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18 Apr 2023, 12:20 pm by Brent Wieand
CMS Care Compare provides information regarding a nursing home’s staffing. [read post]
13 Apr 2023, 10:29 am by Brent Wieand
The facility must complete resident assessments and provide care interventions to address a resident’s behavior. [read post]
13 Apr 2023, 8:41 am by James Segroves
The MA organizations, in turn, contract with unaffiliated third parties to provide health care items and services to the plans’ enrollees. [read post]
13 Apr 2023, 8:33 am by George B. Breen
Does the arrangement or practice have the potential to increase costs to Federal health care programs or beneficiaries? [read post]
11 Apr 2023, 11:05 am by Ashley Morgan
Under traditional Medicare, health care providers are paid on a fee-for-service basis. [read post]
10 Apr 2023, 8:01 am by Shannon K. DeBra
The OIG explained that the concept of “value” goes beyond the Medicare reimbursement amount and may also include factors such as potential benefits to a beneficiary or the future health care costs reasonably expected to be avoided as a result of the preventive care. [read post]
5 Apr 2023, 11:37 am by Brent Wieand
Breach of Duty: The nursing home breached that duty by failing to provide adequate care and treatment to the resident. [read post]
3 Apr 2023, 6:26 am by Allan Blutstein
.) -- ruling that: (1) agency improperly relied on Exemption 4 to withhold employer identification numbers (EINs) of health care organization and taxpayer identification numbers (TINs) of their parent organizations, noting that SEC and Department of Labor release EINs to the public and that EINs are available through “pay-for-subscription” services; further noting that CMS failed to offer providers any assurances of confidentiality for their EINs or… [read post]
31 Mar 2023, 1:22 pm by Nicole Aiken-Shaban and Ellen Pighini
Should you have any questions about the No UPCODE Act or the Advance Notice, or have other health care compliance concerns, please do not hesitate to reach out to the authors of this post or the other health care attorneys at Reed Smith. [read post]
30 Mar 2023, 7:10 am by Ashley Morgan
Second, the hospital system must reshape those practices to provide different types of care in order to remain eligible for 340B. [read post]
30 Mar 2023, 7:10 am by Ashley Morgan
Second, the hospital system must reshape those practices to provide different types of care in order to remain eligible for 340B. [read post]
21 Mar 2023, 6:07 am by Brent Wieand
This program designed to help New Jersey residents who suspect that a loved one is suffering from NJ nursing home abuse, mistreatment, or neglect by a health care provider. [read post]
If you have any questions about RPM/RTM codes or the discussion questions, please reach out to the authors of this post or to any other health care attorneys at Reed Smith, LLP with whom you work. [read post]
16 Mar 2023, 1:14 pm by Brent Wieand
This program designed to help New Jersey residents who suspect that a loved one is suffering from NJ nursing home abuse, mistreatment, or neglect by a health care provider. [read post]
15 Mar 2023, 5:00 am by Wachler & Associates, P.C.
CMS has stated that it believes the proposed rule would result in significant cost savings and a reduction in administrative paperwork, allowing healthcare providers to allocate more time on direct patient care. [read post]
13 Mar 2023, 9:21 am by Melissa Weber
If these facilities were providing adequate care compared to non-private equity-owned ones, why would they hide their ownership? [read post]
13 Mar 2023, 7:49 am by Andrew Brockman
This is an important step forward in providing better care for veterans who have experienced blast injuries to the brain. [read post]
7 Mar 2023, 7:56 am by Alexis Boaz
United States Department of Health and Human Services, Case No. 6:22-cv-372 (TMA II); CMS, February 24, 2023 Notice, Payment Disputes Between Providers and Health Plans, https://www.cms.gov/nosurprises/help-resolve-payment-disputes/payment-disputes-between-providers-and-health-plans [read post]
6 Mar 2023, 5:00 am by Wachler & Associates, P.C.
To enroll as an REH, eligible providers must submit a Form CMS-855A change of information application, rather than an initial enrollment application. [read post]
2 Mar 2023, 10:42 am by Alexis
  The quality of care currently may not be the same as it was when CMS collected the reporting data.The bottom line? [read post]