CMS – Vein Therapy News

November132019October252024

CMS VERMA ATTACKS CRITICS OF MEDICAID WORK REQUIREMENT, PUSHES FOR TIGHTER ELIGIBILITY

By Phil Galewitz Seema Verma, the Trump administration’s top Medicaid official, Nov. 12 sharply attacked critics of her plan to force some Medicaid enrollees to work, a policy that led to thousands of people losing coverage in Arkansas. “We cannot allow…

CMS ISSUES RENEWED GUIDANCE IN EFFORT TO ENSURE MEDICAID PROGRAM INTEGRITY

The Centers for Medicare & Medicaid Services (CMS) issued guidance to state Medicaid agencies June 21 that outlines the necessary assurances that states should make to ensure that program resources are reserved for those who meet eligibility requirements. This guidance…

VOLUNTARY MACRA CODES MAY DETERMINE WHAT DOCTORS ARE PAID

New patient relationship categories and codes are one of the most important provisions of the Medicare Access and CHIP Reauthorization Act (MACRA), according to a piece in the New England Journal of Medicine. In January 2018, the billing-code modifiers, which allow…

CMS RELEASES FINAL 2019 PHYSICIAN FEE SCHEDULE NOV. 1

The Centers for Medicare & Medicaid Services (CMS) released the final 2019 Physician Fee Schedule (PFS) and the Quality Payment Program (QPP) rule Nov. 1. According to CMS officials, the final rule modernizes Medicare payment policies to promote access to…

CMS DELAYS PROPOSED CHANGES TO E/M CODES IN FINAL RULE UNTIL 2021

The Centers for Medicare and Medicaid Services has proven that “final rules” are not always final. In response to complaints from physicians, CMS has delayed major changes to E/M codes until 2021. While CMS moved ahead with parts of its…

WISCONSIN MEDICAID WORK PROGRAM GETS CMS OK OCT. 31

The Centers for Medicare & Medicaid Services (CMS) approved a waiver to implement work requirements in Wisconsin’s Medicaid program Oct. 31, making it the fourth state to enact such an approach. Under the waiver, beneficiaries in the state’s BadgerCare program would…

HHS ANSWERS YOUR QUESTIONS ABOUT THE IPI DRUG PRICING MODEL

By: Dan Best SEE RELATED ARTICLE: https://www.veintherapynews.com/wp-admin/post.php?post=1557&action=edit Last week, as part of fulfilling President Trump’s promise to lower drug prices and cut down on foreign governments’ freeriding, HHS put forth a new way of paying for physician-administered drugs within…

CMS SEEKS COMMENT ON PROPOSED RULE TO USE IPI PAY MODEL BY DEC 31

The Centers for Medicare & Medicaid Services intends to test whether phasing down the Medicare payment amount for selected Part B drugs to more closely align with international prices will meet President Trump’s blueprint to lower drug costs and reduce…

CMS ANNOUNCES PARTICIPANTS IN NEW VALUE-BASED BUNDLED PAYMENT MODEL

On Oct. 9, the Centers for Medicare & Medicaid Services (CMS) announced that 1,299 entities have signed agreements with the agency to participate in the Administration’s Bundled Payments for Care Improvement – Advanced (BPCI Advanced) Model. The participating entities…