Search for: "CENTERS FOR MEDICARE AND MEDICAID SERVICES, also known as Health and Human Services"
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19 Apr 2024, 10:48 am
” Investigators with the Centers for Medicare and Medicaid Services concluded Falls Community Hospital broke the law. [read post]
25 Mar 2024, 12:29 pm
That same year, the HHS’s Office of the Inspector General also undertook investigations that resulted in 661 criminal actions based upon health care fraud involving Medicare and Medicaid. [read post]
26 Feb 2024, 12:17 pm
And this spending shows little sign of slowing down: by 2031, the Center for Medicare and Medicaid Services (CMS) projects that Medicaid and the closely- related Children’s Health Insurance Program will cost over $1.2 trillion annually. [read post]
20 Feb 2024, 10:02 am
What counts as encouraging the reduction or limitation of services to people in the Medicare or Medicaid programs. [read post]
30 Jan 2024, 6:19 pm
Building on prior requests for information and an increased focus on Medicare Advantage oversight, the Centers for Medicare and Medicaid Services (CMS) has issued another request for information (RFI) seeking input on data needed for Medicare Part C, also known as the Medicare Advantage (MA) program. [read post]
16 Jan 2024, 11:33 am
Trial court judges are, under their judicial robes, human beings. [read post]
13 Nov 2023, 5:40 pm
Kickbacks are a known temptation in the health care industry. [read post]
10 Nov 2023, 1:35 pm
The Revenue Procedure also adjusts the deductible required for a health plan to qualify as a “high deductible health plan” (“HDHP”) for which the Code allows tax preferred contributions to Medical Savings Accounts (“MSAs”). [read post]
9 Nov 2023, 1:48 pm
This involvement encompasses helping health care systems and organizations, group and individual health care providers, health plans and insurers, health IT, life sciences and other health industry clients prevent, investigate, manage and resolve sexual assault, abuse, harassment and other organizational, provider and employee misconduct and other performance and behavior; manage Section 1557, Civil Rights Act and other discrimination… [read post]
9 Nov 2023, 1:07 pm
The Revenue Procedure also adjusts the deductible required for a health plan to qualify as a “high deductible health plan” (“HDHP”) for which the Code allows tax preferred contributions to Medical Savings Accounts (“MSAs”). [read post]
5 Nov 2023, 3:10 pm
OCR’s investigation determined that, in addition to that impermissible disclosure, DADS violated the HIPAA Security Rule by failing to conduct an enterprise-wide risk analysis and implement access and audit controls on Community Living Assistance and Support Services and Deaf Blind with Multiple Disabilities (“CLASS/DBMD”) program information systems and applications intended to collect and report information about “Utilization Management and Review” activities… [read post]
3 Nov 2023, 2:24 pm
The Indian Health Service is an agency within the Department of Health and Human Services that administers health care programs for Native American tribes. [read post]
19 Oct 2023, 5:19 am
In an advisory opinion released on October 13, the Department of Health and Human Services (HHS) Office of Inspector General (OIG) approved a plan by a muti-specialty practice to pay its employed physicians bonuses related to outpatient procedures performed by those physicians at ambulatory surgical centers (ASCs) operated by the physician practice entity requesting the opinion (the Requestor). [read post]
10 Oct 2023, 10:51 am
During FY 2022, the Centers for Medicare and Medicare Services (CMS) has estimated the Medicare Part B improper payment rate as 8.41%. while the improper payment rate for Durable Medical Equipment (DME) suppliers was estimated to be 25.24%.[2] Additionally, the Medicaid program improperly paid $80.6 billion in improper claims during FY 2022.[3] Notably, these estimates don’t even take into account the sizeable improper billings submitted to… [read post]
4 Oct 2023, 7:34 am
The Centers for Medicare and Medicaid Services (CMS) pays MA Plans a fixed (also known as capitated) monthly amount for each enrolled beneficiary. [read post]
3 Oct 2023, 6:42 am
Department of Health and Human Services Office of Inspector General (HHS-OIG). [read post]
2 Oct 2023, 4:50 pm
The Centers for Medicare and Medicaid Services (CMS) pays the MA Plans a fixed monthly amount for each beneficiary who enrolls. [read post]
11 Sep 2023, 9:05 pm
Department of Health and Human Services (HHS), the U.S. [read post]
22 Aug 2023, 9:00 pm
Generative AI systems have been known to hallucinate and create false information. [read post]
8 Aug 2023, 9:03 am
The Center for Medicare and Medicaid Services (CMS) pays the plans a per-patient amount. [read post]
