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On Thursday, October 17, 2019, the Centers for Medicare & Medicaid Services (CMS) and the Department of Health and Human Services (HHS) Office of Inspector General (OIG) will publish in the Federal Register two proposals to implement major changes to Stark Law and Anti-Kickback Statute (AKS) regulations. [read post]
19 Mar 2019, 11:30 am by Doyle, Barlow & Mazard PLLC
  First, the Centers for Medicare & Medicaid Services (“CMS”) proposes to change how insurance plans and PBMs conduct drug utilization management and structure drug formularies. [read post]
20 Jun 2023, 5:55 am by Jennifer Papapanagiotou
COVID-19 Vaccine Mandate Update (June 20, 2023): In response to the recent public health crises, the Centers for Medicare & Medicaid Services (CMS) first implemented a vaccine mandate for healthcare providers in late 2021. [read post]
16 Sep 2013, 11:00 am
The Department of Health and Human Services Office of Inspector General (OIG) released a report in 2011 finding that antipsychotic drugs given to elderly residents of nursing homes were not administered in compliance with standards set forth by the Center for Medicare and Medicaid Services (CMS). [read post]
24 May 2016, 9:46 am by Kevin S. Little
Department of Health and Human Resources (HHS) to recover payments it made to Medicare, having previously refunded the payments to Medicare based on Medicare’s notice of overpayment. [read post]
29 Mar 2008, 1:53 pm
Department of Health & Human Services has just published a Web site that allows citizens to compare patient satisfaction with various hospitals. [read post]
7 Mar 2011, 8:06 pm by Cynthia Marcotte Stamer
 The Centers for Medicare & Medicaid Services (CMS) on March 7, 2011 published proposed consumer disclosure notices that it proposes to require insurers proposing rate increases over 10 percent to electronically file in furtherance of CMS’ implementation of the Affordable Care Act premium rate review regulation published by HHS in December of 2010. [read post]
21 Dec 2018, 10:43 am by Robert Liles
Department of Health and Human Services (HHS), has defined the term “telehealth” as the: “[U]se of electronic communication and information technologies to provide or support long-distance clinical health care, patient professional health-related education, public health, and health administration. [read post]
16 Jul 2018, 12:47 pm by Robert Liles
  Have you received notice of a prepayment or audit of your claims from a MAC or UPIC contractor working for the Centers for Medicare and Medicaid Services? [read post]
Comments may be submitted electronically to www.regulations.gov, or by mail to: Centers for Medicare & Medicaid Services, Department of Health and Human Services, Attention: CMS-9915-P, P.O. [read post]
15 Sep 2015, 4:42 am by Cynthia Marcotte Stamer
Associations, Consumer Operated and Oriented Plan (CO-OP) Programs, Stand Alone Dental Plans, Federally-faciliated Marketplace (FFM) Issuers, State Based Marketplaces, SBM Issuers, and Small Business Health Options Program (SHOP) issuers should review the Centers for Medicare & Medicaid Services (CMS) Payment Policy & Financial update on CMS’ policies regarding the administration of the enrollment and payment data reporting requirements of… [read post]
24 May 2016, 9:46 am by Kevin S. Little
Department of Health and Human Resources (HHS) to recover payments it made to Medicare, having previously refunded the payments to Medicare based on Medicare’s notice of overpayment. [read post]
24 Jun 2013, 11:51 am
The report indicates that The Health Information Technology for Economic and Clinical Health Act of 2009 and the Centers for Medicare & Medicaid Services “meaningful use” incentive programs as well as additional requirements for detailed reporting of quality metrics have been major catalysts for the development and implementations of EDISs. [read post]
9 Dec 2015, 12:12 pm
In fiscal year 2014, the Centers for Medicare & Medicaid Services (CMS), conducted audits of more than one billion claims in an effort to curb approximately $60 billion in improper Medicare payments. [read post]
9 Dec 2015, 12:12 pm
In fiscal year 2014, the Centers for Medicare & Medicaid Services (CMS), conducted audits of more than one billion claims in an effort to curb approximately $60 billion in improper Medicare payments. [read post]
“Hidden healthcare prices have produced a dysfunctional system that serves special interests but leaves patients out in the cold,” says Seema Verma, administrator of HHS’s Centers for Medicare and Medicaid Services, in a statement announcing the final rule. [read post]
22 Aug 2024, 7:33 am by jeffreynewmanadmin
A U.S. government report by the National Toxicology Program of the Department of HEalth and Human services says thathat fluoride in drinking water at twice the recommended limit is linked with lower IQ in children. [read post]
24 Dec 2015, 8:20 am by Green and Associates
Department of Health and Human Services (HHS) Centers for Medicare and Medicaid Services (CMS) suspended payments to Dynasplint based upon the allegations in the lawsuit which it found to contain credible allegations of fraud in the claims and billing. [read post]