Medicare’s Low Volume Appeals Settlement
On a recent teleconference call, the Centers for Medicare and Medicaid Services provided specifics related to its new “Low Volume
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CMS
CMS and VA team up to prevent healthcare fraud
Since 2007, the Medicare Fraud Strike Force has charged more than 3,500 individuals with allegations of defrauding Medicare of $12.5
Read MoreCMS to form interagency group to review Stark Law: 4 things to know
(By Ayla Ellison for Becker’s Hospital Review) CMS will form an interagency group to examine the regulatory barriers of Stark
Read MoreDid the government overpay for hundreds of drugs? It’s complicated
(By Ike Swetlitz for STAT) WASHINGTON — It looked like the watchdog had found something big — in December 2017,
Read MoreCMS wants to require Medicare Part D sponsors to apply their rebates toward point-of-sales prices
Currently, Medicare Part D plan sponsors use savings they negotiate with drug companies and pharmacies to reduce costs for all
Read MoreCMS to ensure Medicare Advantage plans have adequate provider networks
The Centers for Medicare and Medicaid Services will start reviewing Medicare Advantage plans on a three-year cycles rather than only when
Read MoreHospitals face $1.6B in Medicare payment cuts after judge dismisses lawsuit: 6 things to know
(By Ayla Ellison for Becker’s Hospital Review) A federal judge has dismissed an injunction requested by hospital groups and health
Read MoreMeet CMS’ new 5-star overall hospitals
(By Brian Zimmerman for Becker’s Hospital Review) When CMS updated the methodology used in its Overall Hospital Quality Star Rating
Read MoreCMS adjusts rules for ACOs affected by hurricanes, wildfires: 5 things to know
(By Molly Gamble for Becker’s Hospital Review) CMS issued an interim final rule Tuesday to adjust the Medicare Shared Savings Program to
Read MoreCMS halts funding for designated state health programs under 1115 demonstrations: 4 things to know
(By Morgan Haefner for Becker’s Hospital Review) CMS will stop accepting state proposals for new or renewing section 1115 demonstrations
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