News and articles related to CMS

Federal Budget Deal does not fix the SGR


The deal between the White House and Congress will keep the federal government operating through the first quarter of 2013. Based upon current estimates SGR cuts may be as high as 30%, with the Congressional Budget Office estimating cuts to be in the 22% to 26% range. There are many options on the table to deal with the SGR, but based upon the current agreement, those options will be addressed after the budget deal has been passed.

HHS announces 89 new Accountable Care Organizations


2.4 million people with Medicare to receive better, more coordinated care

Health and Human Services (HHS) Secretary Kathleen Sebelius announced today, that as of July 1, 89 new Accountable Care Organizations (ACOs) began serving 1.2 million people with Medicare in 40 states and Washington, D.C. ACOs are organizations formed by groups of doctors and other health care providers that have agreed to work together to coordinate care for people with Medicare.

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


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


The following is from a CMS email recently sent out:


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


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


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 External

2012 Physician Quality Reporting System Educational Products Are Now Available!


From CMS

The Centers for Medicare & Medicaid Services (CMS) is pleased to announce the posting of 2012 Physician Quality Reporting System educational products at 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


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


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

The content is:

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


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.


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