TITLE

MA plan payments, practices face increased scrutiny

AUTHOR(S)
Wechsler, Jill
PUB. DATE
February 2008
SOURCE
Managed Healthcare Executive;Feb2008, Vol. 18 Issue 2, p13
SOURCE TYPE
Trade Publication
DOC. TYPE
Article
ABSTRACT
The article focuses on Medicare Advantage (MA) plans that escaped from endangered payment cuts in the U.S. Legislation enacted in late December 2007 delayed a planned reduction in Medicare payments to physicians. The unreasonable growth in Medicare outlays fuels efforts to inspect MA plan payments. Kerry Weems, Center for Medicare and Medicaid Services (CMS) Acting Administrator, states that CMS will always monitor plan marketing, including activities of their agents and brokers.
ACCESSION #
29981034

 

Related Articles

  • Documentation program helps avoid revenue loss.  // Hospital Case Management;Dec2008, Vol. 16 Issue 12, p180 

    The article reports that a data analysis projected that Sharp Chula Vista Medical Center was likely to lose an amount of $500,000 based on the Medicare Severity Diagnosis Related Group (MS-DRG) reimbursement system of the Centers for Medicare & Medicaid Services (CMS) in the U.S. It notes that...

  • Evidence pushes possible CMS artificial heart reimbursement.  // Cardiovascular Devices & Drugs;Feb2008, Vol. 14 Issue 2, p30 

    The article reports on the announcement by the U.S. Centers for Medicare & Medicaid Services that it might reimburse the use of artificial heart devices for Medicare beneficiaries enrolled in the Food and Drug Administration (FDA)-approved studies. According to Kerry Weems, acting administrator...

  • Beneficiaries May Direct Personal Assistance Services.  // O&P Business News;3/1/2008, Vol. 17 Issue 5, p66 

    The article focuses on the proposed rule announced by the U.S. Centers for Medicare and Medicaid Services (CMS) that allows Medicaid beneficiaries to be in charge of their own personal assistance services. It relates that the rule will assist Medicaid beneficiaries who are in need of personal...

  • CMS eyes non-payment for HOPD acquired conditions. McCARTY, MARK // Medical Device Daily;11/3/2008, Vol. 12 Issue 214, p2 

    The article reports on the final rule published by the U.S. Centers for Medicare & Medicaid Services (CMS) for reimbursement of hospital outpatient departments (HOPDs) and ambulatory surgical centers (ASCs) for year 2009. According to the rule, CMS will boost payment for HOPDs by 3.6%. Kerry...

  • Medicare nominee Weems gets gentle treatment at confirmation hearing. Young, Jeffrey // Hill;7/26/2007, Vol. 14 Issue 91, p16 

    The article reports that Kerry Weems, President George W. Bush's choice for Medicare and Medicaid programs passed his public debut at a confirmational hearing in the U.S. The Senate Finance Committee met in order to consider Kerry Weems to be the administrator of the Centers for Medicare and...

  • CMS Head: Fast Action On Sales Abuses. Brady, Matt // National Underwriter / Life & Health Financial Services;2/18/2008, Vol. 112 Issue 6, p6 

    The article reports that Kerry Weems, acting administrator of the Centers for Medicare and Medical Services in the U.S., said that swift action on the problems of abusive sales practices in private Medicare Advantage plans. The problem of sales practice was highlighted during a Senate Finance...

  • Not So Fast: Put the Brakes on E Codes as Primary Dx.  // Medicare Compliance & Reimbursement;Oct2012, Vol. 38 Issue 19, preceding p138 

    The article reports on the directive released by the Centers for Medicare & Medicaid Services (CMS) to return unprocessable claims submitted to Medicare with E codes in the U.S. It states that the regulation was intended to align with the policies for handling claims that were initially...

  • CMS Issues Final Rule Revising Provider Reimbursement Revise Board Procedures.  // Venulex Legal Summaries;2008 Q2, Special section p1 

    The article discusses the final rule on changing provider reimbursement revise board (PPRB) procedures released by the Centers for Medicare and Medicaid Services (CMS) in the U.S. Under the rule, limited relief are given to providers whose appeals are pending before the Board. For hearing...

  • CMS seeking recovery of $4 billion.  // Medical Device Daily;10/11/2007, Vol. 11 Issue 195, p3 

    The article reports that the U.S. Centers for Medicare & Medicaid Services intends to recoup as much as $4 billion from providers of Part D services after completing its payment reconciliation for calendar year 2006. The agency also anticipates that amounts collected from or paid to plans in...

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