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CMS Manual System Department of Health & Human Services (DHHS) Pub 100-20 One-Time Notification Centers for Medicare & Medicaid Services (CMS) Transmittal 796 Date: October 29, 2010 Change Request 7142 SUBJECT: Clarification of Payment Window for Outpatient Services Treated as Inpatient Services I. SUMMARY OF CHANGES: This Change Request […]
State Medicaid RACs At-A-Glance Section 6411 of the Affordable Care Act of 2010 required States and territories to establish Medicaid Recovery Audit Contractor (RAC) programs. Medicaid RACs are tasked with identifying and recovering Medicaid overpayments and identifying underpayments. As an initial step for establishing their RAC programs, jurisdictions are expected to submit a Medicaid State […]
MLN Matters Number: MM7141 Related Change Request (CR) #: 7141 Related CR Release Date: November 12, 2010 Effective Date: October 1, 2010 Related CR Transmittal #: R807OTN Implementation Date: April 4, 2011 [The following is copied directly from this MLN Matters posting by CMS.] Expansion of Inpatient Prospective Payment System (IPPS) Transfer Policy to Include […]
This document is from: MLN Matters Article #:MM7228 Posted: February 4, 2011 Related CR#: 7228 Effective Date: July 1, 2011 Auto Denial of Claims Submitted With a GZ Modifier The GZ modifier indicates that an Advance Beneficiary Notice (ABN) was not issued to the beneficiary and signifies that the provider expects denial due to a […]
From the OIG: Fiscal Year 2013 Read the Press Release Fiscal Year 2012 Read the Press Release Fiscal Year 2011 Read the Press Release Read the Fact Sheet Fiscal Year 2010 Fiscal Year 2009 Fiscal Year 2008 Fiscal Year 2007 Fiscal Year 2006 Fiscal Year 2005 Fiscal Year 2004 Fiscal Year 2003 Fiscal Year 2002 […]
Compendium of Unimplemented OIG Recommendations The Compendium consolidates significant unimplemented monetary and nonmonetaryrecommendations addressed to the Department of Health & Human Services (HHS) toprovide information to interested parties about outstanding recommendations that, ifimplemented, have the potential to result in cost savings and improvements to programefficiency and effectiveness. These recommendations resulted from our audits andevaluations that […]
MLN Matters® Number: MM7019 Related Change Request (CR) #: 7019 Related CR Release Date: July 30, 2010 Effective Date: January 1, 2011 Related CR Transmittal #: R2011CP Implementation Date: January 3, 2011 from MLN Matters: Current Medicare instruction requires IRF and SNF PPS providers to report assessment dates in form locator 45, Service Date, […]
A-Z State Medicaid Agencies Provider Directory includes 5 US Territories State Agency Link Alabama Medicaid Agency medicaid.alabama.gov AlaskaMedicaid Health Enterprise medicaidalaska.com American Samoa Government Medicaid americansamoa.gov Arizona Health Care Cost Containment System (AHCCCS) ahcccs.state.az.us Arkansas Medicaid medicaid.state.ar.us California Medical Care Services (Department of Health Services) dhcs.ca.gov Colorado Department of Health Care Policy andFinancing chcpf.state.co.us Connecticut […]