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27 Dec 2022, 9:05 pm by Series of Essays
Court Says Postal Service Cannot Just Mail It In April 26, 2022 | Daniella Cass The D.C. [read post]
26 Dec 2022, 4:00 pm by Christopher S. Lockman
Establishes a “good faith” reporting requirement for RxDC reporting submitted for the 2020 and 2021 calendar years, whereby the Departments will not take enforcement action against a plan or issuer that completes the filings using a good faith, reasonable interpretation of the RxDC reporting interim final regulations published on November 23, 2021 and the RxDC Reporting Instructions issued by the Centers for Medicare and Medicaid Services (CMS). [read post]
19 Dec 2022, 5:00 am by Wachler & Associates, P.C.
Category 3 encompasses services added on a temporary basis during the PHE that would facilitate continued access to medically necessary services during the pandemic, but for which there is insufficient evidence to evaluate the services for permanent addition under Category 1 or Category 2 criteria. [read post]
15 Dec 2022, 5:56 pm by Cynthia Marcotte Stamer
The prosecution of the suit against a health care organization subject to the tightest vaccination and other COVID safety mandates under Centers for Disease Control, the Centers for Medicare & Medicaid Services and Occuoatiinal Safety & Health Administration regulations demonstrates the high burden the EEOC expects employers refusing accommodation to meet. [read post]
13 Dec 2022, 11:58 am by Janine Tougas and Craig Anderson
CMS has interpreted “in-home visits” to exclude PCS services provided in congregate residential settings where 24 hour service is available. [read post]
13 Dec 2022, 2:00 am by Jo Ellen Whitney, Dentons Davis Brown
Under the CMS requirements, the ability to obtain a medical exemption status is limited and requires significant medical information. [read post]
8 Dec 2022, 7:23 pm by Cynthia Marcotte Stamer
  While not covering all relevant legal risks, the guidance tool does highlight certain key regulatory concerns by asking developers a series of high-level questions about the nature of their app, including about its function, the data it collects, and the services it provides to users. [read post]
Healthcare and other high-contact industries remain subject to other more restrictive COVID requirements (either under federal rules or state law), such as the vaccination and masking rules communicated by the Centers for Medicare and Medicaid Services (CMS) for many healthcare entities. [read post]
29 Nov 2022, 3:09 pm by Cynthia Marcotte Stamer
According to court documents and statements made in court, Scott Norris Johnson owned and operated Disabled Access Prevents Injury Inc (DAPI), a legal services corporation. [read post]
28 Nov 2022, 1:42 pm by Cynthia Marcotte Stamer
For instance, the EEOC recently has sued Eagle Marine Services Electrical & Refrigeration, LLC for allegedly violating the ADA by refusing to hire or accommodate a worker because he used medication prescribed by his doctor to treat attention deficit hyperactivity disorder (“ADHD”) without making any individual assessment of the worker’s medication use or whether it would affect his ability to safely perform the marine electrician position, and instead… [read post]
15 Nov 2022, 7:36 pm
Because Medicare is a government program and the government relies on trustworthy practitioners to provide excellent medical care to potentially vulnerable patients, investigators with the Centers for Medicare and Medicaid Services (CMS) are motivated to find and investigate those who may be acting in ways that are not conducive to Medicare’s overall aims. [read post]
6 Nov 2022, 11:21 pm by Kurt R. Karst
  According to Pfizer, this is because tafamidis is the only FDA-approved drug to treat ATTR-CM. [read post]
2 Nov 2022, 5:00 am by Wachler & Associates, P.C.
As many healthcare providers may know, UPICs are the primary program integrity contractors for the Centers for Medicare & Medicaid Services (CMS) and the only program integrity contractors with authority to review both Medicare and Medicaid claims. [read post]
26 Oct 2022, 5:00 am by Katie Gu
  Passed in 1986, EMTALA requires hospitals accepting Medicaid or Medicare payments from HHS or CMS to provide abortion care necessary to address emergency medical conditions. [read post]
In addition, recipients of federal Medicare and Medicaid funding remain obligated under the federal Centers for Medicare & Medicaid Services (CMS) interim final rule, which was upheld by the Supreme Court of the United States early this year. [read post]
18 Oct 2022, 1:58 pm by Peyton
The Centers for Medicare and Medicaid Services (CMS) is responsible for enforcing EMTALA. [read post]