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7 Dec 2009, 1:00 pm
In response to comments from RACs, providers/suppliers and various health care associations, CMS has modified its limit for document requests from the RAC program for FY 2010. [read post]
9 Jan 2012, 3:11 pm by Cynthia Marcotte Stamer
  Consequently, every American citizen and organization including but not limited to health care providers, employers, insurer, and community organizations should take part. [read post]
4 Jan 2011, 11:56 am by Cynthia Marcotte Stamer
The Centers for Medicare & Medicaid Services (CMS) added a new “Physician Compare” feature to the CMS Healthcare Provider Directory on December 30, 2010. [read post]
CMS claims the CJR model will further the goal of paying for value rather than volume because it will promote the alignment of financial and other incentive for all health care providers caring for a beneficiary during an LEJR episode. [read post]
3 May 2013, 11:45 am
If you have any questions regarding these recent developments, or have any questions relating to the Anti-Kickback Statute, Stark Law or other federal or state fraud and abuse regulations, please contact an experienced health care attorney at Wachler & Associates at 248-544-0888. [read post]
18 Jul 2016, 9:17 am by Debra A. McCurdy
CMS has published a final rule to allow organizations approved as “qualified entities” to confidentially share or sell analyses of Medicare and private-sector claims data to providers, employers, and other groups who can use the data to support improved care. [read post]
14 Sep 2020, 5:07 am by Wachler & Associates, P.C.
In March 2020, Congress passed the CARES Act to provide relief for Americans during the 2019 Novel Coronavirus (“COVID-19”) pandemic. [read post]
25 Apr 2016, 9:22 am by Kevin S. Little
  According to CMS, physicians who participate will be “expected to make changes in the way they deliver care” based upon the following primary care delivery factors: (1) access and continuity; (2) care management; (3) comprehensiveness and coordination; (4) patient and caregiver engagement; and (5) planned care and population health. [read post]
25 Apr 2016, 9:22 am by Kevin S. Little
  According to CMS, physicians who participate will be “expected to make changes in the way they deliver care” based upon the following primary care delivery factors: (1) access and continuity; (2) care management; (3) comprehensiveness and coordination; (4) patient and caregiver engagement; and (5) planned care and population health. [read post]
9 May 2014, 10:00 am
" As a requirement of the Affordable Care Act (ACA), CMS must improve the screening for those Medicare suppliers and providers. [read post]
9 May 2014, 10:00 am
" As a requirement of the Affordable Care Act (ACA), CMS must improve the screening for those Medicare suppliers and providers. [read post]
9 May 2014, 10:00 am
" As a requirement of the Affordable Care Act (ACA), CMS must improve the screening for those Medicare suppliers and providers. [read post]
30 Jan 2017, 3:30 am by Debra A. McCurdy
On February 23, 2017, CMS is hosting a call on the Improving Medicare Post-Acute Care Transformation of 2014 (IMPACT Act) which requires the reporting of standardized patient assessment data by post-acute care provider. [read post]
22 Apr 2016, 11:30 am by Laura Ray
  [See 42 U.S.C. 1397ee(c)(1) , (7)]  In the past few years, several states have restricted funding to health care facilities and Planned Parenthood that provide any type of abortion service within their range of health care services, even if that funding is not used to pay for abortion services. [read post]
24 Apr 2013, 1:48 pm
If you have any questions regarding how CMS' changes to the recovery audit contractor program affects your healthcare entity, or otherwise need assistance with Medicare or Medicaid recovery audits, please contact an experienced health care attorney at Wachler & Associates at 248-544-0888. [read post]
15 Sep 2010, 10:06 am by Steven Boutwell
The announcement by the FTC noted that to facilitate providers’ efforts to develop ACOs that will provide high quality, lower-cost care to their patients, the workshop will address and solicit public comments on the legal issues raised by various ACO models being considered by health care providers. [read post]
17 Jul 2022, 9:05 pm by Allison K. Hoffman
Can employer health plans provide employees with abortion access? [read post]
13 Nov 2017, 9:25 am by Jerri Lynn Ward, J.D.
 Provider Letter 17-35   The post (CMS) requires that Medicare-certified home health agencies (HHAs) meet the Medicare Conditions of Participation (CoPs) appeared first on Garlo Ward, P.C.. [read post]
28 Sep 2020, 8:58 am by Robert Liles
  The Final Rule also extended the period that a health care provider can be barred from reenrolling in the Medicare program. [read post]