ALEXANDRIA, Virginia—The National Home Infusion Association (NHIA) announced it successfully petitioned the Centers for Medicare and Medicaid Services (CMS) to secure a new billing code for injectable immunotherapies and revise an existing code to facilitate administration of a wider range of monoclonal antibodies for Respiratory Syncytial Virus (RSV).
CMS/Medicare
The Centers for Medicare & Medicaid Services (CMS) is a department of Health and Human Services (HHS). The current administrator is Seema Verma, appointed by President Donald Trump.
CMS oversees the Medicare and Medicaid programs. CMS collects and analyzes data, produces research reports, and works to eliminate instances of fraud, waste and abuse within the health care system.
HOUSTON – A 43-year-old Houston woman has been charged for conspiracy to commit and committing health care fraud, announced U.S. Attorney Alamdar S. Hamdani on Friday, March 10.
Rose Davies is expected to make her initial appearance before U.S. Magistrate Judge Dena H. Palermo.
A federal grand jury returned a six-count indictment March 1 against Davies.
Decision places AppliedVR's flagship product RelieVR in an existing benefit category, providing a next step for securing public and commercial health insurance coverage.
LOS ANGELES— AppliedVR, an immersive therapeutics (ITx) company, announced the Centers for Medicare and Medicaid Services (CMS) established a unique Healthcare Common Procedure Coding System (HCPCS) Level II code (E1905) for its flagship product, the RelieVRx program.
Letter to CMS seeks information on lower Part B coinsurance for prescription drugs due to IRA-created price gouging penalty
Washington, D.C.—U.S. Senator Bob Casey (D-PA) joined 21 Senators in a request to the Biden Administration to publicize the effect of the Inflation Reduction Act’s Medicare Part B inflation rebate on coinsurance in the program.
This new bill could help hundreds of thousands more seniors and people with disabilities receive life-sustaining care services at home and in their communities
Washington, D.C.—A new bill has been introduced in Congress that would increase Medicaid and state funding for home- and community-based services (HCBS) and provide resources to states for the caregiving workforce.
Supporters say the HCBS Access Act would, over time, eliminate lengthy waiting lists for homecare services.
Seniors’ Timely Access to Care Act/CMS Proposed Rule
The Centers for Medicare & Medicaid Services (CMS) released a proposed national coverage determination (NCD) decision that would, for the first time, expand coverage for power seat elevation equipment on certain power wheelchairs to Medicare individuals. The proposed NCD is open for public comment for 30 days.
WASHINGTON—The COVID-19 public health emergency (PHE) will end May 11, and with it a range of waivers and regulatory changes that have benefited the homecare industry.
WASHINGTON (December 13, 2022)—The federal system meant to stop health care business owners and executives from repeatedly bilking government health programs fails to do so, a Kaiser Health News (KHN) investigation has found.
That means people are once again tapping into Medicaid, Medicare, and other taxpayer-funded federal health programs after being legally banned because of fraudulent or illegal behavior.
WASHINGTON (December 7, 2022)—The Centers for Medicare & Medicaid Services (CMS) has issued a proposed rule that it says would improve interoperability and streamline processes related to prior authorization for medical items and services.
Shifting your enrollment status may help reimbursement rates across the industry
First, build a strong foundation
WASHINGTON, D.C. (May 3, 2022)—Medicare Advantage Organizations (MAOs) sometimes delayed or denied beneficiaries access to services according to a recent Health and Human Services Office of Inspector General (OIG) report. The denials occurred even when the requests met Medicare coverage rules. MAOs also denied payments to providers for some services that met both Medicare coverage rules and MAO billing rules.
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