CMS said it will continue to conduct some nursing home complaint investigations and revisits during the federal government shutdown.

Participation in Medicare ordinarily requires physicians and practitioners to submit claims on behalf of beneficiaries and ...

The Centers for Medicare & Medicaid Services announced a seven-prong update to the Civil Money Penalty Reinvestment Program on Monday.

The Centers for Medicare & Medicaid Services Sept. 30 issued a memo, through the Health Plan Management system, finalizing the Medicare Advantage Utilization Management Annual Data Submission ...

CMS has issued a document covering 44 answers to frequently asked questions about the new ASC payment system. Questions CMS addresses included what ASC procedures and services are payable when under ...

The coming expiration of CMS’ hospital-at-home waiver is sowing confusion and uncertainty among health system executives who oversee the programs. Some leaders told Becker’s that if the CMS waiver ...

A massive quality industrial complex has led to hundreds of measures that are primarily process-focused rather than patient-outcome based.

JOHNSON CITY, Tenn. (WJHL) — Two of Ballad Health’s three flagship hospitals are among 8% of hospitals nationwide with the lowest marks in the Centers for Medicare and Medicaid Services (CMS) most ...

As we near the turnover of administrations, Health Affairs Forefront offers a series of articles from leaders at the Centers for Medicare and Medicaid Services providing their thoughts on the major ...

Medicare Advantage members with UnitedHealthcare and Blue Cross Blue Shield of Massachusetts received letters from the state’s largest health system informing them of the change.