Search for: "CMS CONTRACT MANAGEMENT SERVICES"
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24 Apr 2015, 6:27 am
CMS has published a proposed rule that would apply provisions of the Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA) to Medicaid beneficiaries who receive services through managed care organizations or alternative benefit plans and to the Children’s Health Insurance Program (CHIP). [read post]
25 Sep 2017, 3:04 pm
The Centers for Medicare & Medicaid Services (CMS) CMS has announced a “new direction” for the CMS Innovation Center that is intended to “promote patient-centered care and test market-driven reforms. [read post]
17 Nov 2023, 9:11 am
In the Proposed Rule, CMS seeks to generally prohibit contract terms between MA or [read post]
22 Nov 2019, 10:16 am
CMS limits patient eligibility for CCM services. [read post]
16 Jul 2018, 4:12 am
” CMS requests comments on whether larger CBAs should be split into smaller CBAs “to create more manageable service areas for suppliers. [read post]
8 Apr 2024, 8:27 am
(“CLI”) and CoreLife Management Services, Inc. [read post]
28 Sep 2023, 1:49 pm
In Softrams LLC, B- 419927.4, et al., 2022 CPD ¶ 57 (May 2022), CMS awarded a General Services Administration Federal Supply Schedule Order for operations and management of CMS’s identity management system through a two-phase evaluation process. [read post]
3 Nov 2015, 11:40 am
The newest additions to the work plan are: • Medical device credits for replaced medical devices • Medicare payments during Medicare Severity Diagnosis Related Groups (MS-DRG) payment window • Content Management System (CMS) validation of hospital-submitted quality reporting data • Skilled nursing facility prospective payment system requirements • Orthotic braces-reasonableness of Medicare payments compared to amounts paid by other payers •… [read post]
22 Jun 2016, 10:59 am
As mandated by the statute, CMS defines “private payor’’ as a health insurance issuer or a group health plan, a Medicare Advantage plan, or a Medicaid managed care organization. [read post]
2 Feb 2023, 1:45 pm
CMS also stated in the final rule that it will not apply a Fee-For-Service (FFS) Adjuster in its RADV audits. [read post]
4 Jan 2011, 11:56 am
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]
30 Jan 2017, 1:46 pm
CMS proposes to define a qualified supplier as a Medicare DMEPOS supplier that is accredited to furnish prosthetics and custom-fabricated orthotics by a CMS-approved accreditation organization (ABC or BOC, or a program the Secretary determines has standards essentially equivalent to those organizations or that employs or contracts with an individual who is certified by ABC or BOC to make the accreditation decision). [read post]
10 Apr 2018, 7:58 am
However, providers that wish to contract with MA plans for these services should be taking the actions described, above. [read post]
15 May 2014, 12:52 am
CMS is accepting comments until July 1, 2014 on limited provisions impacting the FQHC PPS, including chronic care management, the use of new “G Codes” for Medicare payment to FQHCs under the PPS, and calculation of coinsurance for preventive services. [read post]
17 Jul 2013, 2:10 pm
As a result, CMS has added a new Condition of Participation (CoP) that now requires LTC facilities to have a written agreement in place to create a clear division of responsibilities between LTC facilities and contracted hospice providers. [read post]
26 Mar 2014, 10:00 pm
Services, Inc. [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]
15 Sep 2015, 4:42 am
Common engagements include internal and external workforce hiring, management, training, performance management, compliance and administration, discipline and termination, and other aspects of workforce management including employment and outsourced services contracting and enforcement, sentencing guidelines and other compliance plan, policy and program development, administration, and defense, performance management, wage and hour and other… [read post]
15 Sep 2015, 5:37 am
CMS will offer the training from 1:00-2:30 p.m. [read post]
19 Aug 2014, 7:18 am
The Centers for Medicare & Medicaid Services (CMS) published the final FY 2015 Medicare skilled nursing facility (SNF) prospective payment system (PPS) rule on August 5, 2014 (Final Rule). [read post]
