.


Medicare 2011 home health PPS final rule, including home healthhospice certification provisions
  • Reed Smith LLP
  • USA
  • November 16 2010

On November 17, 2010, CMS is publishing a final rule updating Medicare home health PPS rates for 2011.