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  • program
  • Medicaid and third-party liability: using information to achieve program goals. (cms.gov)
  • Measures for these programs are submitted to the Measures Under Consideration (MUC) List which makes publicly available a list of measures the Department of Health and Human Services (DHHS) is considering adopting through the federal rulemaking process for use in a select number of Medicare payment program(s). (cms.gov)
  • This educational tool is designed to provide education on how to avoid common billing errors and other erroneous activities when dealing with the Medicare Program. (cms.gov)
  • CMS expects that this demonstration will provide insights into future innovations for the Medicare Advantage program. (cms.gov)
  • The Tax Equity and Fiscal Responsibility Act of 1982 is expected to make it more attractive for health maintenance organizations (HMO's) to participate in the Medicare program on an at-risk basis. (cms.gov)
  • The Clinical Laboratory Fee Schedule (CLFS) final rule entitled "Medicare Program: Medicare Clinical Diagnostic Laboratory Tests Payment System" (CMS-1621-F) was published in the Federal Register on June 23, 2016. (cms.gov)
  • 2017
  • We will post the new Medicare CLFS rates (based on weighted median private payor rates) in November 2017 that will be effective on January 1, 2018. (cms.gov)
  • On November 28, 2017, Dr. Pierre Yong, Director of the Quality Measurement and Value-Based Incentives Group (QMVIG) in the Center for Clinical Standards and Quality at CMS, and Dr. Theodore Long, Acting Senior Medical Officer of QMVIG, explained the new initiative during a webinar. (cms.gov)
  • AIDS
  • Medicaid and the HIV/AIDS epidemic in the United States. (cms.gov)
  • About two-thirds of adult males were enrolled in Medicaid within 1 month of their AIDS diagnosis. (cms.gov)
  • Therapy Services
  • This National Provider Call covers the new functional reporting requirements for outpatient therapy services, including physical therapy (PT), occupational therapy (OT), and speech language pathology (SLP) services, effective January 1, 2013. (cms.gov)
  • These G-codes and modifiers will be required on selected claims for all outpatient therapy services. (cms.gov)
  • In addition, the G-codes and severity modifiers used in the functional reporting are required to be documented in the patient's medical record of therapy services. (cms.gov)
  • For more information, see the CMS Therapy Services page. (cms.gov)
  • rates
  • However, the Centers for Medicare & Medicaid Services will quickly work to update MPFS payment rates in the event Congress passes legislation to prevent the negative udpate from going into effect on January 1, 2012. (cms.gov)
  • This tool is an interactive, web-based resource that visually presents geographic comparisons of Medicare Part D opioid prescribing rates. (cms.gov)
  • They found substantial interstate variation in rates of nursing home entry and subsequent patterns of discharge, suggesting the operation of fundamentally different policies for provision of Medicaid nursing home services. (cms.gov)
  • Authors
  • To provide insight and background for such efforts, the authors studied the experience of Medicaid nursing home entry cohorts in three individual States. (cms.gov)
  • programs
  • With Medicaid programs in most States coming under ever-increasing fiscal pressures, the issue of third-party liability is receiving more attention and scrutiny. (cms.gov)
  • Plans
  • This Administration is committed to making sure that our seniors have more choices and lower premiums in their Medicare Advantage plans," said CMS Administrator Seema Verma. (cms.gov)