TITLE

CMS Finalizes 'Inherent Reasonableness' Rule

PUB. DATE
January 2006
SOURCE
HomeCare Magazine;Jan2006, Vol. 29 Issue 1, p12
SOURCE TYPE
Trade Publication
DOC. TYPE
Article
ABSTRACT
The article reports that the U.S. Centers for Medicare and Medicaid Services would continue to reduce reimbursements for some Medicare Part B services and equipment when payments are extraordinarily high. The agency has the authority to make payment adjustments when the payments for a particular item or service are found to be grossly excessive or meager by 15 percent. The agency will also monitor complaints about adjusted payments from beneficiaries, suppliers, providers and others regarding patient access.
ACCESSION #
19752617

 

Related Articles

  • Value-based problems. Akins, Leslie; Theis, Gerald // Modern Healthcare;1/17/2011, Vol. 41 Issue 3, p20 

    A letter to the editor is presented in response to the article "CMS Issues Proposed Value-based Purchasing Regs" in the January 7, 2011 issue.

  • Enrollment in Medicare drug benefit grows 6.2%; cost projections reduced.  // Pharmacy Today;Mar2008, Vol. 14 Issue 3, p4 

    The article reports on the increase in Medicare prescription benefit in the U.S. The Centers for Medicare and Medicaid Services (CMS) has reported that 90% of the 44.2 million Medicare beneficiaries now have prescription drug coverage. Enrollment in various prescription drug plans (PDP) stands...

  • Medicaid Will Pay for Alcohol and Drug Screening Services; New Policy Will Help Diagnose People With Substance Use Disorders.  // Ascribe Newswire: Health;9/7/2006, p1 

    The article reports that the U.S. Centers for Medicare and Medicaid Services announced a new policy to reimburse physicians for services to identify and treat problems of Medicaid patients with alcohol and drugs. Two new codes have been added to the HCSPCS Level II coding system of the policy....

  • Medicaid Will Pay for Alcohol and Drug Screening Services; New Policy Will Help Diagnose People With Substance Use Disorders.  // Ascribe Newswire: Medicine;9/7/2006, p2 

    The article reports that the U.S. Centers for Medicare and Medicaid Services announced a new policy to reimburse physicians for services to identify and treat problems of Medicaid patients with alcohol and drugs. Two new codes have been added to the HCSPCS Level II coding system of the policy....

  • Least Costly Alternative Medicare Payment Determinations Rejected in Federal Court.  // hfm (Healthcare Financial Management);Dec2008, Vol. 62 Issue 12, p11 

    The article reports on the rejection of the authority of the Centers for Medicare & Medicaid Services (CMS) in basing reimbursements for items and services at the payment allowance for the medically appropriate alternative with less cost by the U.S. District Court for the District of Columbia....

  • Preventive medicine.  // Modern Healthcare;4/12/2004, Vol. 34 Issue 15, p28 

    Reports on the appeal of lawmakers on the U.S. House Ways and Means Committee to the Centers for Medicare & Medicaid Services in April 2004 to take administrative action to avert cuts to doctors' reimbursements.

  • Commentary: Medicare's 2006 Oncology Demonstration Project: Lost in Translation? Bach, Peter B. // Journal of Oncology Practice;Mar2010, Vol. 6 Issue 2, p59 

    In this article the author expresses his views regarding the oncology demonstration project conducted by the U.S. Centers for Medicare and Medicaid Services (CMS) in 2006 which focused on care process and patient status reporting by treating physicians. He thinks that the data gathered by the...

  • Billing for Presbyopic IOLs. Corcoran, Suzzane L. // Review of Ophthalmology;Feb2006 part 1of 3, Vol. 13 Issue 2, p33 

    The article focuses on the new billing on presbyopic Intraocular Lens (IOL) ruled by the Centers for Medicare & Medicaid Services. The Medicare beneficiaries can upgrade from a conventional IOL to a presbyopia-correcting IOL, as long as they are willing to pay all charges beyond standard...

  • Medicare to provide Quality Resource Use Reports. Gasperini, Jennifer // MGMA Connexion;Sep2013, Vol. 13 Issue 8, p13 

    The article highlights the distribution of the Quality and Resource Use Reports (QRURs) by the Centers for Medicare & Medicaid Services (CMS) Physician Feedback Program in the U.S. It mentions that the reports will be disseminated to Medicare Part B physicians to show data on the quality of care...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics