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19 Feb 2023, 7:23 pm
On January 26, 2023, the Centers for Medicare and Medicaid Services (CMS) issued guidance for Rural Emergency Hospitals (REHs), through which CMS outlined requirements on eligibility, the conversion process for eligible facilities, and other related information. [read post]
17 Feb 2023, 4:13 am
Department of Health – Improper Medicaid Payments for Individuals Receiving Hospice Services Covered by Medicare (Follow-Up) (2022-F-31) A prior audit report, issued in December 2020, identified about $50 million in actual and potential Medicaid overpayments, cost-savings opportunities, and questionable payments for services provided to recipients enrolled in Medicare-covered hospice care. [read post]
17 Feb 2023, 4:13 am
Department of Health – Improper Medicaid Payments for Individuals Receiving Hospice Services Covered by Medicare (Follow-Up) (2022-F-31) A prior audit report, issued in December 2020, identified about $50 million in actual and potential Medicaid overpayments, cost-savings opportunities, and questionable payments for services provided to recipients enrolled in Medicare-covered hospice care. [read post]
16 Feb 2023, 7:32 pm
As the September 1, 2023 deadline for Centers for Medicare & Medicaid Services (CMS) to publish the first 10 “selected drugs” subject to negotiation of “maximum fair prices” under Medicare Parts B and D fast approaches, CMS has recently specified information that manufacturers must submit in order for their drugs to qualify for the “Small Biotech Exception” to being included on the list. [read post]
10 Feb 2023, 9:05 pm
Heisler of the Congressional Research Service evaluate the eligibility criteria for immigrant populations for federal health care coverage programs, including Medicare and Medicaid. [read post]
9 Feb 2023, 1:15 pm
Centers for Medicare and Medicaid Services. [read post]
8 Feb 2023, 11:44 am
The Centers for Medicare and Medicaid Services believes that the problem is a prevalent one, and that its scope has not been fully investigated. [read post]
8 Feb 2023, 7:59 am
Earlier Remand Generated Second Final Rule That earlier remand faulted the three agencies that authored the initial rule, The Centers for Medicare and Medicaid Services (CMS) the Internal Revenue Service (IRS) and Employee Benefits and Security Administration (EBSA), for using what the court saw as a de facto rebuttable presumption in favor of the QPA during the arbitration process and effectively putting a thumb on the scale in favor of… [read post]
8 Feb 2023, 5:39 am
And it is for each leader in turn to reshape its articulation to suit the times and sometimes the serendipity of those (masses and administrators) who populate both territory and administrative organs. [read post]
7 Feb 2023, 6:19 pm
These recoveries restore funds to federal programs such as Medicare, Medicaid, and TRICARE, the health care program for service members and their families. [read post]
7 Feb 2023, 12:00 pm
The Section 340B Program Under section 340B, drug companies that provide pharmaceuticals as a part of the Medicare or Medicaid programs must offer their medications at a discount to certain healthcare providers, termed “covered entities. [read post]
31 Jan 2023, 4:05 am
The Center for Medicare and Medicaid Services issued a press release explaining the proposed rules, and CNN reports on the proposals. [read post]
30 Jan 2023, 9:14 pm
Among these are a series of blanket waivers and flexibilities issued by the Centers for Medicare & Medicaid Services. [read post]
26 Jan 2023, 5:00 am
Like the Medicare Administrative Contractors (MACs), Recovery Audit Contractors (RACs), and the now-defunct Zone Program Integrity Contractors (ZPICs), UPICs are government contractors that have been tasked by the Centers for Medicare & Medicaid Services (CMS) to review claims submitted by Medicare providers and identify alleged overpayment to providers. [read post]
20 Jan 2023, 3:03 pm
Specific concerns may arise for LGBTQ+ foreign nationals seeking to come to the United States, or for LGBTQ+ service members in the U.S. armed forces. [read post]
19 Jan 2023, 9:03 pm
” The Centers for Medicare and Medicaid Services (CMS) announced that it will begin conducting audits of nursing homes’ use of antipsychotic drugs in an effort to reduce on inappropriate prescriptions. [read post]
19 Jan 2023, 7:54 am
HHS in conjunction with the Centers for Medicare & Medicaid Services (CMS) will begin targeted off-site inspections of nursing homes this month. [read post]
17 Jan 2023, 11:09 am
Just in time for the holidays, the Centers for Medicare and Medicaid Services (“CMS”) issued the Contract Year 2024 Proposed Rule for Medicare Advantage organizations (“MAOs”) and Part D sponsors (the “Proposed Rule”). [read post]
12 Jan 2023, 9:05 pm
” The Centers for Medicare and Medicaid Services (CMS) announced its plan to implement a Medicare drug pricing negotiation program, which will set maximum fair price ceilings, as authorized by the Inflation Reduction Act. [read post]
9 Jan 2023, 5:31 am
” With such an endorsement, the alphabet soup of the federal government, departments, and independent agencies—including the Federal Communications Commission for telecoms, the Centers for Medicare and Medicaid Services for hospitals receiving Medicare and Medicaid payments, the Environmental Protection Agency for drinking water systems, and on and on—should acknowledge the cyber risk their sectors face and propose legislation… [read post]
