Search for: "CMS CONTRACT MANAGEMENT SERVICES"
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13 Dec 2018, 12:15 pm
Department of Health and Human Services (HHS), Office for Civil Rights (OCR). [read post]
11 Dec 2018, 1:42 pm
Sutter Health, a non-profit public benefit corporation that provides healthcare services through affiliated entities, including hospitals and medical foundations, contracted with certain MAOs to provide healthcare services to California beneficiaries enrolled in the MAOs’ MA Plans. [read post]
7 Dec 2018, 4:55 am
Stamer’s experience in these matters includes supporting these organizations and their leaders on both a real-time, “on demand” basis with crisis preparedness, intervention and response as well as consulting and representing clients on ongoing compliance and risk management; plan and program design; vendor and employee credentialing, selection, contracting, performance management and other dealings; strategic planning; policy, program, product and… [read post]
1 Dec 2018, 9:00 am
Section 650(b) is often used to justify payment of the management fee based on a percentage of gross revenues at fair market value. [read post]
15 Nov 2018, 2:00 am
Centers for Medicare and Medicaid Services (CMS) [ii] Survey from, “Change BITES, 5 Change Management Strategies to Transform Your Health” The post Why Employee Health is Your Company’s Business appeared first on HR Daily Advisor. [read post]
15 Nov 2018, 2:00 am
Centers for Medicare and Medicaid Services (CMS) [ii] Survey from, “Change BITES, 5 Change Management Strategies to Transform Your Health” The post Why Employee Health is Your Company’s Business appeared first on HR Daily Advisor. [read post]
6 Nov 2018, 10:56 am
Stamer’s experience in these matters includes supporting these organizations and their leaders on both a real-time, “on demand” basis with crisis preparedness, intervention and response as well as consulting and representing clients on ongoing compliance and risk management; plan and program design; vendor and employee credentialing, selection, contracting, performance management and other dealings; strategic planning; policy, program, product and… [read post]
22 Sep 2018, 9:00 am
Harry proposes that the MSO operate as a typical MSO, providing management and marketing services at fair market value to physicians and professional medical corporations that operate medical groups. [read post]
16 Jul 2018, 12:47 pm
UPIC reviews of transcranial magnetic stimulation claims.UPICs are private, for-profit companies that awarded contracts to provide program integrity services for the Centers for Medicare and Medicaid Services (CMS). [read post]
16 Jul 2018, 12:47 pm
UPIC reviews of transcranial magnetic stimulation claims.UPICs are private, for-profit companies that awarded contracts to provide program integrity services for the Centers for Medicare and Medicaid Services (CMS). [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]
3 Jul 2018, 9:00 am
Virtually all of these private sector companies have previously been awarded one or more prior CMS audit contracts. [read post]
26 Jun 2018, 7:28 am
This means Medicare Advantage beneficiaries will be provided adult day care services, respite care for caregivers, and in-home assistance with activities like bathing and managing medications. [read post]
16 May 2018, 4:38 am
What policies should CMS consider to ensure inpatient and outpatient providers are neither underpaid nor overpaid for a drug, regardless of where it was administered? [read post]
14 May 2018, 7:18 am
There are different types, such as, a CM at Risk and CM not at Risk. [read post]
12 Apr 2018, 8:48 am
At the present time, CMS has contracted with eGlobalTech (eGT) to analyze data and prepare “Comparative Billing Reports” (CBRs) of various services and claims billed to the Medicare program. eGT works directly with another CMS contractor, Palmetto GBA (Palmetto), to conduct the statistical work that is necessary to complete the CBR process. [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]
10 Apr 2018, 6:38 am
The final rule states that CMS will integrate drug management programs with the Overutilization Monitoring System (OMS) and Part D Opioid Utilization Review Policy. [read post]
2 Apr 2018, 7:37 am
At last estimate, Medicare Administrative Contractors (MACs) processed an estimated 1.2 billion claims on behalf of America’s seniors.[2] As the Medicare program has grown, the Centers for Medicare and Medicaid Services (CMS) has employed a variety of different claims audit mechanisms to better ensure that the Medicare Trust Fund is protected from waste, fraud and abuse. [read post]
16 Feb 2018, 5:39 am
The proposal also would reimburse contract suppliers based on their own bids rather than a single payment amount [$6.5 billion]. [read post]
