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16 Jul 2018, 12:26 pm
Well, that would be the lovely and talented Marilyn Tavenner, who came to AHIP directly from her previous gig as Administrator of the Centers for Medicare and Medicaid Services, which is part of the bureaucracy tasked with implementing ObamaCare. [read post]
13 Jul 2018, 10:37 pm by Cynthia Marcotte Stamer
Earl Blumenauer (D-OR), which also would expand HSA access and  utility by allowing spouses to also make contributions to HSAs is their spouse has an FSA and lets employers offer certain services to employees through on-site or retail clinics. [read post]
13 Jul 2018, 2:41 pm by The Health Law Partners
July 2018 – On July 12, 2018, the Centers for Medicare & Medicaid Services (“CMS”) proposed rules aimed at fundamentally improving the nation’s healthcare system and restoring the doctor-patient relationship. [read post]
13 Jul 2018, 2:41 pm by The Health Law Partners
July 2018 – On July 12, 2018, the Centers for Medicare & Medicaid Services (“CMS”) proposed rules aimed at fundamentally improving the nation’s healthcare system and restoring the doctor-patient relationship. [read post]
13 Jul 2018, 11:41 am by luiza
(Health Quest), and its subsidiary hospital Putnam Health Center (Putnam) based on their submission of inflated and otherwise impermissible claims for payment to Medicare and Medicaid, making Health Quest and Putnam our Catch of the Week. [read post]
13 Jul 2018, 4:17 am by Debra A. McCurdy
The Centers for Medicare & Medicaid Services (CMS) has proposed its annual update to Medicare home health prospective payment system (HHS PPS) rates for calendar year 2019, along with a broader case-mix methodology reform proposal that would be implemented beginning in 2020. [read post]
12 Jul 2018, 8:00 pm by Ben Vernia
  The United States alleged their compensation exceeded the fair market value for the services, and thereby violated the Physician Self-Referral Law, which prohibits a hospital from billing Medicare for certain services referred by physicians with whom the hospital has an improper compensation arrangement. [read post]
12 Jul 2018, 1:13 pm by Debra A. McCurdy
The Centers for Medicare & Medicaid Services (CMS) has released its proposed rule to update the Medicare end-stage renal disease (ESRD) prospective payment system (PPS) for calendar year (CY) 2019. [read post]
12 Jul 2018, 12:00 pm by Robert Liles
  It was alleged that the OB/GYN submitted thousands of claims for pelvic floor therapy training services to the Medicare and Medicaid programs that were either never provided, or were otherwise false or fraudulent.IV. [read post]
12 Jul 2018, 12:00 pm by Robert Liles
  It was alleged that the OB / GYN submitted thousands of claims for pelvic floor therapy training services to the Medicare and Medicaid programs that were either never provided, or were otherwise false or fraudulent.IV. [read post]
12 Jul 2018, 8:14 am by Akira Tomlinson
Additionally, the rule will open lines of communication with each state’s attorney general, the Department of Health and Human Services, the Food and Drug Administration, the Center for Disease Control, and the Centers for Medicare and Medicaid Services. [read post]
12 Jul 2018, 6:45 am by Jeff Wurzburg (US)
On Saturday, July 7, 2018, the Centers for Medicare & Medicaid Services (CMS) announced the suspension of risk adjustment payments for the 2017 benefit year until the resolution of risk adjustment litigation following the decision in New Mexico Health Connections v. [read post]
12 Jul 2018, 6:33 am by Thomas Dowdell (US)
On January 11, 2018, the Centers for Medicare & Medicaid Services (CMS) sent a letter to State Medicaid Directors that signaled their support of section 1115 demonstration projects that include work or community engagement requirements, as previously summarized in the Health Law Pulse. [read post]
10 Jul 2018, 3:07 pm by Debra A. McCurdy
The Centers for Medicare & Medicaid Services (CMS) is proposing to rescind the authority of states to make Medicaid payments to a third party on behalf of an individual provider, rather than directly to the provider, “for benefits such as health insurance, skills training, and other benefits customary for employees,” under certain circumstances. [read post]
Centers for Medicare and Medicaid Services (CMS) has released Open Payments data reflecting payments and transfers of value paid by drug and device manufacturers to physicians and teaching hospitals in 2017, totaling approximately $8.4 billion in payments and more than 11.5 million payment records. [read post]
9 Jul 2018, 1:22 pm by Tim Curtis
Maryland health insurance stakeholders face some questions after the federal Centers for Medicare and Medicaid Services said over the weekend that it would stop collecting and making risk adjustment payments in light of contradictory federal court decisions. [read post]
9 Jul 2018, 7:19 am by Jerri Lynn Ward, J.D.
The system must be similar to the one used by the Centers for Medicare & Medicaid Services to categorize the scope and severity of violations for nursing facilities. [read post]
9 Jul 2018, 4:00 am by Corbin Bridge
Hospice care expenses in U.S. are mostly paid by the Medicare and Medicaid services and the Department of Veterans Affairs. [read post]
5 Jul 2018, 2:40 am by Debra A. McCurdy
The panel also unanimously approved the “Helping to End Addiction and Lessen (HEAL) Substance Use Disorders Act,” which is intended to improve how Medicare, Medicaid and other human services programs respond to the opioid crisis. [read post]
5 Jul 2018, 2:38 am by Debra A. McCurdy
Provide Medicare coverage of opioid use disorder treatment services furnished by an opioid treatment program. [read post]