Medicare and Medicaid Services

The Centers for Medicare and Medicaid Services has incorporated pneumococcal and influenza immunization rates into some of their quality standards. Patients admitted to a hospital for community-acquired pneumonia should be screened for, offered, and vaccinated with pneumococcal and influenza vaccines prior to discharge if not previously administered. In physicians office practice, all persons over 65 years of age who have been hospitalized in the past year should be screened for, offered, and vaccinated with pneumococcal and influenza vaccines if not previously administered. Both of these standards will affect payment if the standard is not met. The Joint Commission on Accreditation of Healthcare Organizations has also incorporated these standards into their accreditation reviews of health care facilities. 

Centers for Medicare and Medicaid Services Guidelines for Monitoring Medication Use... 

The Centers for Medicare and Medicaid Services reimbursement criteria for ICDs (http //www.cms.hhs. gov/mcd/viewimplementation.asp id= 148) include patients with either ischemic or nonischemic... 

On June 14, 2001, the Secretary of the Department of Health and Human Services announced a name change for HCFA to the Centers for Medicare and Medicaid Services. CLIA enforcement is to continue through the Center for Medicaid and State Operations. 

In recent years, numerous studies have evaluated the use of [ F]-FDG-PET for staging and restaging of tumor patients. Based on this data, the Centers for Medicare and Medicaid Services (CMS) have approved Medicare reimbursement for [ F]-FDG-PET imaging in 10 oncological conditions so far (Table 2). 

In addition, the U.S. Department of Health and Human Services (HHS) and other federal agencies formed the Quality Interagency Coordination Task Force in 2000 and issued an action plan for reducing medical errors. In 2001, former HHS Secretary Tommy G. Thompson announced a Patient Safety Task Force to coordinate a joint effort to improve data collection on patient safety. The lead agencies are the FDA, the Centers for Disease Control and Prevention, the Centers for Medicare and Medicaid Services, and the Agency for Healthcare Research and Quality. 

The proposed consensus committee should consider whether the CLIA program should become more active in ensuring the quality of environmental and occupational biomonitoring data by, for example, establishing a chemistry subspecialty in environmental and occupational medicine or expanding the array of biomonitoring-relevant proficiency tests available from the Center for Medicare and Medicaid Services-approved providers. 

CMS (Center for Medicare and Medicaid Services). 2005. CLIA Approved Proficiency Testing Programs-2005 [online]. Available http //new.cms.hhs.gov/CLIA/downloadsptlist.pdf [accessed Feb. 1, 2006]. 

Centers for Medicare and Medicaid Services. 2003. What is waived testing Available at www.fda.gov/cdrh/ clia accessed on June 14, 2003. 

Medicare is a government-administered insurance program that is offered to people who are older than 65 years of age, have specific disabilities, or have kidney failure (DHHS, 2002a). The Centers for Medicare and Medicaid Services (CMS) oversees the Medicare program. For services provided in the outpatient setting,... 

Centers for Medicare and Medicaid Services (CMS). 2006. Guidelines for Payment for Diabetes Self-Management Training (DSMT) February 6, 2006. Available at www. crus.hhs.gov/ContractorI earningResources/Downloads/... 

U.S. Department of Health and Human Services (DHHS). 2003a. Covered Entity Decision Tools, Centers for Medicare and Medicaid Services, modified July 24, 2003 available at www.cms.hhs.gov/hipaa/hipaa2/ support/tools/decisionsupport/default.asp. 

Example 3. Butler et al. (2003) conducted a population-based case-control study that evaluated levels of HCAs, meat intake according to doneness and cooking method, and the risk of colon cancer. The study population consisted of participants selected from 33 counties in North Carolina who were part of the North Carolina Colon Cancer Study. Cases included 274 blacks and 346 whites, between the ages of 40 and 84 with invasive adenocarcinoma of the colon diagnosed from 1996 to 2000. Controls, 426 blacks and 611 whites, were randomly selected from the North Carolina Division of Motor Vehicles (under 65) and the Center for Medicare and Medicaid services (over 65). Exposure was assessed using a food-frequency questionnaire. Meat intake frequency data, cooking method, and level of doneness was used to estimate exposure values for three specific HCAs. (Results of this study are discussed in Section 26.2.2b.). Source Butler et al. (2003). 

Accrediting organizations emphasize patient safety as a fxmdamental issue. The federal Centers for Medicare and Medicaid Services includes monitoring of medication errors as part of their conditions of participation, noting that the medical staff is responsible for developing policies and procedures that minimize drug errors. This fxmction may be delegated to the hospital s... 

Centers for Medicare and Medicaid Services, Conditions of participation. Pharmaceutical Services (482.25). Available at cms.hhs.gov/cop/default.asp, accessed August 4, 2002. 

Medicare is a federal health care program, and its recipients include people over the age of 65, the disabled, and those with end-stage renal disease. Medicare is administered by the Centers for Medicare and Medicaid Services (CMS), formerly known as the Health Care Financing Administration. The Medicare program consists of two parts (parts A and B), but is funded by four different sources (1) general tax revenues, (2) beneficiaries premiums, (3) mandatory contributions from employers and employees, and (4) deducf-ibles and copayments paid by patients. ... 

The Centers for Medicare and Medicaid Services. Medicaid beneficiaries, and vendor payments by basis of eligibility, www.hcfa.gov/medicaid/msis/ 2082-3.htm, accessed July 3, 2002. 

The Centers for Medicare and Medicaid Services. National health expenditures aggregate, per capita, percent distribution, and annual percent change by source of funds calendar years 1960-00. www.hcfa.gov/stats/nhe-oact/, accessed July 12, 2002. 

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