Take These Steps To Head Off PECOS Disaster
Related Articles
- CMS rule issued regarding coverage determinations. Lerner, Rachel E. // Hem/Onc Today;4/10/2008, Vol. 9 Issue 6, p18
The article focuses on the final rule issued by the U.S. Centers for Medicare and Medicaid Services (CMS) which governs how and for what services physicians and beneficiaries may request prior coverage determinations from Medicare contractors. The rule is set to take effect on March 24, 2008....
- Formulary changes and transition policies. Lipowski, Earlene // Drug Topics;7/23/2007, Vol. 151 Issue 14, p47
The article discusses the effect of changes to plan formularies on the Medicare prescription drug benefit for pharmacists and physicians in the U.S. According to the author, Part D plans must submit a formulary for Centers for Medicare and Medicaid Services (CMS) review as part of the annual...
- 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...
- Needy Beneficiaries To Get More State Medicare Counseling. // Economic Opportunity Report;2009, Vol. 44 Issue 11, p19
The article reports that the State Health Insurance Assistance Programs (SHIPs) is aiming to cover more low-income Medicare beneficiaries, through the funds granted by the U.S. Centers for Medicare and Medicaid Services (CMS). The SHIPs have received 6.3 million dollars to outreach the...
- Stuck in the past... LoBiondo, Frank // AHA News;11/3/2003, Vol. 39 Issue 22, p4
Comments on the failure of the U.S. Centers for Medicare and Medicaid Services (CMS) to recognize the changes that have taken place in rehabilitation care. Proposal of the CMS to reinstate the 75% rule; Information on the so-called 75% rule; Legislators who oppose the rule.
- Administrative changes improve RAC, but AHA says more needs to be done. Malamud, Matthew // AHA News;7/21/2008, Vol. 44 Issue 15, p1
The article reports on the recovery audit contractor (RAC) demonstration report conducted by the U.S. Centers for Medicare and Medicaid Services (CMS) on money reimbursed under the program. According to the report, improvements show RACs reimbursing $992.7 million dollars in overpayments to...
- (MEDICARE) New Rules Coming for Medicare Advantage, Rx Plans. // Community Health Funding Week;10/16/2009, p11
The article informs that proposed revisions to Medicare Part C & D will be published next week by officials at the U.S. Centers for Medicare & Medicaid Services (CMS). The revisions are expected to improve protections for enrollees and clarify plan participation requirements.
- (CMS) Payment Rates Increase for Skilled Nursing Facilities. // Aging News Alert;7/30/2010, p36
The article reports that the U.S. Centers for Medicare & Medicaid Services (CMS) is planning to raise Medicare payment rates for financial year 2011 for skilled nursing facilities by 1.7 percent. CMS is also proposing changes to the Medicare home health payments for 2011. The proposal calls for...
- (UNDERSERVED) Agency Updates New Hospice Wage Index. // Children & Youth Funding Report;8/21/2009, p14
The article reports that the Centers for Medicare and Medicaid Services (CMS) in the U.S. have set a new hospice wage index for 2010. The rule adopts a MedPAC recommendation regarding a process for certification and recertification of terminal illness. The budget neutrality adjustment factor...