Search for: "QUALITY REIMBURSEMENT SERVICES, INC. v. CENTERS FOR MEDICARE AND MEDICAID SERVICES" Results 1 - 20 of 20
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16 Nov 2015, 11:38 am by Debra A. McCurdy
Exceptional Child Center, Inc. holding that Medicaid providers do not have a cause of action to challenge a state’s Medicaid reimbursement rates. [read post]
27 Feb 2014, 11:23 am
To the contrary, Omnicare pointed out, the Centers for Medicare and Medicaid Services (“CMS”) themselves have stated clearly that the “definition of a [Medicare] Part D drug is not based on the final form of the drug as dispensed to the beneficiary…. [read post]
9 Jan 2021, 2:00 pm by Robert Liles
  Equally important, services must actually be provided at a level of quality consistent with Medicare’s expectations or the expectations of the covering payor. [read post]
23 May 2007, 6:03 am by Denese Dominguez
" These are general service costs, primary care services cost, dental services costs and non-reimbursable costs. [read post]
19 Apr 2022, 5:05 am by David W.S. Lieberman
 As a result, patients receive goods and services that are medically inappropriate, unduly costly, medically unnecessary, and of poor quality. [read post]
10 May 2017, 10:20 am by Cynthia Marcotte Stamer
Her day-to-day work encompasses both labor and employment issues, as well as independent contractor, outsourcing, employee leasing, management services and other nontraditional service relationships. [read post]
25 Apr 2017, 3:21 pm by Cynthia Marcotte Stamer
 Among other things, group health plans and their fiduciaries can face audits, litigation and enforcement actions by the Centers for Medicare & Medicaid Services and other health plans for improperly coordinating plan claims with other coverage as well as lawsuits from covered persons, their health care providers or other beneficiaries, the Department of Labor and CMS, or others seeking to enforce rights to benefits, penalties in the case of CMS or the… [read post]
24 Oct 2019, 9:16 am by Nate Nead
In 2009 healthcare costs consumed 17.3% of GDP or $2.5 trillion according to the Center for Medicare and Medicaid Services (CMS), and since then healthcare spending has increased to $3.5 trillion accounting for 17.9% of GDP. [read post]
24 Oct 2019, 9:16 am by Nate Nead
In 2009 healthcare costs consumed 17.3% of GDP or $2.5 trillion according to the Center for Medicare and Medicaid Services (CMS), and since then healthcare spending has increased to $3.5 trillion accounting for 17.9% of GDP. [read post]
20 Jan 2022, 2:01 pm by John Elwood
  In 1981, Congress passed a statute requiring that reimbursement rates paid to organizations for managing state Medicaid plans must be “actuarially sound. [read post]
11 Jan 2011, 1:06 pm by Behr, McCarter & Potter, P.C.
They also testified that the face value of the bills was the value of the medical services provided, not the amount reimbursed by Medicare. [read post]