Archive for the ‘CMS’ Category

CMS Proposes Overpayment Reporting & Look-Back Rule

Posted on: April 5th, 2012 by hmshealthcare

The Centers for Medicare & Medicaid Services (CMS) has proposed a rule that would require those who receive Medicare and Medicaid overpayments to report and return the overpayments within 60 days of when the overpayment was identified. The rule would also make providers and suppliers liable for the 10 years preceding the date an overpayment [...]


Proposed 2013 Budget Includes New Healthcare Funding & Cuts

Posted on: March 7th, 2012 by hmshealthcare

President Obama recently released his proposed FY2013 budget, which outlines his fiscal goals for the United States. In the budget, the President proposes to cut healthcare spending by $360 billion over the next decade, with $300 billion coming out of Medicare through reduced payments to healthcare providers. Despite these cuts, the budget still proposes to allocate the Department of Health and Human Services (HHS) nearly $950 billion in FY2013, with almost $500 billion proposed for the Center for Medicare and Medicaid Services (CMS) alone.


CMS Announces New RAC Demonstration Project

Posted on: February 24th, 2012 by Steve Lee

CMS recently announced a new Recovery Audit Prepayment Review demonstration project that’s intended to help stop unnecessary Medicare payments from occurring. The goal of the project is to shift Medicare away from “pay and chase” recovery methods. Click here to read more about the project on Medicaid-RAC.com or paste this link in your web browser: http://www.medicaid-rac.com/?p=1275


Medicaid RAC “Frequently Asked Questions” Released by CMS

Posted on: February 7th, 2012 by Steve Lee

A “frequently asked questions” document highlighting operational guidance and general information for states as they implement Medicaid RAC programs as mandated by Section 6411(a) of the Affordable Care Act (ACA) has recently been released by the Centers for Medicare and Medicaid Services (CMS).