Search for: "Centers for Medicare and Medicaid Services"
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2 Nov 2023, 7:00 am
Department of Health and Human Services Centers for Medicare & Medicaid Services and Office of the National Coordinator for Health Information Technology have proposed a rule that “would implement the provision of the 21st Century Cures Act specifying that a health care provider determined by the HHS Inspector General (OIG) to have committed information blocking shall be referred to the appropriate agency to be subject to appropriate… [read post]
30 Oct 2023, 9:16 am
UCSF will receive funding for the program from the Centers for Medicare & Medicaid Services following the launch of the GUIDE model: Guiding an Improved Dementia Experience model. [read post]
30 Oct 2023, 5:00 am
In November 2021, the Centers for Medicare & Medicaid Services (CMS) published a final rule expanding their ability to revoke Medicare billing privileges of providers and suppliers. [read post]
29 Oct 2023, 10:08 pm
Medical gloves and insulin pumps are medical devices, for example, but wheelchairs and hospital beds are medical equipment.[4] Selling durable medical equipment (DME) or home medical equipment (HME) at the retail level is regulated and requires a license in many states.[5] DME is a specific medical term used by Medicare, Medicaid, and private insurance companies, and it covers wheelchairs, canes, crutches, hospital beds, and oxygen equipment, among other items. [read post]
27 Oct 2023, 3:34 pm
“HHS-OIG is committed to protecting the integrity of the Medicare and Medicaid programs and the people it serves. [read post]
27 Oct 2023, 5:00 am
The regulation and administration of health care in the United States suggests a list of familiar institutional names — the Department of Health and Human Services, the Food and Drug Administration, Centers for Medicare & Medicaid Services, and the National Institutes of Health, to list a few. [read post]
26 Oct 2023, 2:02 pm
In addition to the National Elder Fraud Hotline, which the DOJ Report highlighted, whistleblowers can also bring False Claims Act cases to recover for Medicare and Medicaid frauds. [read post]
24 Oct 2023, 7:28 am
Despite increased fines imposed by the Centers for Medicare and Medicaid Services, this news is deeply concerning. [read post]
19 Oct 2023, 5:19 am
However, the AKS contains a statutory exemption for payments to bona fide employees in the course of employment and HHS has promulgated a safe harbor regulation that carves out from the definition of remuneration: “any amount paid by an employer to an employee, who has a bona fide employment relationship with the employer, for employment in the furnishing of any item or service for which payment may be made in whole or in part under Medicare, Medicaid or other… [read post]
19 Oct 2023, 5:00 am
There is an urgent need for Congress to ensure this funding through the Center for Medicare Services. [read post]
19 Oct 2023, 5:00 am
” Violation of the AKS can result in severe penalties, including imprisonment of up to 10 years, a maximum fine of $100,000, and exclusions from Medicare and Medicaid reimbursement. [read post]
17 Oct 2023, 9:33 pm
” With this proposed rule, FDA explains that it does not seek to duplicate the oversight provided by the Centers for Medicare and Medicaid Services (CMS) under the Clinical Laboratory Improvement Amendments (CLIA) but rather finds the established regulatory scheme under CLIA to be complementary to the agency’s proposed regulatory oversight. [read post]
11 Oct 2023, 10:59 am
Surprisingly, these harrowing violations will not result in fines from the Centers for Medicare & Medicaid Services (CMS) due to their classification as “minimal” or “non-harmful” to the residents. [read post]
11 Oct 2023, 10:56 am
The Centers for Medicare & Medicaid Services (CMS) recently issued a proposed rule that would establish for the first time, national minimum staffing standards for Long-term Care (LTC) facilities that participate in Medicare and Medicaid. [read post]
11 Oct 2023, 10:04 am
” Claims of Medicare or Medicaid fraud for billing for unnecessary healthcare services is nothing new, but this illustrates the recent emphasis on going after providers of genetic testing services. [read post]
10 Oct 2023, 11:53 am
In addition, the Centers for Medicare & Medicaid Services, working in conjunction with the HHS-OIG, are taking steps to hold providers accountable for their involvement in health care fraud schemes. [read post]
10 Oct 2023, 10:51 am
During FY 2022, the Centers for Medicare and Medicare Services (CMS) has estimated the Medicare Part B improper payment rate as 8.41%. while the improper payment rate for Durable Medical Equipment (DME) suppliers was estimated to be 25.24%.[2] Additionally, the Medicaid program improperly paid $80.6 billion in improper claims during FY 2022.[3] Notably, these estimates don’t even take into account the sizeable improper billings submitted to… [read post]
10 Oct 2023, 9:46 am
The study was conducted by dental officers at the Centers for Medicare and Medicaid Services. [read post]
9 Oct 2023, 11:00 pm
Medicare and Medicaid Change of Ownership Considerations in Healthcare Industry M&A Understand important filing and regulatory requirements for acquisitions of healthcare providers that receive Medicare and Medicaid reimbursements. [read post]
9 Oct 2023, 8:15 pm
Three patient advocacy groups sued the Department of Health and Human Services (HHS) and the Centers for Medicare and Medicaid Services (CMS), challenging the agencies’ 2020 NBPP Rule as plainly unlawful on the grounds that it conflicts with the definition of “cost sharing” in both the ACA and the agencies’ existing regulations, and is arbitrary and capricious. [read post]
