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30 May 2024, 12:00 am
The Center for Medicare/Medicaid Services (CMS) regularly conducts audits of pharmacies to ensure that they are in compliance with the applicable regulations. [read post]
28 May 2024, 12:08 pm by Kelly Shivery
Cape Cod Hospital Did Not Follow CMS Requirements for TAVR Procedures According to the government, in 2015, CCH began performing TAVR procedures to treat patients with aortic stenosis. [read post]
26 May 2024, 9:05 pm by Lee A. Fleisher
Because of these concerns, CMS and HHS began to explore the medical benefits of a national mandate for all healthcare facilities that receive Medicare funding. [read post]
Further, a new group of organizations with varied experience interfacing with FDA will need to navigate the intricacies of being a regulated entity under the FDCA and understanding what it means to be subject to ongoing FDA oversight, in addition to ongoing interactions with the Centers for Medicare & Medicaid Services (CMS). [read post]
14 May 2024, 5:00 am by Wachler & Associates, P.C.
OIG also asserted that CMS and whistleblower fraud investigations have identified these surgeries as vulnerable to improper payments. [read post]
All of this is deeply complicated for employers of all types, but in the healthcare world, it can be particularly cumbersome to try to mesh competing agency expectations and demands—from the Centers for Medicare and Medicaid Services (CMS) to the NLRB. [read post]
In this blog post, we address the standards finalized by CMS for timely access to care, in lieu of services and settings (ILOSs), medical loss ratio (MLR), and a new quality ratings system for Medicaid and CHIP managed care plans. [read post]
25 Apr 2024, 9:30 pm by The Regulatory Review
The Centers for Medicare and Medicaid Services (CMS) announced a final rule that creates minimum nurse staffing requirements for long-term care (LTC) facilities that receive Medicare and Medicaid funding. [read post]
After the medical record review is complete, CMS then calculates any overpayment amounts and submits an audit report to the MA plan. [read post]
15 Apr 2024, 10:00 pm by Sherica Celine
Gain insight into how the Centers for Medicare & Medicaid Services (CMS) applies the law via CMS’s commentary regarding AKS safe harbors. [read post]
11 Apr 2024, 5:00 am by Wachler & Associates, P.C.
NAACOS discovered that ten medical device companies went from billing 15 patients for catheters to over 500,000 patients for catheters within a period of two years. [read post]
10 Apr 2024, 3:45 pm by Jacob Fishman
This bibliography comprises scholarly books, book chapters, and journal articles published or accepted for publication by full-time, emeritus, and retired faculty of the Sandra Day O’Connor College of Law between January 1, 2024 and March 31, 2024. [read post]
8 Apr 2024, 8:03 pm by Kurt R. Karst
Department of Health and Human Services (HHS) recently published a White Paper on Policy Considerations to Prevent Drug Shortages and Mitigate Supply Chain Vulnerabilities in the United States—with input from several HHS stakeholders, including FDA, CMS, and the Administration for Strategic Preparedness and Response. [read post]
2 Apr 2024, 12:03 pm by Laura Ray
Department of Health & Human Services (HHS), through the Centers for Medicare & Medicaid Services (CMS), just released Revisions and Clarifications to Hospital Interpretive Guidelines for Informed Consent (Memo QSO-24-10-Hospitals). [read post]
20 Mar 2024, 10:00 pm
Part B covers certain physician services, outpatient care, medical supplies, and preventive services. [read post]
20 Mar 2024, 10:00 pm
Part B covers certain physician services, outpatient care, medical supplies, and preventive services. [read post]
20 Mar 2024, 10:00 pm
Part B covers certain physician services, outpatient care, medical supplies, and preventive services. [read post]
20 Mar 2024, 10:00 pm
Part B covers certain physician services, outpatient care, medical supplies, and preventive services. [read post]
20 Mar 2024, 10:00 pm
Part B covers certain physician services, outpatient care, medical supplies, and preventive services. [read post]