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CMS says ICD-10 testing successful: Are you prepared?

The Centers for Medicare and Medicaid Services is reporting that it successfully completed the first week of end-to-end testing of the soon-to-be-implemented ICD-10 coding. The testing, which took place between Jan. 26 and Feb. 3, included 661 participants with about 1,400 National Provider Identifiers registered. They were split equally between direct submitters and clearing houses/billing […]

GAO: CMS ready for ICD-10, but are you?

There is good news for healthcare providers coming out of the Government Accountability Office: The Centers for Medicare and Medicaid Services is prepared for the switch to ICD-10 on Oct. 1, according to a newly released report. The 41-page report notes that CMS has undertaken “a number of efforts” to prepare for transition to the […]

Florida lawmakers introduce telemedicine legislation

Florida could see legislation later this year that would create statewide guidelines on the use of telemedicine. A bipartisan bill has been filed in Tallahassee that, if signed into law, would more clearly define what telehealth is, who is considered a telehealth provider and outlines what the standard of care is for those providers. HB […]

CMS extends moratoria for home health agencies, ambulance suppliers

The Centers for Medicare and Medicaid Services (CMS) is continuing its crackdown on fraud and abuse and South Florida providers are, not surprisingly, on its hit list. CMS announced on Jan. 30, new temporary moratoria on the enrollment of home health agencies in four cities including Fort Lauderdale. It also is extending, for another six […]

CMS to modify requirements for Meaningful Use

Bowing to pressure from physician groups, the Centers for Medicare & Medicaid Services (CMS), announced on Jan. 29 that it would amend its requirements for healthcare providers to meet meaningful use in the Medicare and Medicaid Electronic Health Record (EHR) Incentive programs. Among the most significant of these changes is to shorten the Meaningful Use […]

HHS: Medicare payments to be tied to quality, not quantity

The U.S. Department of Health and Human Services announced this week that future Medicare payments will be linked to quality and not quantity. This is the first time the federal agency has set specific goals designed to move away from plans that reward providers for the amount of care they provide instead of the quality […]

Healthcare providers must comply with Barrier-Free Initiative

On January 16, the U.S. Department of Justice announced that it reached a settlement with Genesis Healthcare System in Ohio as part of its Barrier-Free Health Care Initiative. The healthcare system was alleged to have discriminated against a woman diagnosed with HIV after one of its primary care physicians refused to accept her as a […]

Compounding pharmacies face increased scrutiny

Earlier this month, federal authorities seized more than $18 million from the owners of the Massachusetts compounding pharmacy that was at the center of a meningitis outbreak in 2012 that killed 64 people across the country. It was just the latest in a string of federal government crackdowns on the now-shuttered New England Compounding Center […]

Next phase in Medicare DMEPOS competitive bidding announced

The Centers for Medicare & Medicaid Services (CMS) has announced the new bidding timeline for Round 2 recompete and the national mail-order recompete of the Medicare Durable Medical Equipment, (DME) Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program. The 63-day window opens on Jan. 22, 2015 and runs through March 25, 2015. On Nov. 6, […]

CMS delays enforcement of Medicare Part D rule

The Centers for Medicare & Medicaid Services announced that it is delaying enforcement of the requirements in 42 CFR § 423.120(c)(6) for the Medicare Advantage and prescription drug benefit (Medicare Part D) programs until Dec. 1, 2015. In May, CMS finalized (CMS-4159-F), a rule aimed at combating fraud and abuse in the Part D program. […]

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