Search for: "CMS CONTRACT MANAGEMENT SERVICES"
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22 Nov 2019, 10:16 am
CMS limits patient eligibility for CCM services. [read post]
29 Oct 2019, 1:03 am
FIONA THATCHERFiona Thatcher’s segment on how to manage the social media influencer was a great insight into the marketing of goods and services through social media personalities. [read post]
24 Oct 2019, 9:16 am
By partnering with a hospital, physician practices gain access to robust EHR systems along with the possibility of increased revenues through gainsharing, bundled payments, service line co-management, and other financial arrangements. [read post]
24 Oct 2019, 9:16 am
By partnering with a hospital, physician practices gain access to robust EHR systems along with the possibility of increased revenues through gainsharing, bundled payments, service line co-management, and other financial arrangements. [read post]
16 Oct 2019, 2:33 pm
Both during and after the Delta Dental audit, the defendant dentist and his office manager were allegedly advised of the allegation that the practice had billed the payor for services that were not provided. [read post]
16 Oct 2019, 9:36 am
Cybersecurity Technology and Related Services To encourage increased interoperability and data sharing in health care, CMS proposes to protect arrangements involving the donation of certain cybersecurity technology and related services. [read post]
9 Oct 2019, 3:23 pm
OIG additionally proposes modifications to the following existing safe harbors for: Personal services and management contracts to add flexibility with respect to outcomes-based payments (subject to the same value-based enterprise participant exclusions introduced above) and part-time arrangements. [read post]
8 Oct 2019, 2:00 pm
(October 8, 2019): On April 16th, 2018, the Department of Health & Human Services (HHS), Centers for Medicare and Medicaid Services (CMS), issued a Final Rule entitled, “Medicare Program; Contract Year 2019 Policy and Technical Changes to the Medicare Advantage, Medicare Cost Plan, Medicare Fee-for-Service, the Medicare Prescription Drug Benefit Programs, and the PACE Program. [read post]
3 Oct 2019, 4:20 am
More data is being gathered than ever before by Centers for Medicaid and Medicare Services (CMS) on hospital readmission rates, the prevalence of falls, and other related health information and consumers will demand to know what these statistics are before entering into a contract with a senior living community. [read post]
18 Sep 2019, 2:08 pm
Big Changes to CMS Form 855 are on the Horizon (September 18, 2019): On September 10, 2019, the Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS), published a Final Rule in the Federal Register entitled “Medicare, Medicaid, and Children’s Health Insurance Programs; Program Integrity Enhancements to the Provider Enrollment Process. [read post]
18 Sep 2019, 2:08 pm
(September 18, 2019): On September 10, 2019, the Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS), published a Final Rule in the Federal Register entitled “Medicare, Medicaid, and Children’s Health Insurance Programs; Program Integrity Enhancements to the Provider Enrollment Process. [read post]
16 Sep 2019, 11:50 am
An interest in which an individual or entity exercises operation of managerial control over, or directly or indirectly conducts, the day-to-day operations of another organization either under contract or other arrangement, regardless of whether or not the managing individual or entity is a W-2 employee of the organization. [read post]
12 Sep 2019, 11:40 am
In addition to personal property of CMS, the loan was secured by a deed of trust on real property owned by Yosemite Management, LLC (Yosemite). [read post]
19 Aug 2019, 11:58 am
Stamer’s clients include employers and other workforce management organizations; employer, union, association, government and other insured and self-insured health and other employee benefit plan sponsors, benefit plans, fiduciaries, administrators, and other plan vendors; domestic and international public and private health care, education and other community service and care organizations; managed care organizations; insurers, third-party administrative… [read post]
17 Aug 2019, 11:56 am
Nevertheless, this remains a significant risk for dental practices that bill Medicaid and Medicaid Managed Care plans. [read post]
16 Jul 2019, 2:01 pm
Stamer’s experience in these matters includes supporting these organizations and their leaders on both a real-time, “on demand” basis with crisis preparedness, intervention and response as well as consulting and representing clients on ongoing compliance and risk management; plan and program design; vendor and employee credentialing, selection, contracting, performance management and other dealings; strategic planning; policy, program, product and… [read post]
10 Jul 2019, 3:33 pm
Stamer’s experience in these matters includes supporting these organizations and their leaders on both a real-time, “on demand” basis with crisis preparedness, intervention and response as well as consulting and representing clients on ongoing compliance and risk management; plan and program design; vendor and employee credentialing, selection, contracting, performance management and other dealings; strategic planning; policy, program, product and… [read post]
8 Jul 2019, 4:28 am
HR 3436, the Improving Chronic Care Management Act, which would eliminate Medicare coinsurance requirements for chronic care management services. [read post]
29 May 2019, 2:06 am
Stamer’s experience in these matters includes supporting these organizations and their leaders on both a real-time, “on demand” basis with crisis preparedness, intervention and response as well as consulting and representing clients on ongoing compliance and risk management; plan and program design; vendor and employee credentialing, selection, contracting, performance management and other dealings; strategic planning; policy, program, product and… [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]
