Enforcement of privacy rules now delayed until March 31
By
John O'Connor
Feb 01, 2013
The Centers for Medicare & Medicaid Services has pushed back enforcement of two electronic healthcare transaction rules by three months, the agency announced in January. That gives providers until March...
Lawmaker wants more surveys for Special Focus Facility nursing homes
By
Danielle Brown
May 10, 2022
A key U.S. lawmaker is calling on the Centers for Medicare & Medicaid Services to address reported lags in surveys of nursing homes in the Special Focus Facility program after finding that 1 in 5 are overdue...
Long-term care groups applaud a pause in Medicare audits, urge permanent changes
By
Tim Mullaney
Feb 21, 2014
Long-term care stakeholders are praising the government’s decision to temporarily pause the recovery audit contractor program, which is associated with a huge backlog of Medicare claims appeals.
Becerra orders CMS to rethink $22 Medicare Part B premium price hike tied to Aduhelm
By
Alicia Lasek
Jan 11, 2022
With the 50% price drop of Aduhelm on January 1, there is good reason for CMS to reassess a hefty proposed premium hike for 2022, the U.S. health secretary said. On Wednesday, CMS is expected to announce...
Federal judge blocks new RAC contracts
By
Tim Mullaney
Sep 04, 2014
Adding to the ongoing controversy around Medicare’s Recovery Audit Contractor program, a judge has ruled that the government cannot award new RAC contracts until disputed payment terms are resolved.
CMS to unveil new mandatory coronavirus testing, accounting requirements for nursing homes: report
By
Danielle Brown
Aug 25, 2020
Nursing homes could soon be subject to more coronavirus testing and reporting regulations.
Federal government needs to boost Medicaid managed care oversight, GAO says
By
Tim Mullaney
Jun 20, 2014
The government’s oversight of Medicaid managed care organizations is not strong, even though these entities cover about 50 million people and are growing rapidly, according to a recently released...
CMS violated federal contracting rules, OIG report finds
By
Danielle Brown
Jul 17, 2020
An investigation by a federal watchdog agency found that the Centers for Medicare & Medicaid Services violated federal contracting rules by allowing contractors to perform government functions.
CMS eyes 8% revenue increase for Medicare Advantage
By
Danielle Brown
Feb 04, 2022
The Centers for Medicare & Medicaid Services is forecasting a nearly 8% increase in revenue for Medicare Advantage plans next year. The agency released its 2023 advance notice earlier this week.
Governors ask for limited waivers on vaccine mandate
By
Danielle Brown
Feb 02, 2022
A pair of Republican governors have asked the Centers for Medicare & Medicaid Services for temporary relief from the healthcare worker COVID-19 vaccine mandate for rural providers and state-run facilities.