Search for: "CENTERS FOR MEDICARE AND MEDICAID SERVICES, also known as Health and Human Services" Results 121 - 140 of 301
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24 Feb 2016, 7:04 am by Deborah Hammonds
Department of Health and Human Services Centers for Medicare and Medicaid to assist members of the public in navigating the relatively new law and its proposed rules, the report also includes questions in each chapter designed to raise awareness about potential options and topics to consider after the rule becomes final. [read post]
22 Nov 2010, 9:28 am by Frank Pasquale
” Lobbyists and industry groups are bearing down on the Federal Trade Commission and the Justice Department, which enforce the antitrust laws, and the inspector general’s office at the Department of Health and Human Services, which ferrets out Medicare fraud. [read post]
22 Nov 2010, 9:42 am by Frank Pasquale
A case can be made that each of these activities falls within the literal terms of the broadly worded Medicare and Medicaid referral fee statute. [read post]
9 May 2019, 8:06 am by Cynthia Marcotte Stamer
On Wednesday, May 8, 2019, Health and Human Services(“HHS”) Secretary Alex Azar announced the adoption of a Medicare and Medicaid Programs; Regulation to Require Drug Pricing Transparency Final Rule (the “Rule”) by the Centers for Medicare & Medicaid Services (“CMS”) requiring direct-to-consumer television advertisements for prescription pharmaceuticals covered by… [read post]
12 Aug 2022, 4:24 am by Ashley Morgan
Nevertheless, at this time, the Centers for Medicare and Medicaid (CMS) has not specifically approved the coverage of amniotic liquid allografts. [read post]
2 Jul 2012, 11:57 am
  On June 28, 2012, the Third Circuit became the first Federal court of appeals to address the secondary payer rights of Medicare Advantage Organizations (also known as Medicare Part C plans). [read post]
2 Jul 2012, 11:57 am
  On June 28, 2012, the Third Circuit became the first Federal court of appeals to address the secondary payer rights of Medicare Advantage Organizations (also known as Medicare Part C plans). [read post]
14 Jun 2023, 8:02 am by Robert Liles
In 1980, HEW was renamed the Department of Health and Human Services (HHS). [read post]
18 May 2016, 12:32 pm by Jim Higgins
Attorneys’ Offices, state Medicaid Fraud Control Units, state and local prosecutors’ offices, the Department of Health and Human Services, state Adult Protective Services agencies, Long-Term Care Ombudsman programs and other law enforcement officials. [read post]
12 Jul 2018, 12:00 pm by Robert Liles
Working closely with the staff at the Consolidated Data Analysis Center (CDAC), auditors and investigators at the Department of Health and Human Services (HHS), Office of Inspector General (OIG), have conducted sophisticated data analyses to identify outliers whose billing practices may be an indication of improper billing or fraud. [read post]
1 Oct 2021, 9:19 am by Cynthia Marcotte Stamer
As PHI Vendors also could face exposure from service providers, this review should include assessment of those compliance risks and exposures. [read post]
15 Feb 2018, 4:41 pm by Cynthia Marcotte Stamer
Health plans and insurers, their service providers that act as business associates within the meaning of the Health Insurance Portability & Accountability Act (HIPAA) and employer and other health plan sponsors, fiduciaries, and other management leaders should heed the warnings contained in the new Resolution Agreement (FileFax Resolution Agreement) with former HIPAA business associate FileFax, Inc. announced by the Department of Health &… [read post]
28 Nov 2012, 5:29 pm by Ed Wallis
The report Questionable Billing by Community Mental Health Centers revealed that in 2010, about half of community mental health centers (CMHC) met or exceeded thresholds that indicated unusually high Medicare billing for at least one of nine questionable billing characteristics related to partial hospitalization programs (PHP). [read post]
28 Dec 2011, 12:21 pm by SarahSwank
The Patient Protection and Affordable Care Act (ACA)2 established a program for the evaluation and public reporting of provider and supplier performance implemented by the Centers for Medicare & Medicaid Services (CMS). [read post]
27 Mar 2013, 4:18 am by Cynthia Marcotte Stamer
Centers for Medicare and Medicaid Services (CMS).AHCJ to make future iterations of this data more complete. [read post]
24 May 2019, 10:46 pm by Cynthia Marcotte Stamer
Department of Health and Human Services (“HHS”) announced its collection of a $3 million settlement payment from a radiology provider that also allowed hackers to breach its electronic protected health information (ePHI) by failing to conduct and respond to HIPAA-required risk assessments, OCR’s announcement late yesterday of the MIE Agreement makes clear that HIPAA entities need to tighten their HIPAA risk assessment, documentation and… [read post]
8 Jul 2013, 2:06 pm by Elizabeth Litten
  Approved MSSPs must sign a Data Use Agreement with the Centers for Medicare & Medicaid Services (CMS) before it can obtain data from CMS that contains Medicare beneficiaries’ PHI. [read post]