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From the CMS Fact Sheet: Fifteen states across the country have been selected to design new ways to meet the often complex and costly medical needs of the nation’s lowest-income and chronically ill citizens, the Centers for Medicare & Medicaid Services (CMS) has announced. To address some of these issues, CMS is looking to these […]
New Partnership Between Administration, The Private Sector, Hospitals And Doctors To Make Care Safer, Potentially Save Up To $50 Billion This week, Health and Human Services Secretary Kathleen Sebelius, joined by leaders of major hospitals, employers, health plans, physicians, nurses, and patient advocates, announced the Partnership for Patients, a new national partnership that will help […]
From the CMS Fact Sheet: This final rule implements provisions of the Affordable Care Act that are related to the Medicare Advantage (MA, or Part C) and Prescription Drug Benefit (Part D) Programs. This final rule also sets forth programmatic and operational changes to the Medicare Advantage and Prescription Drug Benefit programs for contract year […]
From the CMS Fact Sheet: On Apr. 19, 2011, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would revise policies and payment rates for general acute care hospitals that are paid for inpatient services under the Inpatient Prospective Payment System (IPPS), effective for discharges in fiscal (FY) 2012 – that […]
From the CMS Fact Sheet: On Apr. 19, 2011, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would revise policies and payment rates for general acute care hospitals that are paid for inpatient services under the Inpatient Prospective Payment System (IPPS), effective for discharges in fiscal (FY) 2012 – that […]
The U.S. Department of Health and Human Services (HHS) released proposed new rules to help doctors, hospitals, and other health care providers better coordinate care for Medicare patients through Accountable Care Organizations (ACOs). ACOs create incentives for health care providers to work together to treat an individual patient across care settings – including doctor’s offices, […]
CMS Launches Site for New Approach to Healthcare This week, the Center for Medicare and Medicaid Innovation (“Innovation Center”) re-launched Innovations.cms.gov. Along with providing information about the Innovation Center’s mission and values, the website provides ways for the Innovation Center to gather new ideas to improve our health care system. The Innovations website also encourages […]
CMS Launches Site for New Approach to Healthcare This week, the Center for Medicare and Medicaid Innovation (“Innovation Center”) re-launched Innovations.cms.gov. Along with providing information about the Innovation Center’s mission and values, the website provides ways for the Innovation Center to gather new ideas to improve our health care system. The Innovations website also encourages […]
Includes 29 MS-DRGs for Medical Necessity Review Connolly Healthcare posted a new approved issue calling for DRG Validation review of 309 MS-DRGs and/or 141 ICD-9 diagnosis codes, on Thursday evening, March 17, 2011. Connolly is the CMS Recovery Audit Contractor for Region C, responsible for audits of healthcare providers who bill Medicare in 17 states […]
