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21 Dec 2023, 2:18 am
As of 2023, group health plans are required to submit a gag clause prohibition compliance attestation (GCPCA) through the Centers for Medicare and Medicaid Services’ (CMS) Health Insurance Oversight System (HIOS) to attest they have complied with the prohibition on gag clauses. [read post]
20 Dec 2023, 9:52 am
” In particular, the government’s allegations center around LifeWatch’s ACT-3L device which it marketed as being capable of performing three different types of heart monitoring services: Holter, event monitoring, and telemetry. [read post]
20 Dec 2023, 5:00 am
Recently, the Centers for Medicare & Medicaid Services (CMS) published the calendar year (CY) 2024 physician fee schedule (PFS) final rule, which solidified certain proposed changes to Medicare provider enrollment requirements. [read post]
19 Dec 2023, 8:43 am
The Centers for Medicare & Medicaid Service (CMS) has created a new rule that requires nursing homes to report more information and details to their owners. [read post]
18 Dec 2023, 10:00 pm
Since our publication on disenrollments caused by the “unwinding” of Medicaid’s continuous enrollment condition , the Centers for Medicare and Medicaid Services (CMS) issued an interim final rule on December 6, 2023 implementing the requirement under the Consolidated Appropriations Act for CMS to withhold federal Medicaid funding from states that do not report monthly unwinding data. [read post]
18 Dec 2023, 10:00 pm
Since our publication on disenrollments caused by the “unwinding” of Medicaid’s continuous enrollment condition , the Centers for Medicare and Medicaid Services (CMS) issued an interim final rule on December 6, 2023 implementing the requirement under the Consolidated Appropriations Act for CMS to withhold federal Medicaid funding from states that do not report monthly unwinding data. [read post]
18 Dec 2023, 10:00 pm
Since our publication on disenrollments caused by the “unwinding” of Medicaid’s continuous enrollment condition , the Centers for Medicare and Medicaid Services (CMS) issued an interim final rule on December 6, 2023 implementing the requirement under the Consolidated Appropriations Act for CMS to withhold federal Medicaid funding from states that do not report monthly unwinding data. [read post]
18 Dec 2023, 10:00 pm
Since our publication on disenrollments caused by the “unwinding” of Medicaid’s continuous enrollment condition , the Centers for Medicare and Medicaid Services (CMS) issued an interim final rule on December 6, 2023 implementing the requirement under the Consolidated Appropriations Act for CMS to withhold federal Medicaid funding from states that do not report monthly unwinding data. [read post]
18 Dec 2023, 10:00 pm
Since our publication on disenrollments caused by the “unwinding” of Medicaid’s continuous enrollment condition , the Centers for Medicare and Medicaid Services (CMS) issued an interim final rule on December 6, 2023 implementing the requirement under the Consolidated Appropriations Act for CMS to withhold federal Medicaid funding from states that do not report monthly unwinding data. [read post]
18 Dec 2023, 10:00 pm
Since our publication on disenrollments caused by the “unwinding” of Medicaid’s continuous enrollment condition , the Centers for Medicare and Medicaid Services (CMS) issued an interim final rule on December 6, 2023 implementing the requirement under the Consolidated Appropriations Act for CMS to withhold federal Medicaid funding from states that do not report monthly unwinding data. [read post]
18 Dec 2023, 5:00 am
The Centers for Medicare & Medicaid Services (CMS) recently issued the final rule for the physician fee schedule (PFS) for calendar year (CY) 2024, which implements new evaluation and management (E/M) policies and solidifies certain existing telehealth policies. [read post]
15 Dec 2023, 9:00 am
From a Virginia federal district court’s determination that a judgment for attorney’s fees had priority over Internal Revenue Service (IRS) tax liens, to the Centers for Medicare and Medicaid Services’ issuance of a final rule requiring disclosure of ownership information for nursing facilities and a new Texas law providing charging order protection for single-member limited liability companies (LLCs), we have recently seen significant developments in estate… [read post]
15 Dec 2023, 6:28 am
Oakwood was later cited and fined almost $100k by The Centers for Medicare and Medicaid Services. [read post]
14 Dec 2023, 12:42 pm
Senator Deb Fischer of Nebraska recently pledged to introduce a bill that would ultimately halt the Centers for Medicare and Medicaid Services (CMS) from implementing the staffing mandate that was proposed in early September. [read post]
14 Dec 2023, 9:00 am
In this episode of the Diagnosing Health Care Podcast: Under the Biden administration, the Centers for Medicare & Medicaid Services published a health equity framework that drastically changed the playing field for health plans and other risk-bearing entities. [read post]
14 Dec 2023, 6:51 am
A comprehensive long-term care policy may help pay for medical and care services provided in your home, an adult day care center, an assisted living facility, a hospice or respite facility; and in a nursing home. [read post]
13 Dec 2023, 10:16 am
For the first time, the Medicare/Medicaid folks are releasing the names of owners of Federally qualified health centers and rural health clinics, presumably to give non-Federal regulators and private attorneys a road-map of interlocking referrals and other arrangements which may jack up or fix market pricing. [read post]
12 Dec 2023, 8:09 am
Most of these individuals are dually eligible for Medicare and Medicaid benefits. [read post]
11 Dec 2023, 10:00 pm
Check out our Practical Guidance Author Center ! [read post]
11 Dec 2023, 12:57 pm
For example, according to Adam Brufsky, clinical oncologist at Pittsburgh Medical Center, at least two types of medicines—especially CDK46 inhibitors and trastuzumab-dexruxtecan (Herceptin), which were both approved under accelerated approval—have been remarkable at treating breast cancer. [read post]
