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  2. Centers for Medicare & Medicaid Services - Wikipedia

    en.wikipedia.org/wiki/Centers_for_Medicare...

    HCFA was renamed the Centers for Medicare and Medicaid Services on July 1, 2001. [9] [11] In 2013, a report by the inspector general found that CMS had paid $23 million in benefits to deceased beneficiaries in 2011. [12] In April 2014, CMS released raw claims data from 2012 that gave a look into what types of doctors billed Medicare the most. [13]

  3. Clinical Laboratory Improvement Amendments - Wikipedia

    en.wikipedia.org/wiki/Clinical_Laboratory...

    Centers for Medicare and Medicaid Services (CMS) has the primary responsibility for the operation of the CLIA Program. Within CMS, the program is implemented by the Center for Medicaid and State Operations, Survey and Certification Group, and the Division of Laboratory Services. List of CLIA test complexity categorizations: Waived; Moderate

  4. Physician Payments Sunshine Act - Wikipedia

    en.wikipedia.org/wiki/Physician_Payments...

    The Sunshine Act requires manufacturers of drugs, medical devices, biological and medical supplies covered by the three federal health care programs Medicare, Medicaid, and State Children's Health Insurance Program (SCHIP) to collect and track all financial relationships with physicians and teaching hospitals and to report these data to the Centers for Medicare and Medicaid Services (CMS).

  5. US announces trial payment program for care providers of ...

    www.aol.com/news/us-announces-trial-payment...

    The program includes services such as personalized assessments, care plans for patients as well as 24/7 access to a support line. Medicare said the program aims to delay long-term nursing home care.

  6. Healthcare Effectiveness Data and Information Set - Wikipedia

    en.wikipedia.org/wiki/Healthcare_Effectiveness...

    According to a 2005 study, HEDIS-Medicaid 3.0 measures covered only 22% of the services recommended by the second U.S. Preventive Services Task Force (USPSTF). [ 18 ] Though without studies, without expressing what interventions and without reporting what "harm", some groups believe attempts by health care providers to improve their HEDIS ...

  7. Certified medical reimbursement specialist - Wikipedia

    en.wikipedia.org/wiki/Certified_Medical...

    The current year's HCPCS, CPT-4, and ICD-10 Code Books are needed to take the exam, or you can use a free trial of the AMBA's coding software. The AMBA offers a CMRS Study Guide. Purchasing the guide is optional but recommended because 80% of the exam is taken from the study guide.