Search for: "CMS CONTRACT MANAGEMENT SERVICES"
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11 Sep 2023, 1:58 pm
On March 15, 2019, LACHP reported to OCR that on or around January 30, 2019, Los Angeles Department of Public Social Services (DPSS) reported to LACHP that a LACHP member received identification (ID) cards for other members. [read post]
26 Dec 2013, 9:16 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]
18 Dec 2019, 2:13 am
”Timeline of Contract Manufacturers’ Subscriber Unit Licensing AgreementsUnlike Apple with gross profit margins of around 60 percent on its iPhones, corresponding figures for CMs are one tenth of that and CMs typically have operating margin percentages in the low single digits. [read post]
14 Dec 2013, 3:39 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]
26 Mar 2019, 1:34 pm
CMS has already announced its intention to bid these items for contracts that will go into effect in 2021, as discussed in a previous blog post. [read post]
9 Oct 2017, 6:30 am
New Commercial Repayment Center Contractor on the Horizon; WCRC Contract Protested A recent press release from the Performant Financial Corporation announced it has been awarded the Commercial Repayment Center (CRC) contract by the Centers for Medicare and Medicaid Services (CMS). [read post]
27 Mar 2009, 6:06 pm
CMS awards contracts to evaluate the medical necessity of patient admissions. [read post]
19 Apr 2019, 9:43 am
Sutter Health, a non-profit public benefit corporation that provides healthcare services through its affiliates, including hospitals and medical foundations, contracted with certain MAOs to provide healthcare services to California beneficiaries enrolled in the MAOs’ MA Plans. [read post]
11 Dec 2018, 1:42 pm
Sutter Health, a non-profit public benefit corporation that provides healthcare services through affiliated entities, including hospitals and medical foundations, contracted with certain MAOs to provide healthcare services to California beneficiaries enrolled in the MAOs’ MA Plans. [read post]
17 Nov 2011, 9:11 am
The CCN-P is a risk-bearing managed care organization model, which contracts with primary care physicians, as well as specialists, to participate in its managed care organization. [read post]
2 Mar 2020, 11:04 am
Since self-insured health plans generally are not subject to the ACA MLR rule, however, those plans generally need to pursue contracting or other strategies to address this concern. [read post]
7 Dec 2018, 4:55 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]
15 Mar 2009, 11:45 am
Enterprise contract-management system for law departments. [read post]
9 Feb 2007, 12:39 am
Documents listed are accessible through subscription to the GalleryWatch.com service. [read post]
16 May 2018, 4:38 am
What policies should CMS consider to ensure inpatient and outpatient providers are neither underpaid nor overpaid for a drug, regardless of where it was administered? [read post]
25 Aug 2021, 4:55 am
In this post, Tim Sales, a partner in the Dispute Resolution team at CMS, and Hannah Jones, who works in the Tax team at CMS, comment on the decision handed down by the UK Supreme Court in the matter of Tinkler v Commissioners for Her Majesty’s Revenue and Customs [2021] UKSC 39, which concerned whether estoppel by convention applied to prevent the taxpayer disputing that HMRC had validly served a notice of enquiry. [read post]
13 Jan 2022, 1:59 pm
However, the Court permitted a separate COVID-19 vaccine rule promulgated by the Secretary of Health and Human Services to take effect. [read post]
30 May 2008, 10:03 pm
Data owners would either be members of the partnership, or contract with FDA and/or the partnership to provide data. [read post]
4 Jan 2013, 3:38 am
The relator, the owner of a pharmaceutical auditing company, alleged that CVS Caremark, as a Pharmacy Benefit Manager (PBM) and its related companies, defrauded Medicare Part D by failing to provide Drug Utilization Review (DUR) services and submitting false Prescription Drug Event (PDE) claims data. [read post]
8 Jan 2010, 5:50 am
" The same holds true for construction manager professional liability insurance which construction managers obtain to cover claims related to or arising out of construction management supervisory services. [read post]
