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14 Dec 2016, 3:49 pm
The Centers for Medicare and Medicaid Services (CMS) released the details of its Medicare hospital patient-status appeals settlement (“the 2016 Settlement”), following CMS’ initial announcement of the reopening on September 28th. [read post]
14 Dec 2016, 3:49 pm
The Centers for Medicare and Medicaid Services (CMS) released the details of its Medicare hospital patient-status appeals settlement (“the 2016 Settlement”), following CMS’ initial announcement of the reopening on September 28th. [read post]
14 Dec 2016, 2:01 am
The Forest Park Medical Center Indictment You’re probably aware of the big Grand Jury Indictment that was just released to the public involving the Forest Park Medical Center (FPMC) case. [read post]
13 Dec 2016, 11:35 pm
Here are the highlights: GAO found that the Centers for Medicare & Medicaid Services (CMS) collects information on the use of the Nursing Home Compare website, which was... [read post]
13 Dec 2016, 11:47 am
In Escobar, NWC argued that when doctors submit bills to Medicare and Medicaid for their services, they are implying that they are licensed and qualified to provide patient care. [read post]
13 Dec 2016, 9:55 am
There are approximately 1.5 million seniors receiving Medicare and Medicaid paid benefits who reside in long term care facilities. [read post]
12 Dec 2016, 3:38 pm
A new Center for Medicare and Medicaid Services (CMS) Rule published on December 12 tries to deter providers from encouraging Medicare and Medicaid eligible dialysis patients to enroll iprivate health insurance offered through health insurance exchanges that provide higher reimbursement for providers than Medicare and Medicaid. [read post]
12 Dec 2016, 3:38 pm
A new Center for Medicare and Medicaid Services (CMS) Rule published on December 12 tries to deter providers from encouraging Medicare and Medicaid eligible dialysis patients to enroll iprivate health insurance offered through health insurance exchanges that provide higher reimbursement for providers than Medicare and Medicaid. [read post]
12 Dec 2016, 9:38 am
Read more… Longer Medicare set-aside waits seen as new contractor sought The Centers for Medicare and Medicaid Services call for contractor bids to review workers compensation Medicare set-aside accounts could result in longer wait times to complete such reviews, experts say. [read post]
12 Dec 2016, 8:57 am
The changes are part of an overhaul by the by the Center for Medicare & Medicaid Services (CMS) of consumer protections at long-term care facilities. [read post]
12 Dec 2016, 8:57 am
The changes are part of an overhaul by the by the Center for Medicare & Medicaid Services (CMS) of consumer protections at long-term care facilities. [read post]
12 Dec 2016, 4:08 am
The Act also requires the Administrator of the Centers for Medicare & Medicaid Services to issue an annual report for five years that summarizes the results of all closed federal investigations completed during the preceding year with findings of any serious violation regarding compliance with existing behavioral health parity requirements. [read post]
9 Dec 2016, 6:00 am
“Covered Entities” may include entities that receive federal financial assistance through their participation in Medicare or Medicaid (e.g., hospitals, nursing facilities, and home health agencies) or through grants or subsidies from HHS agencies (e.g., health clinics, community health centers, and health-related schools), state Medicaid agencies, state public health agencies, health insurance issuers that participate in the Health Insurance… [read post]
7 Dec 2016, 7:34 am
Well, co-blogger Bob V tells us that the Rocket Surgeons in DC© have just the thing:"[T]he Centers for Medicare and Medicaid Services (CMS) is offering health insurance brokers who enroll 20 or more individual consumers or 20 or more employers through the marketplace the opportunity for a “gold star” in the form of membership in the Healthcare.gov Circle of Champions. [read post]
7 Dec 2016, 2:57 am
The Centers for Medicare and Medicaid Services identify five different types of health care fraud: Medical Identity Theft; Billing for Unnecessary Services or Items; Billing for Services or Items Not Furnished; Upcoding; and Kickbacks. [read post]
5 Dec 2016, 9:00 am
Recently, the Centers for Medicare & Medicaid Services (“CMS”) issued a final rule (“Final Rule”) updating the Medicare Conditions of Participation (“CoPs”) for long-term care (“LTC”) facilities. [read post]
3 Dec 2016, 12:00 am
Under the fee-for-service method, Medicaid pays health care providers directly for Medicaid-eligible services rendered to Medicaid recipients. [read post]
30 Nov 2016, 8:29 am
Riachi submitted thousands of claims for Pelvic Floor Therapy (PFT) to Medicare and Medicaid for services that were either never provided or were otherwise false or fraudulent. [read post]
29 Nov 2016, 10:00 pm
In-home and community services for the elderly may include things such as homemaker and personal assistance services, chore maintenance, adult day care, residential repair, health screening, monitoring and maintenance, emergency response, instruction, training, transportation, hospice services and services provided in a senior center. [read post]
29 Nov 2016, 8:01 am
The Centers for Medicare and Medicaid Services (“CMS”) recently enacted a new federal regulation [42 C.F.R. [read post]
