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The Centers for Medicare and Medicaid Services (CMS), part of the federal Department of Health and Human Services, maintains a list and rating system of CMS-certified nursing homes around the country.
The overall rating, according to CMS, may be used by consumers to compare nursing homes. They can find the rating online using the government’s Care Compare tool .
To check the rating for a nursing home, hospice care, in-home health services or hospitals in your area, search the facility’s name or location on the medicare.gov website. There you can read ...
HEDIS 2006 Volume 2: Technical Specifications. The Healthcare Effectiveness Data and Information Set (HEDIS) is a widely used set of performance measures in the managed care industry, developed and maintained by the National Committee for Quality Assurance (NCQA).
MDS information is transmitted electronically by nursing homes to the MDS database in their respective states. MDS information from the state databases is captured into the national MDS database at Centers for Medicare and Medicaid Services (CMS). Sections of MDS (Minimum Data Set): Identification Information; Hearing, Speech and Vision
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]
The star ratings, which you can find in the Medicare site’s Plan Finder tool comparing Part D and Medicare Advantage (the alternative to original Medicare) plans, offer a shorthand look at how ...
A large portion of Medicare and Medicaid funding is used each year to cover nursing home care and services for the elderly and disabled. State governments oversee the licensing of nursing homes. In addition, states have a contract with CMS to monitor those nursing homes that want to be eligible to provide care to Medicare and Medicaid ...
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