Category: CMS
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First Edition: June 3, 2014
Today’s headlines include coverage of Medicare data released Monday indicating that 2012 charges for some common inpatient hospital procedures dramatically increased over the previous year. …read more
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Virginia’s Medicaid expansion standoff moves state toward budget shortfall, government shutdown
Also in the news, after Louisiana’s Medicaid expansion efforts failed in the legislature, the state is poised to try out Gov. Bobby Jindal’s alternative to the federal health law. …read more
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Medicare to cover sex-change surgery
The ruling, handed down Friday by a Department of Health and Human Services appeals board, reverses a Medicare policy in place since 1981. It covers surgery, but not other treatments like hormones. …read more
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CMS official: ICD-10 test week sees nearly 90% claims approval
The Centers for Medicare & Medicaid Services accepted 89 percent of ICD-10 test claims submitted by providers, suppliers, billing companies and clearinghouses in March, according to Niall Brennan, acting director of the agency’s Offices of Enterprise Management. read more …read more
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CMS updates eCQMs for eligible professionals
The Centers for Medicare & Medicaid Services has posted its annual update of 2014 electronic clinical quality measures (eCQMs) for eligible professionals and corresponding specifications for electronic reporting. read more …read more
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State highlights: Mo.’s declining Medicaid caseload; N.C. budget would cut Medicaid rolls; Calif. paid sick leave
Missouri is seeing a bigger decline in its Medicaid rolls than nearly any other state, a ranking that the Nixon administration attributes to an improving economy and critics blame on application snafus. …read more
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Va. Senate Republican offers proposal on Medicaid impasse
State Sen. Emmett Hanger seeks a compromise on the issue that threatens to shut down the state government because it has deadlocked negotiations on the budget. …read more
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Medtronic settles whistleblower case for $9.9 million
Suit accused the medical device maker of giving doctors gifts in return for using its products. Elsewhere, a federal judge denied dismissal of a lawsuit against Novartis alleging a kickback campaign to boost its drugs covered by Medicare and Medicaid. …read more
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Support Health Code-A-Palooza Team and Our Very Own Mandi Bishop
I’m sure that many of you have enjoyed the writings of Mandi Bishop (maybe more famously known as @mandibpro on Twitter). I feel lucky to have her amazing insights on this blog. I’m also really excited for Mandi, because her and her team are competing in the Code-A-Palooza competition that’s part of the Health Datapalooza…
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Medicare intends to penalize hospitals for giving followup care to seniors
Medicare has announced plans to penalize 2,633 hospitals for giving followup care to seniors, even if the care was appropriate. …read more