Search for: "CMS CONTRACT MANAGEMENT SERVICES"
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15 Mar 2019, 8:19 am
The Internal Revenue Service (IRS) exempt organization determination procedures are changing. [read post]
25 Mar 2013, 8:21 am
See the Electronic State Business Daily search page and sole point of contact: Elizabeth Ward, CTPM Texas Health and Human Services Commission Enterprise Contract and Procurement Services 4405 North Lamar Austin, TX 78756-3422 512-206-5416elizabeth.ward@hhsc.state.tx.us – Long term care facilities will no longer be able to submit MDS 2.0 nursing home or swing bed MDS records to CMS Quality Improvement Evaluation System, effective October 1,… [read post]
13 Jan 2021, 8:47 pm
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]
29 Sep 2023, 4:26 pm
However, the Office of Management and Budget recently advised the U.S. [read post]
26 Dec 2013, 5:29 pm
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]
8 May 2015, 4:30 am
Here's where it stands as of this writing:SB 982: Florida Civil Rights ActGENERAL BILL by Thompson ; (CO-INTRODUCERS) Smith ; GibsonFlorida Civil Rights Act; Prohibiting discrimination on the basis of pregnancy in public lodging and food service establishments and in places of public accommodation; prohibiting employment discrimination on the basis of pregnancy; prohibiting discrimination on the basis of pregnancy by labor organizations, joint labor-management committees, and… [read post]
30 Aug 2011, 12:33 pm
The type of service (e.g., inpatient hospital care and physician visits) and other applicable statutory provisions must always be considered when managing funds. [read post]
15 Sep 2015, 6:25 am
As promised by the CMS, claims processed using ICD-10 codes appear to produce the same revenue as those using the current ICD-9 coding system, said Tim Marshall, managing director of the Claro Group, a financial and management consultancy firm. [read post]
9 Oct 2016, 9:46 am
They also recommended that structured settlement broker/consultants expand their Medicare services. [read post]
9 Oct 2016, 9:46 am
They also recommended that structured settlement broker/consultants expand their Medicare services. [read post]
27 Oct 2016, 8:48 am
Based on these investigations, OCR concluded that while OHSU initially adopted HIPAA Policies, the reported breaches were the result of a series of widespread and ongoing breaches of HIPAA resulted including the following: From January 5, 2011, until July 3, 2013, OHSU disclosed the ePHI of 3,044 individuals in violation of Privacy Rules §§160.103 and 164.502(a) when workforce members disclosed the ePHI to a third party internet-based service provider without obtaining a business… [read post]
11 Apr 2023, 11:05 am
CMS has announced that the FY 2022 fee-for-service improper payment rate was 7.46%.[1] While this is a slight increase in the error rate from the past two years (6.27% and 6.26% respectively), it is still a significant improvement over a decade high of 12.09% in 2014. [read post]
21 Jun 2013, 2:35 am
” The Workers’ Compensation Appeals Board (WCAB) found that Sedgwick Claims Management Service, a third party claims administrator, defied a judge’s order to provide needed medical care. [read post]
10 Sep 2014, 5:48 am
"The remaining 5% of IMEs not sent to one of the contract organizations went to out-of-state physicians. [read post]
8 Dec 2014, 2:09 pm
Patients can contract such infections, as we’ve explained in previous blogs, during surgery, from poor management of IVs and catheters and deficient hygiene by hospital staff. [read post]
25 Sep 2020, 11:41 am
Since 1994, CMS has participated in an interagency agreement with the DOJ which allows CMS pro [read post]
25 Sep 2020, 11:41 am
Through an analysis of billing data, UPICs have noted that some DME suppliers have billed Medicare for items based on orders issued by a physician, nurse practitioner or physician assistant who did NOT bill Medicare for an associated Evaluation and Management (E/M) service, either directly or through an appropriate reassignment relationship. [read post]
10 May 2017, 10:20 am
Her day-to-day work encompasses both labor and employment issues, as well as independent contractor, outsourcing, employee leasing, management services and other nontraditional service relationships. [read post]
24 May 2019, 10:46 pm
Stamer’s legal, management, governmental affairs work and speaking and publications have focused on helping health industry, health benefit and other organizations and their management use the law, performance and risk management tools and process to manage people, performance, quality, compliance, operations and risk. [read post]
23 Mar 2010, 5:00 am
Late in the Bush administration, the Centers for Medicare & Medicaid Services (CMS) began assigning the Zagat-like ratings based on quality, staffing, and health inspections. [read post]
