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1. CMS Review Criteria | CMS - Centers for Medicare & Medicaid Services
Link: https://www.cms.gov/medicare/coverage/telehealth/criteria-request
Description: WebDec 18, 2023 · We have updated our process. For further background, refer to the discussion in our CY 2024 Final Rule (88 FR 78864 through 78872 ). This page now reflects our revised criteria, which we explain below. Step 1. Determine whether the service is separately payable under the PFS.
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2. Home - Centers for Medicare & Medicaid Services | CMS
Link: https://www.cms.gov/
Description: WebA federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. 7500 Security Boulevard, Baltimore, MD 21244
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3. Regulations and Guidance | CMS - Centers for Medicare & Medicaid Services
Link: https://www.cms.gov/marketplace/resources/regulations-guidance
Description: WebAug 19, 2011 · CMS-2334-P: Essential Health Benefits in Alternative Benefit Plans, Eligibility Notices, Fair Hearing and Appeal Processes for Medicaid and Exchange Eligibility Appeals; January 30, 2013 CMS-9958-P: Eligibility for Exemptions; Miscellaneous Minimum Essential Coverage Provisions; March 11, 2013
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4. Measure Selection | The Measures Management System
Link: https://mmshub.cms.gov/measure-lifecycle/measure-implementation/selection
Description: WebCMS measure selection criteria help ensure that each measure. Supports the CMS and national health care priorities including prioritizing outcome measures, patient-reported outcome measures, digital measures, and equity. Is responsive to specific program goals and statutory requirements.
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5. ICD-10-CM Official Guidelines for Coding and Reporting
Link: https://www.cms.gov/files/document/fy-2022-icd-10-cm-coding-guidelines-updated-02012022.pdf
Description: WebApr 1, 2022 · ICD-10-CM Official Guidelines for Coding and Reporting. to facilitate the assignment of the Present on Admission (POA) indicator for each diagnosis and external cause of injury code reported on claim forms (UB-04 and 837 Institutional).
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6. CMS Requirements | NHSN | CDC
Link: https://www.cdc.gov/nhsn/cms/index.html
Description: WebNew! CMS COVID-19 Reporting Requirements for Nursing Homes – June 2021 [PDF – 300 KB] CMS Press Release: CMS Announces Relief for Clinicians, Providers, Hospitals and Facilities Participating in Quality Reporting Programs in Response to COVID-19 [PDF – 400 KB] CDC and CMS Issue Joint Reminder on NHSN Reporting.
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7. List of Measures Under Consideration for December 2021
Link: https://www.cms.gov/files/document/measures-under-consideration-list-2021-report.pdf
Description: WebThe pre-rulemaking process provides CMS with a vehicle to hear from stakeholders for early consideration of measures. CMS is issuing this List of Measures Under Consideration (MUC) to comply with the statutory requirement, 1. which requires the Secretary of the Department of Health and Human
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8. Who’s eligible for Medicare? | HHS.gov
Link: https://www.hhs.gov/answers/medicare-and-medicaid/who-is-eligible-for-medicare/index.html
Description: WebGet Medicare earlier than 65. Are 65 or older and you (or another qualifying person, like your current or former spouse) paid Medicare taxes while working for a certain amount of time (usually at least 10 years). If you don’t qualify for …
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9. CMS Updates Medicare Conversion Factor For Remainder of 2024
Link: https://www.acc.org/latest-in-cardiology/articles/2024/03/21/14/00/cms-updates-medicare-conversion-factor-for-remainder-of-2024
Description: WebMar 21, 2024 · The Centers for Medicare and Medicaid Services (CMS) has increased the Medicare Physician Fee Schedule (PFS) conversion factor by 1.68% – from $32.74 for services rendered Jan. 1 through March 8 to $33.07 for services rendered March 9 through Dec. 31 – in response to the Consolidated Appropriations Act, 2024 signed into law on …
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10. CMS Announces Guidance for Medicare Advantage Criteria
Link: https://www.natlawreview.com/article/cms-releases-guidance-coverage-criteria-utilization-management-and-use-ai
Description: WebOn February 6, 2024, the US Centers for Medicare & Medicaid Services (CMS) released a set of frequently asked questions (FAQs) related to Medicare Advantage (MA) coverage criteria and utilization ...