TITLE

Beware Pitfalls Lurking in Medicare Changes, Definitions and Standards

AUTHOR(S)
Abbey, Duane C.
PUB. DATE
March 2015
SOURCE
New Perspectives on Healthcare Risk Management, Control & Govern;Spring2015, Vol. 34 Issue 1, p47
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
The article reports that the U.S. federal agency Centers for Medicare & Medicaid Services (CMS) has issued Transmittal 505, to Publication 100-08, Medicare Program Integrity Manual on February 5, 2014. The transmitall focused on the concept of related services for auditing purposes and recovery auditors. Also emphasized is the joint encounters among physician and midlevel practitioner and physician's assistant to deal with the availability and use of nonphysician practitioners (NPPs).
ACCESSION #
100818282

 

Related Articles

  • CMS Issues New 'Centralized Flu' NPP Specialty Code.  // Medicare Compliance & Reimbursement;Oct2012, Vol. 38 Issue 19, p142 

    The article reports on the announcement of the Centers for Medicare and Medicaid Services (CMS) regarding its plan to issue new specialty code that will be designated to non-physician practitioners that handle centralized flu cases in the U.S. It expects that the specialty code will be used by...

  • Documentation program helps avoid revenue loss.  // Hospital Case Management;Dec2008, Vol. 16 Issue 12, p180 

    The article reports that a data analysis projected that Sharp Chula Vista Medical Center was likely to lose an amount of $500,000 based on the Medicare Severity Diagnosis Related Group (MS-DRG) reimbursement system of the Centers for Medicare & Medicaid Services (CMS) in the U.S. It notes that...

  • Implementation of Internet-Based PECOS Delayed Until 2011. Calabro, Anthony // O&P Business News;4/1/2010, Vol. 19 Issue 5, p30 

    The article reports on the implementation delay for physician and non-physician practitioners to register in the Internet-based Provider Enrollment Chain and Ownership System (PECOS) in the U.S. The Centers for Medicare & Medicaid Services (CMS) deputy director Peter Ashkenaz states that the...

  • Sunshine gets murkier.  // Pharmaceutical Executive;Aug2014, Vol. 34 Issue 8, p11 

    The article reports on a provision in the Open Payments program proposed by the U.S. Centers for Medicare and Medicaid Services (CMS) that exempts Medicare payment reporting to physicians of certified continuing medical education (CME) programs.

  • CMS wants to use Part D data for research and other purposes.  // Drug Topics;11/6/2006, Vol. 150 Issue 21, p6 

    The article reports that the Centers for Medicare & Medicaid Services (CMS) wants to use the Part D data for its research and other purposes in the U.S. CMS provided a Plan Formulary look-up tool to help physicians obtain access to prescription drugs covered under each plan, as well as a...

  • Medicare to cover screening, counseling for obesity.  // Cardiology Today;Jan2012, Vol. 15 Issue 1, p25 

    The article announces a plan by the U.S. Centers for Medicare and Medicaid Services (CMS) to start offering coverage for preventive services to reduce obesity.

  • The Facts on RACs. Cherf, Kelly McCloskey; Liu, Laura C.; Hudalla, Nicholas M. // Health Law Litigation;2010, Vol. 8 Issue 2, p1 

    The article discusses basic facts about Recovery Audit Contractors (RACs). The author cites a January 2009 updated analysis of the Centers for Medicare and Medicaid Services which show that RACs collected an estimated 992.7 million U.S. dollars in overpayments from providers. The report also...

  • Medicare, Compliance & Clinical News to Use.  // MDS Alert;Apr2012, Vol. 10 Issue 4, pp45 

    The article reports that the Centers for Medicare & Medicaid Services (CMS) has extended the deadline of its 5010 compliance period until June 30, 2012. Accordingly, the CMS has acknowledged some technical issues and challenges impending the full implementation of the 5010 format. The CMS also...

  • Righting a Wrong. McFarland, Elizabeth // Imaging Economics;May2009, Vol. 22 Issue 4, p42 

    In this article the author discusses the negative aspects of the proposal of the U.S. Centers for Medicaid and Medicaid Services (CMS) to exclude CT colonography (CTC) for the colorectal cancer screening coverage. She asserts that the move of the CMS will potentially result in loss of lives...

Share

Other Topics