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13 Aug 2021, 10:43 am by greggshapiro.admin
Medicare Advantage insurance plans receive a capitated per patient monthly rate that the Centers for Medicare and Medicaid Services (“CMS”) sets based on an analysis of demographic “risk factors [such] as age, disability status, gender, [and] institutional status. [read post]
11 Aug 2011, 11:19 am by Ray Mullman
.'s award to Christian Health Care Center in Wyckoff, N.J.for meeting "targeted improvement rates" established by Centers for Medicare & Medicaid Services for physical-restraint reduction. [read post]
The Centers for Medicare & Medicaid Services (CMS) has announced its plans for Round 2021 of the Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CBP), featuring new “lead item” bidding rules and new product categories. [read post]
19 Apr 2011, 10:16 am by Sheppard Mullin
” This statement was issued in conjunction with the Department of Health and Human ServicesCenters for Medicare and Medicaid Services’ (CMS) proposed regulations implementing the shared savings program, as part of a coordinated interagency effort to facilitate health care provider participation in the shared savings program, so as to achieve the cost savings and improvement in quality of care Congress intended. [read post]
A nationwide injunction that prevented a health care worker COVID-19 vaccine mandate from taking effect has now been narrowed by a federal appellate court to apply only in the states involved in the lawsuits against the Centers for Medicare & Medicaid Services (CMS). [read post]
12 Nov 2010, 4:04 am by The Health Law Partners
On November 3, 2010, the Centers for Medicare and Medicaid Service ("CMS") posted its final 2011 Home Health Prospective Payment System ("2011 HHPPS" or the "Final Rule"). [read post]
12 Nov 2010, 4:04 am
On November 3, 2010, the Centers for Medicare and Medicaid Service ("CMS") posted its final 2011 Home Health Prospective Payment System ("2011 HHPPS" or the "Final Rule"). [read post]
8 Aug 2012, 10:03 pm
This staggering sum—calculated by Avalere Health—is a result of several different federal budgetary actions and regulatory changes made by Congress and the Centers for Medicare and Medicaid Services since 2009. [read post]
1 Nov 2013, 9:19 pm
Fortney “Pete” Stark, physicians are prohibited from referring Medicare or Medicaid patients for designated health services to a medical provider in which the physician or a family member holds a financial stake, unless an exception applies. [read post]
16 Oct 2013, 6:51 am
In fact, they recently received a five-star rating (the highest rating) from the Centers for Medicaid and Medicare Services. [read post]
23 Feb 2024, 3:02 pm by Ginger Buck
The Centers for Medicare & Medicaid Services, in collaboration with HHS-OIG, are also taking measures to address the involvement of providers in health care fraud schemes. [read post]
1 Jul 2013, 2:41 pm
On June 27, 2013, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule which would cut payments to home health agencies (HHA) by 1.5 percent, or $290 million, in calendar year (CY) 2014. [read post]
20 Sep 2021, 1:40 pm by Neal S. Gainsberg
The bill proposes changes regarding nursing home staffing, monitoring and enforcement, to the website Care Compare managed by the Centers for Medicare and Medicaid Services, and many other issues. [read post]
16 Apr 2010, 7:33 am
Earlier this month, the Senate recessed without voting on H.R. 4851 and in order to avoid having the cuts take immediate effect, the Centers for Medicare and Medicaid Services instructed contractors to avoid proceesing Medicare claims for 10 business days. [read post]
20 Nov 2014, 11:30 am by Greene LLP
” By prohibiting case managers from being involved in and reviewing decisions regarding inpatient admissions, Prime was allegedly in direct violation of The Centers for Medicare and Medicaid Services (“CMS”) requirements that hospitals must have utilization review plans in place. [read post]
11 Feb 2010, 8:47 am by The Health Law Partners
Recently, the Centers for Medicare & Medicaid Services (CMS) approved the following three national accreditation organization to provide the accreditation services for suppliers of the TC of advanced diagnostic imaging procedures: (1) the American College of Radiology; (2) the Intersocietal Accreditation Commission; and (3) the Joint Commission. [read post]
1 Sep 2016, 2:00 pm by Gallivan & Gallivan
The Centers for Medicare & Medicaid Services (CMS) released their new hospital grading system in July, called the Overall Hospital Quality Star Rating. [read post]
1 Sep 2016, 2:00 pm by Gallivan & Gallivan
The Centers for Medicare & Medicaid Services (CMS) released their new hospital grading system in July, called the Overall Hospital Quality Star Rating. [read post]
18 Sep 2015, 1:03 pm by laura.ray@law.csuohio.edu
Centers for Medicare & Medicaid Services (CMS) Center for Consumer Information and Insurance Oversight (CCIIO) recently posted a list of proposed EHB plans to be used as benchmarks for EHBs that all states and the District of Columbia must cover in 2017. [read post]