Search for: "CMS CONTRACT MANAGEMENT SERVICES" Results 201 - 220 of 439
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29 Apr 2013, 9:32 am by Jerri Lynn Ward, J.D.
HHSC intends to submit to CMS a request to renew the HCS waiver program. [read post]
20 Dec 2012, 7:00 am by James F. Aspell
Instead of an increase in cost per treatment or per unit cost of a service such as a doctor’s visit, it is the amount of services and the types of services being used driving medical inflation. [read post]
16 Mar 2014, 11:46 am
The report called on the federal Agency for Healthcare Research and Quality and the Centers for Medicare & Medicaid Services (CMS) to promote patient safety efforts in nursing homes as they have done in hospitals. [read post]
7 Jul 2011, 10:42 pm by Ben Vernia
The Court found relevant the fact that CMS had mechanisms for managing and correcting these violations other than withholding payment due. [read post]
20 Nov 2007, 6:39 am
  Should CMS develop a professional services fee schedule and update system that doesn't box physicians into a budget-neutral la-la land? [read post]
13 Jul 2012, 8:56 am
UnitedHealthcare is currently pursuing a variety of value-based contracting models from performance based contracting incentives to full capitation. [read post]
7 Nov 2016, 5:12 am by John L. Culhane, Jr.
  The report notes that examiners “also observed a [compliance management system (CMS)] weakness at one or more collectors that had not maintained any records showing the relationship between the amount of the collection fee and the cost of collection. [read post]
22 Jul 2013, 9:53 am by David Jensen
“In a second model, clinical trial sponsors would all contract with the Coordinating and Information Management Center, which would then set prices according to services needed. [read post]
2 Nov 2011, 4:53 am by David Harlow
  CMS would have ACOs, by virtue of participating in the MSSP, diffuse all the ACO goodness of care management, quality and cost control, etc., into the broader Medicare population. [read post]
1 Dec 2021, 7:25 am by Robert S. Gilmore
Under the Federal Property and Administrative Services Act, the President has broad authority to manage federal procurement, but as Judge Van Tatenhove noted, this authority is not absolute. [read post]
22 Feb 2011, 1:10 am
”The next business day, the Centers for Medicare and Medicaid Services (CMS) sent its proposed rule for the establishment of ACOs to the Office of Management and Budget (OMB) for review – the final step before the long-awaited proposed rule will appear in the Federal Register.Though the proposed rule was originally expected to be issued last month, CMS stated that it still expects to have the program in place by January 1, 2012, while also following… [read post]
26 Jul 2010, 10:27 am
[3] The contract must contain the same restrictions on compensation that apply to members of the group practice under §411.352(g) (or the contract must fit in the personal services exception in §411.357(d)), and the independent contractor's arrangement with the group practice must comply with the reassignment rules at §424.80(b)(3) of this chapter (see also section 3060.3 of the Medicare Carriers Manual (CMS Pub. 14–3), Part… [read post]
23 Sep 2009, 1:30 am
While an RRE may only have one Account Manager, the Account Manager can oversee other Account Designees to assist with managing the reporting requirements. [read post]
29 Oct 2013, 6:02 pm by Cynthia Marcotte Stamer
Her widely respected publications and programs include more than 25 years of publications on health plan contracting, design, administration and risk management including a “Managed Care Contracting Guide” published by the American Health Lawyers Association and numerous other works on vendor contracting. [read post]
14 Nov 2011, 2:31 pm by Sheppard Mullin
Contracting with ACO participants on an exclusive basis. 4. [read post]
9 Mar 2012, 3:35 pm by Jerri Lynn Ward, J.D.
HHSC intends to submit to CMS a request to amend the NorthSTAR waiver program, designed to provide behavioral health services to Medicaid-eligible individuals in the Dallas service delivery area. [read post]
13 Jan 2021, 8:47 pm by Robert Liles
  While there are a number of benefits to such a model, both State regulatory entities and Federally-contracted Unified Program Integrity Contractors (UPICs) working for the Centers for Medicare and Medicaid services (CMS) have shown their concern regarding these organizations. [read post]
13 Jan 2021, 8:47 pm by Robert Liles
  While there are a number of benefits to such a model, both State regulatory entities and Federally-contracted Unified Program Integrity Contractors (UPICs) working for the Centers for Medicare and Medicaid services (CMS) have shown their concern regarding these organizations. [read post]