Tag Archives: Medicare

HHS Ten Big New Year’s Resoltutions For 2014

Posted on December 17, 2013 by Frank J. Rosello

The Department of Health and Human Services has a few glaring management and performance issues it needs to work out in the coming year — at least according to a new report put out by the Office of Inspector General. … Continue reading →

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CMS Changes Course, Will Raise 2014 Medicare Advantage Payments

Posted on April 8, 2013 by Frank J. Rosello

Under a withering barrage of pressure from the insurance industry, seniors groups and Congressional members from both sides of the aisle, CMS on Monday did an about face and significantly raised its 2014 growth percentage estimate for the Medicare Advantage … Continue reading →

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New GAO Study Finds Opportunities To Improve CMS Use Of Medicare Pre-Pay Edits

Posted on December 17, 2012 by Frank J. Rosello

Use of prepayment edits saved Medicare at least $1.76 billion in fiscal year 2010, but a new study by the Government Accountability Office found that savings could have been greater had the edits been more widely used. According to GAO, … Continue reading →

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CMS Issues Proposed Rule On Policy And Payment Changes For Outpatient Care

Posted on July 17, 2012 by Frank J. Rosello

On Friday, July 6,2012, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would update many payment policies and rates involving services for Medicare beneficiaries in hospital outpatient departments (HOPDs) and ambulatory surgical centers (ASCs) beginning … Continue reading →

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