Category: CMS
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Medicare proposes that hospitals provide more transparency on prices
In a proposed rule, federal officials lay out new regulations for hospitals that include offering a standard list of prices, the new federal payment rates, observation care and readmissions. …read more
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Virginia gov. says legislation is way to Medicaid expansion
In Missouri, the expansion gets a symbolic committee endorsement, and the governor proposes using federal dollars to help pay for coverage for low-wage earners. …read more
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Morning Headlines 5/2/14
ManTech Announces Acquisition of 7Delta, Inc. ManTech International Corporation acquires 7Delta after the Maryland-based IT services firm won a 5-year contract with the VA through its Transformation Twenty-One Total Technology procurement program. Through the acquisition, ManTech will be in position to support the VA’s transition to newer IT systems. Medicare Program: Hospital Prospective Payment Systems…
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CMS sets Oct. 1, 2015 conversion date for ICD-10
The CMS issued the following statement yesterday: On April 1, 2014, the Protecting Access to Medicare Act of 2014 (PAMA) (Pub. L. No. 113-93) was enacted, which said that the Secretary may not adopt ICD-10 prior to October 1, 2015. Accordingly, the U.S. Department of Health and Human Services expects to release an interim final…
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CMS Slips New ICD-10 Date Inside Payment Policy Report
Deep inside a 1,700-page proposed rule on fiscal year 2015 inpatient payment policies, it appears that the Centers for Medicare and Medicaid Services (CMS) has made October 1, 2015 the new ICD-10 implementation deadline. Deep inside a 1,700-page proposed rule on fiscal year 2015 inpatient payment policies, it appears that the Centers for Medicare and…
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CMS hints at new ICD-10 date in proposed IPPS rule
It appears as if the Centers for Medicare & Medicaid Services has set its new ICD-10 compliance date. read more …read more
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What Is The Cost Of Fraud Prevention In Healthcare?
Among other things, credit card companies prevent enormous volumes of fraud. In exchange for their services, credit card companies typically charge about 2.5% of merchant revenue. The cost of fraud prevention for most merchants is no more than 2.5% of revenues. But healthcare is rarely paid for by credit card. The vast majority of payments…
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CMS issues 2015 proposed IPPS rule
The Centers for Medicare & Medicaid Services late Wednesday issued a proposed rule for 2015 that reduces payment for readmissions and hospital-acquired conditions, but provides no changes to the controversial two-midnight rule. read more …read more
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Some Medicare beneficiaries have trouble getting extended nursing and therapy services
Under a 2012 court settlement, the Department of Health and Human Services agreed to relax rules that said seniors could get these services only if they continued to improve. But many providers are still unaware of the new regulations. …read more
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TransCare Partners to extend use of Transitional Care Model to reduce hospital re-admissions
The University of Pennsylvania Upstart Program announces TransCare Partners LLC to broaden the use of the Transitional Care Model developed at the University of Pennsylvania School of Nursing. The Model, developed over 20 years by Dr Mary Naylor, has been clinically proven to reduce hospital re- admissions by up to 30% while producing substantial savings…