Search for: "CENTERS FOR MEDICARE AND MEDICAID SERVICES, also known as Health and Human Services" Results 41 - 60 of 301
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7 Mar 2011, 8:06 pm by Cynthia Marcotte Stamer
 The Centers for Medicare & Medicaid Services (CMS) on March 7, 2011 published proposed consumer disclosure notices that it proposes to require insurers proposing rate increases over 10 percent to electronically file in furtherance of CMS’ implementation of the Affordable Care Act premium rate review regulation published by HHS in December of 2010. [read post]
17 Jul 2020, 11:07 am by Michael Lowe
This can also fall under Medicare or Medicaid fraud if the homebound patient receives home care as part of either benefit program. [read post]
15 Sep 2015, 4:42 am by Cynthia Marcotte Stamer
Associations, Consumer Operated and Oriented Plan (CO-OP) Programs, Stand Alone Dental Plans, Federally-faciliated Marketplace (FFM) Issuers, State Based Marketplaces, SBM Issuers, and Small Business Health Options Program (SHOP) issuers should review the Centers for Medicare & Medicaid Services (CMS) Payment Policy & Financial update on CMS’ policies regarding the administration of the enrollment and payment data reporting requirements of… [read post]
1 Mar 2023, 9:29 am by Christine Clements and John Tilton
This applies to both CMS RADV audits as well as Department of Health and Human Services Office of Inspector General (“OIG”) RADV audits. [read post]
16 Mar 2020, 1:32 pm by Jennifer Papapanagiotou
The declaration gives Secretary Alex Azar of the US Department of Health & Human Services (HHS) the power to waive certain Federal requirements in Medicare, Medicaid and CHIP in order to address the outbreak. [read post]
3 Jan 2022, 6:55 am by DONALD SCARINCI
” While the abortion case took center stage, the Supreme Court also heard oral arguments in several other cases. [read post]
27 Dec 2021, 6:55 am by DONALD SCARINCI
” While the abortion case took center stage, the Supreme Court also heard oral arguments in several other cases. [read post]
2 Jul 2013, 12:28 pm by Cynthia Marcotte Stamer
As part of its continuing efforts to promote enrollment in the Health Insurance Marketplace slated to take effect January 1, 2014, the Department of Health and Human Services (HHS) today (July 2, 2013) announced the award of nearly $32 million in grants for efforts to identify and enroll children eligible for Medicaid and the Children’s Health Insurance Program (CHIP). [read post]
3 Feb 2015, 8:00 am by Greene LLP
That settlement also resolved allegations that one of the company’s affiliated hospitals, Laredo Medical Center, improperly billed Medicare for certain inpatient procedures and for services rendered to patients referred in violation of the Physician Self-Referral Law, commonly known as the Stark Law. [read post]
4 Oct 2023, 7:34 am by Kelly Shivery
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]
12 Jun 2012, 11:50 am by McNabb Associates, P.C.
Department of Health and Human Services and supervised by the Centers for Medicare and Medicaid Services. [read post]
5 Jun 2010, 11:28 am by Jennifer A. Stiller
Operational issues involved with potential implementation of potential revisions to the home health payment system, including impacts for both HHAs and administrative and systems issues for the Centers for Medicare & Medicaid Services, and any possible payment vulnerabilities associated with implementing potential revisions. [read post]
4 Jan 2011, 11:56 am by Cynthia Marcotte Stamer
The Centers for Medicare & Medicaid Services (CMS) added a new “Physician Compare” feature to the CMS Healthcare Provider Directory on December 30, 2010. [read post]
7 May 2019, 9:05 pm by Gabriel Scheffler
Seema Verma, the current Administrator for the Centers for Medicare and Medicaid Services (CMS), has argued that the growth in Medicaid enrollment is not a cause for celebration, and that “for able bodied adults, we should celebrate helping people move up, move on, and move out” of the Medicaid program. [read post]
15 Sep 2022, 8:03 am by Cynthia Marcotte Stamer
While quality measures and meanings take many forms, one key measure used by Medicare, Medicaid and many other health plans, lawmakers, health quality commentators and others evaluating health care provider “quality” is the Department of Health and Human Services Office of the National Coordinator for Healthcare Information (“ONC”) electronic clinical quality measures (“eCQMs”) that the… [read post]
8 Apr 2018, 7:19 pm by Jeffrey P. Gale, P.A.
Because workers’ compensation has primary responsibility [for covering medical care associated with work-related injuries] versus Medicare’s secondary payor status, failing to adequately account for Medicare’s imperatives may keep the Centers for Medicare & Medicaid Services (CMS), a branch of the Department of Health and Human Services (HHS), the… [read post]
5 Oct 2022, 4:11 am by Robert Liles
The Centers for Medicare and Medicaid Services (CMS) initially suspended most audit activity as a result of the Public Health Emergency (PHE). [read post]
11 Mar 2020, 2:07 pm by Cynthia Marcotte Stamer
The agreement only technically binds Medicare, Medicaid and other government programs  and private insurers participating in the meeting. [read post]
21 Jun 2011, 8:53 am by Ed Wallis
 Medicare health reimbursement is governed by statute and by regulations issued by HHS, the United States Department of Health and Human Services. [read post]
29 Nov 2017, 2:18 am by Michael Lowe
At the federal level alone, there will be several different agencies focusing on this: i.e., the Justice Department (FBI); the Department of Health & Human Services’ Office of Inspector General (OIG); and the Centers for Medicare & Medicaid Services (CMS). [read post]