Category Archives: regulations

federal register • 27 february 2015

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CMS has published in the federal register:

  • A Final Rule for the Medicare Program: Right of Appeal for Medicare Secondary Payer Determinations Relating to Liability Insurance (Including Self-Insurance), No-Fault Insurance, and Workers Compensation Laws and Plans
  • A Notice of Agency Information Collection Activities concerning:
    • Appointment of Representative
    • Medicare Fee-for-Service Prepayment Medical Review
  • A Notice of Agency Information Collection Activities concerning:
    • Affordable Care Act Information and Collection Requirements for Section 1115 Demonstration Projects
    • Executive Summary Form for Research Identifiable Data
  • A Notice of Charter Renewals: Advisory Panel on Outreach and Education, Health Insurance Marketplace, Medicare, Medicaid, and Children’s Health Insurance Programs
  • A Notice of Medicare Program: Advisory Panel on Hospital Outpatient Payment Membership Appointments
  • A Notice of a Meeting of the Advisory Panel on Outreach and Education, Health Insurance Marketplace, Medicare, Medicaid, and Children’s Health Insurance Programs
  • A Notice for the Medicare Program: Public Meetings in Calendar Year 2015 for All New Public Requests for Revisions to the Healthcare Common Procedure Coding System (HCPCS) Coding and Payment Determinations

DHHS has published in the federal register:

  • A Final Rule for the Patient Protection and Affordable Care Act: Benefit and Payment Parameters for 2016

federal register • 24 february 2015

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CMS has published in the federal register:

  • A Rule for the Basic Health Program: Federal Funding Methodology for Program Year 2016
  • A Correction to the Final Rule for the Medicare and Medicaid Programs:
    1. Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs;
    2. Physician-Owned Hospitals: Data Sources for Expansion Exception;
    3. Physician Certification of Inpatient Hospital Services;
    4. Medicare Advantage Organizations and Part D Sponsors: CMS-Identified Overpayments Associated With Submitted Payment Data
  • A Notice of Agency Information Collection Activities concerning Summary of Benefits and Coverage and Uniform Glossary

federal register • 30 january 2015

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CMS has published in the federal register:

  • A Notice of Agency Information Collection Activities:
    1. Use of Restraint and Seclusion in Psychiatric Residential Treatment Facilities (PRTFs) for Individuals Under Age 21 and Supporting Regulations
    2. Cooperative Agreements to Support Establishment of State-Operated Health Insurance Exchanges
    3. Consumer Operated and Oriented (CO-OP) Program
    4. Annual MLR and Rebate Calculation Report and MLR Rebate Notices
    5. Patient Protection and Affordable Care Act; Consumer Assistance Tools and Programs of an Exchange and Certified Application Counselors; Exchange and Insurance Market Standards for 2015
    6. Patient Protection and Affordable Care Act; Consumer Assistance Tools and Programs of an Exchange and Certified Application Counselors; Exchange and Insurance Market Standards for 2015
    7. Generic Clearance for Questionnaire Testing and Methodological Research for the Medicare Current Beneficiary Survey (MCBS)
  • A Notice of Agency Information Collection Activities:
    1. Ambulatory Surgical Center Quality Reporting Program
    2. Certification as a Supplier of Portable X-Ray and Portable X-Ray Survey Report Form and Supporting Regulations

federal register • 23 january 2015

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CMS has published in the federal register:

  • A Notice of Agency Information Collection Activities: Verification of Clinic Data—Rural Health Clinic Form and Supporting Regulations
  • A Notice of Agency Information Collection Activities:
    1. Prior Authorization Form for Beneficiaries Enrolled in Hospice
    2. Annual Eligibility Redetermination, Product Discontinuation and Renewal Notices
  • A Notice of Medicare Program: Medicare Evidence Development and Coverage Advisory Committee: March 24, 2015, Meeting

federal register • 16 january 2015

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CMS has published in the federal register:

  • A Notice of Agency Information Collection Activities concerning National Provider Identifier (NPI) Application and Update Form and Supporting Regulations in 45 CFR 142.408, 45 CFR 162.406, 45 CFR 162.408
  • A Notice of Agency Information Collection Activities concerning:
    • Annual Report on Home and Community Based Services Waivers and Supporting Regulations
    • Outpatient/Ambulatory Surgery Patient Experience of Care Survey (O/ASPECS)
    • Site Investigation for Independent Diagnostic Testing Facilities (IDTFs)
    • Investigation for Suppliers of Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS)

federal register • 31 december 2014

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CMA has published in the federal register:

  • A Correction to a Final Rule for the Medicare Program:
    1. Revisions to Payment Policies Under the Physician Fee Schedule,
    2. Clinical Laboratory Fee Schedule,
    3. Access to Identifiable Data for the Center for Medicare and Medicaid Innovation Models &
    4. Other Revisions to Part B for CY 2015

IRS has published in the federal register:

  • Final Rules on Additional Requirements for Charitable Hospitals; Community Health Needs Assessments for Charitable Hospitals; Requirement of a Section 4959 Excise Tax Return and Time for Filing the Return

federal register • 30 december 2014

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CMS has published in the federal register:

  • A Notice of Agency Information Collection Activities: Fee-for-Service Recovery Audit Prepayment Review and Prior Authorization Demonstrations
  • A Notice of Beneficiary and Family Centered Care Quality Improvement Organization Contract Evaluation Criteria and Standards
  • A Notice of Quality Improvement Program Contracts Evaluation Criteria and Standards

IRS, EBSA and DHHS have published in the federal register:

  • A Proposed Rule on Summary of Benefits and Coverage and Uniform Glossary