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News and articles related to CMS

Obama administration announces ground-breaking public-private partnership to prevent health care fraud

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Washington - Health and Human Services (HHS) Secretary Kathleen Sebelius and Attorney General Eric Holder today announced the launch of a ground-breaking partnership among the federal government, State officials, several leading private health insurance organizations, and other health care anti-fraud groups to prevent health care fraud. This voluntary, collaborative arrangement uniting public and private organizations is the next step in the Obama administration’s efforts to combat health care fraud and safeguard health care dollars to better protect taxpayers and consumers.

The ability to search the internet for quality health care providers

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The following is from a CMS email recently sent out:

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Looking for a high-quality provider? Medicare can help.
Do you need surgery and aren’t sure which hospital to choose? Does your mom need nursing care? Are you leaving the hospital, but you still need care in your home? Medicare’s online tools can help you find high-quality providers for any of these situations.

HHS Announces Intent to Delay ICD-10 Compliance Date

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As part of President Obama’s commitment to reducing regulatory burden, Health and Human Services Secretary Kathleen G. Sebelius today announced that HHS will initiate a process to postpone the date by which certain health care entities have to comply with International Classification of Diseases, 10th Edition diagnosis and procedure codes (ICD-10).

Now Available on the CMS Web Site: Medicare Shared Savings Program 2012 ACO Narrative Quality Measures Specifications Manual and Application Crosswalks

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From CMS

The Centers for Medicare & Medicaid Services (CMS) has added new information to the Medicare Shared Savings Program (Shared Savings Program) Web site at www.cms.gov/sharedsavingsprogram. External

2012 Physician Quality Reporting System Educational Products Are Now Available!

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From CMS

The Centers for Medicare & Medicaid Services (CMS) is pleased to announce the posting of 2012 Physician Quality Reporting System educational products at http://www.cms.gov/PQRS on the CMS Web site.

2012 Physician Quality Reporting System Measures List – this document identifies and explains the measures used in Physician Quality Reporting, including information on the reporting options/methods, measure developers and their contact.

CMS Publishes new standards for EFT Transfers

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New standards for electronic funds transfers in health care, required by the Affordable Care Act, will reduce up to $4.5 billion off administrative costs for doctors and hospitals, private health plans, states, and other government health plans, over the next ten years, according to estimates included in new rules published today by the U.S. Department of Health and Human Services (HHS).

A Gentle Reminder from CMS

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A recent notice on the Medicare Part B Website is titled : Electronic Inquiries Must Not Include Protected Health Information

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Providers are reminded that National Government Services is unable to accept e-mail inquiries that include beneficiary/claim-specific information due to protected health information (PHI) Internet security policy requirements. When sending your request, please make sure it does not include any of the following information:

CMS Announces Delay to the Prepayment Review and Prior Authorization for PMDs Demonstration and the Recovery Audit Prepayment Review Demonstration

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News from CMS.

On November 15, 2011 CMS announced three demonstration projects. The CMS plans to conduct these demonstration projects to strengthen Medicare by aiming at eliminating fraud, waste, and abuse. Reductions in improper payments will help ensure the sustainability of the Medicare Trust Funds and protect beneficiaries who depend upon the Medicare program.

CMS Has extended the hardship exemption date to Nov. 8

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If you missed the November 1st exemption deadline, CMS has extended the deadline to declare hardship exemption to November 8th. Please read more to get the links to apply for the exemption.

CMS has mandated that physicians e-prescribe at least 10 prescriptions by June 30th, and at least 25 by the end of 2011. These prescriptions must be associated with eligible Evaluation and Management (E/M) services on Medicare participants - EM codes, not procedures.. The physician must also have the reporting code G8553 on the claim.

HHS announces refined survey standards to examine and help eliminate differences in care based on race, ethnicity, sex, primary language, or disability

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The U.S. Department of Health and Human Services today released final standards to more consistently measure race, ethnicity, sex, primary language, and disability status, thereby improving the ability to highlight disparities in health status and target interventions to reduce these disparities.

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