The Centers for Medicare and Medicaid Services (CMS) is the agency in the Department of Health and Human Services responsible for providing health coverage for seniors and people with disabilities, for limited-income individuals and families, and for children-totaling almost 100 million beneficiaries. The agency's core mission was established more than four decades ago with a mandate to focus on the prompt payment of claims, which now total more than 1.2 billion annually. With CMS's mission expanding from its original focus on prompt claims payment come new requirements for the agency's information technology (IT) systems. Strategies and Priorities for Information Technology at the Centers for Medicare and Medicaid Services reviews CMS plans for its IT capabilities in light of these challenges and to make recommendations to CMS on how its business processes, practices, and information systems can best be developed to meet today's and tomorrow's demands. The report's recommendations and conclusions offered cluster around the following themes: (1) the need for a comprehensive strategic technology plan; (2) the application of an appropriate metamethodology to guide an iterative, incremental, and phased transition of business and information systems; (3) the criticality of IT to high-level strategic planning and its implications for CMS's internal organization and culture; and (4) the increasing importance of data and analytical efforts to stakeholders inside and outside CMS. Given the complexity of CMS's IT systems, there will be no simple solution. Although external contractors and advisory organizations will play important roles, CMS needs to assert well-informed technical and strategic leadership. The report argues that the only way for CMS to succeed in these efforts is for the agency, with its stakeholders and Congress, to recognize resolutely that action must be taken, to begin the needed cultural and organizational transformations, and to develop the appropriate internal expertise to lead the initiative with a comprehensive, incremental, iterative, and integrated approach that effectively and strategically integrates business requirements and IT capabilities.
Increasingly, the core mission of the Centers for Medicare and Medicaid Services (CMS), an agency of the Department of Health and Human Services, is expanding from one of focusing on prompt claims payment to one of becoming more broadly involved in improving health care quality and efficiency. The requirements for the information technology (IT) systems of CMS are changing as its mission changes, and the efforts to evolve its systems from those designed to support the agency's historical mission come in the midst of a push to modernize the nation's health care IT more broadly. These new challenges arise even as CMS must meet challenging day-to-day operational requirements and make frequent adjustments to its business processes, code, databases, and systems in response to changing statutory, regulatory, and policy requirements. In light of these and other emerging challenges, CMS asked the National Research Council to conduct a study that would lay out a forward-looking vision for the Centers for Medicare and Medicaid Services, taking account of CMS's mission, business processes, and information technology requirements. The study is being conducted in two phases. The first, resulting in the present volume, draws on a series of teleconferences, briefings, and an information-gathering workshop held in Washington, D.C., on September 27-28, 2010. The second phase, drawing on that workshop and on additional briefings, site visits, and committee deliberations, will result in a final report with recommendations, to be issued at the end of the project in 2011.
Increasingly, the core mission of the Centers for Medicare and Medicaid Services (CMS), an agency of the Department of Health and Human Services, is expanding from one of focusing on prompt claims payment to one of becoming more broadly involved in improving health care quality and efficiency. The requirements for the information technology (IT) systems of CMS are changing as its mission changes, and the efforts to evolve its systems from those designed to support the agency's historical mission come in the midst of a push to modernize the nation's health care IT more broadly. These new challenges arise even as CMS must meet challenging day-to-day operational requirements and make frequent adjustments to its business processes, code, databases, and systems in response to changing statutory, regulatory, and policy requirements. In light of these and other emerging challenges, CMS asked the National Research Council to conduct a study that would lay out a forward-looking vision for the Centers for Medicare and Medicaid Services, taking account of CMS's mission, business processes, and information technology requirements. The study is being conducted in two phases. The first, resulting in the present volume, draws on a series of teleconferences, briefings, and an information-gathering workshop held in Washington, D.C., on September 27-28, 2010. The second phase, drawing on that workshop and on additional briefings, site visits, and committee deliberations, will result in a final report with recommendations, to be issued at the end of the project in 2011.
42 CFR Parts 430-481 continues coverage on the Centers for Medicare and Medicaid Services within the United States Department of Health and Human Services. In this volume, you will find rules, processes, procedures, and regulations relating to payments for services, allotments and grants to States, State personnel administration, fiscal administration, contracts, and all-inclusive care programs for elderly. State administrators and personnel, Medicare beneficiaries and their families, Medicare/Medicaid contractors, state children’s health insurance programs, healthcare policy analysts, and lawmakers may be interested in this volume. Additionally, medical students taking courses in geriatric programs at the university graduate level or working in a State hospital resident program may be interested in the current Federal regulations for their research needs and care of patients.
Many health care treatments that were once offered only in a hospital or a doctor's office can now be done in your home. Home health care is usually less expensive, more convenient, and just as effective as care you get in a hospital or skilled nursing facility. In general, the goal of home health care is to provide treatment for an illness or injury. Home health care helps you get better, regain your independence, and become as self-sufficient as possible. Medicare pays for you to get certain health care services in your home if you meet certain eligibility criteria and if the services are considered reasonable and necessary for the treatment of your illness or injury. This is known as the Medicare home health benefit. If you get your Medicare benefits through a Medicare health plan (not Original Medicare) check your plan's membership materials, and contact the plan for details about how the plan provides your Medicare-covered home health benefits. This publication has important information about the following: Who is eligible; What services are covered; How to find and compare home health agencies; Your Medicare rights. Also available in Spanish.
The Code of Federal Regulations is a codification of the general and permanent rules published in the Federal Register by the Executive departments and agencies of the United States Federal Government. This print ISBN is the official U.S. Federal Government edition. 2 CFR Parts 414-429 covers federal regulations, rules, and processes for the Centers for Medicare and Medicaid Services within the United States Department of Health and Human Services. This print volume part of the annual2017 print subscription covers topics such as payment for Part B Medical and other health services, ambulatory surgical services, hospice care, Medicare Advantage Program, conditions for Medicare payment, Medicare contracting and more. Medicare beneficiaries and participants, internal medicine and geriatric physicians, health practitioners, hospice care facilities and home services personnel and volunteers may be interested in this volume. Additionally, students pursuing coursework in personal and community health, health science terminology, patient care, primary care, speech pathology, and occupational therapy or rehabilitation for elder populations. Related products: Aging resources collection is available here: http://ttps://bookstore.gpo.gov/catalog/aging Other products produced by the Center for Medicare and Medicaid Services (CMS) are available here: https://bookstore.gpo.gov/agency/centers-medicare-and-medicaid-services-cms Your Guide to Choosing a Nursing Home or Other Long-Term Services & Supports is available here: https://bookstore.gpo.gov/products/your-guide-choosing-nursing-home-or-other-long-term-services-supports Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010, Public Law 111-192 available here: https://bookstore.gpo.gov/products/preservation-access-care-medicare-beneficiaries-and-pension-relief-act-2010-public-law-111 Health, United States, 2016, With Chartbook on Long-Term Trends in Health and Health United States 2016 in Brief can be found here: https://bookstore.gpo.gov/products/health-united-states-2016-chartbook-long-term-trends-health-and-health-united-states-2016
The Code of Federal Regulations is a codification of the general and permanent rules published in the Federal Register by the Executive departments and agencies of the United States Federal Government. This print ISBN is the Official Federal Government format of this title. 42 CFR Parts 482-End (1099) continues coverage on the Centers for Medicare and Medicaid Services within the United States Department of Health and Human Services. In this volume, you will find rules, processes, procedures, and regulations pertaining to standards and certifications including electronic health records technology, conditions for participation of hospitals, certification of certain health facilities, laboratory requirements, appeals that determine participation in Medicare and Medicaid programs, provider agreements, and supplier approval, establishment of healthcare infrastructure improvement program, Medicare integrity, state health programs, and more. Other related products: TeamSTEPPS 2.0 Pocket Guide: Team Strategies & Tools to Enhance Performance and Patient Safety (Package of 10) can be found at this link: https://bookstore.gpo.gov/products/sku/017-033-00510-9Slip Opinion 14-15, Armstrong Et Al. V. Exceptional Child Center, Inc., Et Al. involving a Supreme Court Medicaid case can be found at this link: https://bookstore.gpo.gov/products/sku/828-050-00026-5United States Code, 2012 Edition, V. 27, Title 42, The Public Health and Welfare, Sections 1381-1400v can be found here: https://bookstore.gpo.gov/products/sku/052-001-00644-52014 The FBI Story can be found at this link: https://bookstore.gpo.gov/products/sku/027-001-00100-5Keywords: 42 CFR Parts 482 to 1099 (End); CFR 42 Parts 482-End (1099); cfr 42 parts 482-end (1099); Medicaid; medicare and Medicaid fraud; civil penalties; standards; certifications; hospitals; medical clinics; laboratory; laboratories; labs; medical labs; medical laboratory; medical laboratories; cms; centers for medicare; centers for Medicaid; CMS; HHS; united states department of health and human services; medical fraud; medicare/Medicaid payment fraud; home health services; home health service agency; MEDICARE: healthcare; health care;
As your parents, grandparents, relatives, or friends face health care decisions, they might need to rely on you for help. Medicare can be an important factor in many of those decisions. If you aren't familiar with Medicare or the other resources that are available for the person you're caring for, or if you just want to brush up on what you already know, this publication is for you. “Medicare Basics” highlights several topics related to the health and care of a person with Medicare. For each of these topics, you will find basic information about Medicare and suggestions on where to go to find more information. Also available in Spanish.
This is the official government booklet with important information about the following: * The services and supplies Original Medicare covers * How much you pay * Where to get more information
Every Medicare beneficiary can get one free copy of this guide directly from Medicare or from the State Health Insurance Assistance Program (SHIP). This is a low-cost edition to be used as a replacement, or for those not eligible for Medicare.
Learning that you have permanent kidney failure isn't easy. Even though you may feel sad, confused, or frustrated, you can still take control of your life. The fact that you're reading this publication is a start. This publication explains how Medicare helps pay for kidney dialysis and kidney transplant services in Original Medicare. In most cases, you can't join a Medicare Advantage Plan (like an HMO or PPO) if you have End-Stage Renal Disease. If you're in a Medicare Health Plan, your plan must give you at least the same coverage that Original Medicare gives, but your costs, rights, protections, and/or choices of where you get your care may be different. You may also be able to get extra benefits. You can read this publication to understand what Medicare covers, but you'll need to read your plan materials or call your benefits administrator for more information about plan rules. Talk with your health care team to learn more about permanent kidney failure and your treatment options. Your doctors, nurses, social workers, dieticians, and dialysis technicians make up your health care team. They are there to help you decide what's best for you based on your situation. Also available in Spanish.
Amid recent changes in global health, the public interest in travelers' safety has never been greater. For both international travelers and the health professionals who care for them, CDC Health Information for International Travel (more commonly known as The Yellow Book) is the definitive resource for preventing illness and injury in a globalized world. This 2016 edition offers the US government's most current health recommendations for travelers to international destinations, including disease risk maps, country-specific guidelines, and vaccine requirements and recommendations. The book also offers updated guidance for specific types of travel and travelers, including: ? Precautions for immunocompromised travelers and disabled travelers ? Guidance for the pregnant, last-minute, or resource-limited traveler ? Health considerations for newly arrived adoptees, immigrants, and refugees ? Advice for air crews, humanitarian aid workers, and health care workers traveling to provide care overseas Written by a team of experts at CDC on the forefront of travel medicine, The Yellow Book provides a user-friendly, vital resource for those in the business of keeping travelers healthy abroad.
42 CFR Parts 430-481 continues coverage on the Centers for Medicare and Medicaid Services within the United States Department of Health and Human Services. In this volume, you will find rules, processes, procedures, and regulations relating to payments for services, allotments and grants to States, State personnel administration, fiscal administration, contracts, and all-inclusive care programs for elderly. State administrators and personnel, Medicare beneficiaries and their families, Medicare/Medicaid contractors, state children’s health insurance programs, healthcare policy analysts, and lawmakers may be interested in this volume. Additionally, medical students taking courses in geriatric programs at the university graduate level or working in a State hospital resident program may be interested in the current Federal regulations for their research needs and care of patients.
An up-to-date, definitive guide to staying safe and healthy anywhere in the world. Completely updated for 2018 with expanded guidelines for Zika virus, cholera vaccine, and more.
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