Released on February 14, President Obama’s 2012 fiscal year budget proposal (Budget) highlights the potential role of the Patient Protection and Affordable Care Act (PPACA) as a deficit reduction tool based upon the latest analysis by the Congressional Budget Office (CBO). While its conclusions have been …
A Symphony of New Screening & Enrollment Requirements in Three Parts: Part I-Screening
February 15, 2011 Leave a Comment
On February 2, 2011, the Centers for Medicare and Medicaid Services (CMS) published a final rule implementing a number of program integrity provisions of the Patient Protection and Affordable Care Act (PPACA) (the Final Rule). The provisions are aimed at reducing fraud, waste and abuse in Medicare, Medicaid, and …
CMS Delays Some Section 111 Reporting Requirements
January 28, 2011 Leave a Comment
The Centers for Medicare and Medicaid Services (CMS) recently announced that it would extend some of the reporting obligations required by Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007. Section 111 amended the notice and reporting requirements under the Medicare Secondary Payer Statute …
Proposed Rule Implements the Medicaid RAC Program
November 19, 2010 Leave a Comment
CMS issued a proposed rule on November 10, 2010 implementing the Medicaid Recovery Audit Contractor (RAC) program required under Section 6411 of the Patient Protection and Affordable Care Act. States are required to establish Medicaid RAC programs by December 31, 2010, but CMS proposes these programs do not need …