Search for: "United States Centers for Medicare and Medicaid Services, Administrator for"
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3 Feb 2020, 5:30 am
The Centers for Medicare & Medicaid Services (CMS) has announced a controversial plan to allow states to apply to participate in a new Medicaid “Healthy Adult Opportunity” (HAO) Demonstration. [read post]
30 Jan 2020, 1:37 pm
Further, in line with Goal 2, the Anti-Kickback Statute Safe Harbors and Stark Law Exceptions proposed by HHS’ Office of Inspector General (OIG) and Centers for Medicare & Medicaid Services (CMS), respectively, aim to modernize these federal fraud and abuse law protections by removing barriers that currently thwart the efforts of health care providers to engage patients and coordinate care. [read post]
28 Jan 2020, 9:58 pm
” Additionally, OCR stated that the fee limitation set forth at 45 C.F.R. [read post]
1 Jan 2020, 10:35 am
Insurers, third of art administrators and others also can face duties and liabilities under state insurance and data privacy laws from regulator or private litigant actions. [read post]
18 Dec 2019, 10:03 am
It currently operates approximately 160 pharmacies in 47 states across the United States, which dispense tens of millions of prescription drugs to LTC facilities that serve elderly and disabled individuals. [read post]
16 Dec 2019, 3:13 pm
TX HHSC now administers and provides the services previously provided by DADS as part of its broader operation of state supported living centers; provision of mental health and substance use services; regulation of child care and nursing facilities; and administration of hundreds of other programs for people needing supplemental nutrition benefits, Medicaid and certain other assistance including those previously provided by DADS. [read post]
10 Dec 2019, 4:02 pm
Total U.S. national healthcare spending in 2018 grew 4.6 percent according to a study conducted by the Office of the Actuary at the Centers for Medicare & Medicaid Services (CMS). [read post]
7 Dec 2019, 9:54 am
Stamer has worked extensively with domestic and international hospitals, health care systems, clinics, skilled nursing, long term care, rehabilitation and other health care providers and facilities; medical staff, accreditation, peer review and quality committees and organizations; billing, utilization management, management services organizations, group purchasing organizations; pharmaceutical, pharmacy, and prescription benefit management and organizations; consultants; investors;… [read post]
20 Nov 2019, 12:26 pm
On November 12, 2019, the Centers for Medicare & Medicaid Services (CMS) published a proposed rule for public inspection entitled Medicaid Fiscal Accountability Regulation. [read post]
15 Nov 2019, 3:00 am
They charged up to $380 per hour for work traditionally handled by dozens of career civil servants in the Centers for Medicare and Medicaid Services’ communications department. [read post]
12 Nov 2019, 6:39 am
On November 1, 2019, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that updates the Medicare Physician Fee Schedule (PFS) rates and policies for calendar year (CY) 2020 and expands Medicare coverage to opioid treatment programs (OTPs) that treat beneficiaries with opioid use disorder (OUD). [read post]
7 Nov 2019, 10:01 pm
In United States v. [read post]
7 Nov 2019, 9:30 am
Tenet Healthcare, a healthcare giant that operates 65 hospitals and conducts over 10 million patient encounters annually, has agreed in principle to pay the United States roughly $66M to settle allegations that it violated the Stark Law and the Anti-Kickback Statute. [read post]
4 Nov 2019, 11:51 am
On October 31, 2019, the Centers for Medicare & Medicaid Services (CMS) released its final rule with comment period that sets forth updates to the home health prospective payment system (HH PPS) for calendar year (CY) 2020 and includes other policy changes for home health agencies (HHA). [read post]
31 Oct 2019, 9:05 pm
House of Representatives passed the Prescription Drug Pricing Reduction Act (PDPRA) that would require the Centers for Medicare and Medicaid Services (CMS) to release payment information about prescription drugs and pharmacy benefit managers. [read post]
16 Oct 2019, 2:33 pm
PROVIDER SCREENING AND OTHER ENROLLMENT REQUIREMENTS UNDER MEDICARE, MEDICAID, AND CHIP. [read post]
15 Oct 2019, 9:00 am
Who can order drugs or devices in the United States and overseas? [read post]
18 Sep 2019, 2:08 pm
Big Changes to CMS Form 855 are on the Horizon (September 18, 2019): On September 10, 2019, the Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS), published a Final Rule in the Federal Register entitled “Medicare, Medicaid, and Children’s Health Insurance Programs; Program Integrity Enhancements to the Provider Enrollment Process. [read post]
18 Sep 2019, 2:08 pm
(September 18, 2019): On September 10, 2019, the Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS), published a Final Rule in the Federal Register entitled “Medicare, Medicaid, and Children’s Health Insurance Programs; Program Integrity Enhancements to the Provider Enrollment Process. [read post]
17 Aug 2019, 11:56 am
In this case, a well-respected state university health science center filed a self-disclosure with the OIG for submitting claims to Medicare using the NPIs of multiple physicians who did not render or supervise the services at issue. [read post]
