Search for: "United States Centers for Medicare & Medicaid Services"
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27 Apr 2023, 11:35 am
In part I, we discussed whether federal district courts could exercise jurisdiction under the federal-question statute over legal challenges to overpayment determinations made by the Centers for Medicare & Medicaid Services (CMS) under the agency’s controversial Risk Adjustment Data Validation (RADV) program for Medicare Advantage (MA) organizations. [read post]
26 Apr 2023, 6:20 pm
In August 2012, after the DACA program was announced by the Department of Homeland Security, the Centers for Medicare and Medicaid Services issued a State Health Official Letter, SHO #12-002 that provided guidance to state health officials and Medicaid directors about how DACA recipients should be treated for eligibility in those programs. [read post]
21 Apr 2023, 11:48 am
Implications for Coverage, Costs, and Access (Kaiser Family Foundation)10 Things to Know About the Unwinding of the Medicaid Continuous Enrollment Provision (Kaiser Family Foundation)Health and Human Services COVID-19 Public Health Emergency pageHealth and Human Services COVID-19 Public Health Emergency Transition Roadmap Fact SheetCenters for Medicare & Medicaid Services CMS Waivers, Flexibilities, and the Transition Forward from the… [read post]
20 Apr 2023, 7:59 am
In part I, we discussed whether federal district courts could exercise jurisdiction under the federal-question statute over legal challenges to overpayment determinations made by the Centers for Medicare & Medicaid Services (CMS) under the agency’s controversial Risk Adjustment Data Validation (RADV) program for Medicare Advantage (MA) organizations. [read post]
14 Apr 2023, 9:05 pm
Furthermore, they recommend that the Centers for Medicare and Medicaid Services leverages underused community resources by establishing a demonstration program for funding community-initiated care. [read post]
13 Apr 2023, 8:41 am
The Medicare Act does not expressly provide for judicial review of overpayment determinations made by the Centers for Medicare & Medicaid Services (CMS) under the agency’s controversial Risk Adjustment Data Validation (RADV) program for Medicare Advantage (MA) organizations. [read post]
11 Apr 2023, 11:05 am
What is a Medicare Advantage Special Investigations Unit (SIU)? [read post]
31 Mar 2023, 1:22 pm
On March 27, 2023, two United States Senators, Bill Cassidy, MD (R-LA) and Jeff Merkley (D-OR) introduced the bipartisan No Unreasonable Payments, Coding, or Diagnoses for the Elderly (“No UPCODE”) Act to address perceived financial incentives inherent in the Medicare Advantage patient risk scoring reimbursement methodology. [read post]
21 Mar 2023, 6:30 am
United States, 140 S. [read post]
21 Mar 2023, 6:30 am
United States, 140 S. [read post]
21 Mar 2023, 6:07 am
Check with Medicare.gov: The Centers for Medicare & Medicaid Services (CMS) maintains a database of nursing homes that participate in Medicare and Medicaid. [read post]
16 Mar 2023, 1:14 pm
Check with Medicare.gov: The Centers for Medicare & Medicaid Services (CMS) maintains a database of nursing homes that participate in Medicare and Medicaid. [read post]
7 Mar 2023, 7:56 am
On February 9, 2023, the Centers for Medicare & Medicaid Services (“CMS”) issued a fact sheet and its initial guidance documents addressing the Medicare Prescription Drug Inflation Rebate Program for Medicare Parts B and D (the “Inflation Rebates”)—a critical component of the sweeping prescription drug pricing changes enacted through the Inflation Reduction Act of 2022 (the “IRA”). [read post]
3 Mar 2023, 10:17 am
Brier is also alleged to have falsified a document in a matter within the jurisdiction of an agency of the United States by causing the Medical Director to sign a false and back-dated document. [read post]
3 Mar 2023, 6:58 am
The case is being prosecuted by Assistant United States Attorneys Sara Miron Bloom and Kevin Love Hubbard. [read post]
1 Mar 2023, 12:24 pm
In 2019, Saratoga Center was placed on the Centers for Medicare and Medicaid Services Special Focus Facility list – a list of the worst-performing nursing homes in the United States. [read post]
1 Mar 2023, 9:29 am
See United States v. [read post]
28 Feb 2023, 4:00 am
Department of Health and Human Services’ Centers for Medicare and Medicaid Services (CMS) issuing an interim final rule on November 5, 2021, shortcutting the full-blown notice and comment rulemaking process. [read post]
23 Feb 2023, 4:00 am
On August 19, 2022 the Centers for Medicare and Medicaid Services announced plans to require nursing facilities to vaccinate most employees to continue to receive federal reimbursements. [read post]
22 Feb 2023, 7:17 am
The Centers for Medicare & Medicaid Services (CMS) recently issued a Medicare-related final rule invoking the agency’s statutory authority to promulgate retroactive rules after finding that failure to apply the final rule retroactively would be “contrary to the public interest. [read post]
