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Employers, however, should be aware of the dichotomy between interests regulated by Cal OSHA and by the Centers for Medicare and Medicaid Services (CMS). [read post]
12 Apr 2018, 8:48 am by Robert Liles
(April 12, 2018): The Centers for Medicare & Medicaid Services (CMS) utilizes a variety of private contractors to process Medicare claims and conduct both administrative and program integrity audits of claims submitted by healthcare providers and suppliers. [read post]
12 Apr 2018, 3:00 am by Lorraine Rosado
The Centers for Medicare and Medicaid Services (CMS) issued guidance, which imposes a new timeline and requirements on these contractors effective March 1, 2018. [read post]
11 Apr 2018, 1:25 pm by Ian Patterson
Mar. 22, 2018), involved a procurement for information technology operations and support for the Department of Health and Human Services, Centers for Medicare and Medicaid Services. [read post]
11 Apr 2018, 9:20 am by Jerri Lynn Ward, J.D.
The goals, aligned with the priorities of the Centers for Medicare & Medicaid Services and federal mandates, were identified to improve care delivery during the next three years. [read post]
11 Apr 2018, 6:48 am by Wachler & Associates, P.C.
The OIG directly faulted the Centers for Medicare and Medicaid (CMS) for the overpayments, finding that the current controls in place are insufficient to prevent improper payments to providers. [read post]
11 Apr 2018, 6:48 am by Wachler & Associates, P.C.
The OIG directly faulted the Centers for Medicare and Medicaid (CMS) for the overpayments, finding that the current controls in place are insufficient to prevent improper payments to providers. [read post]
10 Apr 2018, 7:58 am by Michael Cook
Medicare Advantage Plans May Soon Offer Personal Care Services (April 10, 2018):  On April 2, the Centers for Medicare and Medicaid Services (CMS) announced an expansion of the benefits that private health plans may offer Medicare beneficiaries under the Medicare Advantage (MA) program in 2019. [read post]
10 Apr 2018, 6:38 am by Jeff Wurzburg (US)
The post Centers for Medicare & Medicaid Services finalizes policies and updates to Medicare Advantage and Part D programs for 2019 appeared first on Health Law Pulse. [read post]
9 Apr 2018, 2:00 pm by ohioemployersinjurylawblog
The Center for Medicare and Medicaid Services (“CMS”) is the private corporation contracted to protect Medicare’s interests in workers’ compensation and personal injury claims. [read post]
8 Apr 2018, 7:19 pm by Jeffrey P. Gale, P.A.
Because workers’ compensation has primary responsibility [for covering medical care associated with work-related injuries] versus Medicare’s secondary payor status, failing to adequately account for Medicare’s imperatives may keep the Centers for Medicare & Medicaid Services (CMS), a branch of the Department of Health and Human Services (HHS), the federal agency that runs… [read post]
8 Apr 2018, 6:00 pm by Yale Hauptman
      In an effort to prevent fraud, the Centers for Medicare and Medicaid Services (CMS) has redesigned Medicare cards. [read post]
8 Apr 2018, 12:04 pm by Ettinger Law Firm
In December 2017, Centers for Medicare and Medicaid Services sent memos to state nursing home inspectors notifying these departments that federal agencies would begin examining the discharge records from the nation’s 15,000 nursing homes. [read post]
7 Apr 2018, 8:41 am by Ben Vernia
Given the volume of claims processed by Medicare each day and the significant cost associated with conducting medical review of an individual claim, the Centers for Medicare and Medicaid Services uses automated edits to help prevent improper payments without the need for manual intervention. [read post]
5 Apr 2018, 11:19 am by Paul Pfeifer
Centers for Medicate and Medicaid Services classify as ‘Significant” medication errors. [read post]
4 Apr 2018, 7:04 pm by Sabrina I. Pacifici
  Other participants in the effort include the Centers for Medicare & Medicaid Services, National Institutes of Health, and the Department of Veterans Affairs. [read post]
4 Apr 2018, 9:54 am by Whittel & Melton, LLC
The FBI, the HHS Office of Inspector General (OIG), the Centers for Medicare & Medicaid Services (CMS), the Medicaid Fraud Control Unit, and federal and state prosecutors are simply a few of the entities that will be involved in mounting a case against you. [read post]
2 Apr 2018, 5:21 pm by Ben Vernia
  It prohibits anyone from offering, paying, soliciting, or receiving remuneration to induce referrals of items or services covered by Medicare, Medicaid, and other federally funded programs. [read post]
2 Apr 2018, 7:37 am by Robert Liles
  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]
2 Apr 2018, 6:10 am by Robert Kraft
Starting in April 2018, the Centers for Medicare & Medicaid Services (CMS) will begin mailing new Medicare cards to all those covered under the Medicare programs. [read post]