Search for: "Centers for Medicare and Medicaid Services (CMS)"
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21 Dec 2023, 2:18 am
As of 2023, group health plans are required to submit a gag clause prohibition compliance attestation (GCPCA) through the Centers for Medicare and Medicaid Services’ (CMS) Health Insurance Oversight System (HIOS) to attest they have complied with the prohibition on gag clauses. [read post]
20 Dec 2023, 5:00 am
Recently, the Centers for Medicare & Medicaid Services (CMS) published the calendar year (CY) 2024 physician fee schedule (PFS) final rule, which solidified certain proposed changes to Medicare provider enrollment requirements. [read post]
19 Dec 2023, 8:43 am
The Centers for Medicare & Medicaid Service (CMS) has created a new rule that requires nursing homes to report more information and details to their owners. [read post]
18 Dec 2023, 10:00 pm
Since our publication on disenrollments caused by the “unwinding” of Medicaid’s continuous enrollment condition , the Centers for Medicare and Medicaid Services (CMS) issued an interim final rule on December 6, 2023 implementing the requirement under the Consolidated Appropriations Act for CMS to withhold federal Medicaid funding from states that do not report monthly unwinding data. [read post]
18 Dec 2023, 10:00 pm
Since our publication on disenrollments caused by the “unwinding” of Medicaid’s continuous enrollment condition , the Centers for Medicare and Medicaid Services (CMS) issued an interim final rule on December 6, 2023 implementing the requirement under the Consolidated Appropriations Act for CMS to withhold federal Medicaid funding from states that do not report monthly unwinding data. [read post]
18 Dec 2023, 10:00 pm
Since our publication on disenrollments caused by the “unwinding” of Medicaid’s continuous enrollment condition , the Centers for Medicare and Medicaid Services (CMS) issued an interim final rule on December 6, 2023 implementing the requirement under the Consolidated Appropriations Act for CMS to withhold federal Medicaid funding from states that do not report monthly unwinding data. [read post]
18 Dec 2023, 10:00 pm
Since our publication on disenrollments caused by the “unwinding” of Medicaid’s continuous enrollment condition , the Centers for Medicare and Medicaid Services (CMS) issued an interim final rule on December 6, 2023 implementing the requirement under the Consolidated Appropriations Act for CMS to withhold federal Medicaid funding from states that do not report monthly unwinding data. [read post]
18 Dec 2023, 10:00 pm
Since our publication on disenrollments caused by the “unwinding” of Medicaid’s continuous enrollment condition , the Centers for Medicare and Medicaid Services (CMS) issued an interim final rule on December 6, 2023 implementing the requirement under the Consolidated Appropriations Act for CMS to withhold federal Medicaid funding from states that do not report monthly unwinding data. [read post]
18 Dec 2023, 10:00 pm
Since our publication on disenrollments caused by the “unwinding” of Medicaid’s continuous enrollment condition , the Centers for Medicare and Medicaid Services (CMS) issued an interim final rule on December 6, 2023 implementing the requirement under the Consolidated Appropriations Act for CMS to withhold federal Medicaid funding from states that do not report monthly unwinding data. [read post]
18 Dec 2023, 5:00 am
The Centers for Medicare & Medicaid Services (CMS) recently issued the final rule for the physician fee schedule (PFS) for calendar year (CY) 2024, which implements new evaluation and management (E/M) policies and solidifies certain existing telehealth policies. [read post]
14 Dec 2023, 12:42 pm
Senator Deb Fischer of Nebraska recently pledged to introduce a bill that would ultimately halt the Centers for Medicare and Medicaid Services (CMS) from implementing the staffing mandate that was proposed in early September. [read post]
7 Dec 2023, 8:32 am
It is good practice to have the Centers for Medicare & Medicaid Services (“CMS”) review and approve the MSA prior to the parties’ finalizing settlement. [read post]
29 Nov 2023, 5:04 pm
This measure, together with new pharmacy contracting requirements and related enforcement provisions also included in the bill, would represent an important—albeit limited—modification to pharmacy network contracting rules under Part D, which have been limited by the statutory “non-interference clause” barring the Centers for Medicare and Medicaid Services (CMS) from interfering in contract negotiations between pharmacies and plans… [read post]
28 Nov 2023, 10:00 am
This price comparison tool allows plan participants to “shop” and compare cost sharing regarding 500 “shoppable” services identified by the Centers for Medicare & Medicaid Services (CMS). [read post]
27 Nov 2023, 11:59 am
The Centers for Medicare and Medicaid Services (CMS) pays MA Plans a fixed (also known as capitated) amount for each enrolled beneficiary. [read post]
21 Nov 2023, 2:55 pm
The Centers for Medicare & Medicaid Services (CMS) classifies migraines as a disabling headache disorder “characterized by recurrent unilateral pulsatile headaches” and has assigned an ICD-10 code for billing and reimbursement purposes. [read post]
19 Nov 2023, 11:35 am
The Centers for Medicare and Medicaid Services [CMS] has published a final rule specifying how and when CMS must calculate and impose civil money penalties [CMPs] when non-group health plan [NGHP] responsible reporting entities [RRE] fail to meet their Medicare secondary payer [MSP] reporting obligations. [read post]
17 Nov 2023, 9:11 am
On November 6, 2023, the Centers for Medicare and Medicaid Services (“CMS”) released the contract year 2025 proposed rule for Medicare Advantage (“MA”) organizations and Part D sponsors (the “Proposed Rule”). [read post]
17 Nov 2023, 5:26 am
The Centers for Medicare & Medicaid Services (CMS) has published its final rule that requires nursing homes enrolled in Medicare and Medicaid to disclose additional ownership and management information to CMS and state Medicaid agencies. [read post]
16 Nov 2023, 8:47 am
The Centers for Medicare and Medicaid Services (CMS) is an agency within the U.S. [read post]
