Search for: "CMS CONTRACT MANAGEMENT SERVICES" Results 261 - 280 of 439
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30 Sep 2014, 6:30 am by Jacob Lazarovic, M.D.
As of June 2014, there are said to be 626 ACOs across the country, of which 329 have government contracts, 210 have commercial contracts, 74 have both, and 13 are in development. [read post]
10 Sep 2014, 5:48 am by David DePaolo
"The remaining 5% of IMEs not sent to one of the contract organizations went to out-of-state physicians. [read post]
19 Aug 2014, 7:18 am by Debra A. McCurdy
The Centers for Medicare & Medicaid Services (CMS) published the final FY 2015 Medicare skilled nursing facility (SNF) prospective payment system (PPS) rule on August 5, 2014 (Final Rule). [read post]
11 Aug 2014, 4:14 am by Ben Vernia
CMS then used those PDE claims to calculate Medicare payments to Part D sponsors with whom Argus contracted, which improperly increased reimbursement to the sponsors. [read post]
8 Aug 2014, 5:40 am by Cynthia Marcotte Stamer
The Centers for Medicare and Medicaid Services (CMS) plans to run the first risk adjustment and reinsurance calculation estimates in mid-December, 2014 using data to be collected from insurers and TPAs on the EDGE system. [read post]
15 May 2014, 12:52 am by Debra A. McCurdy
CMS is accepting comments until July 1, 2014 on limited provisions impacting the FQHC PPS, including chronic care management, the use of new “G Codes” for Medicare payment to FQHCs under the PPS, and calculation of coinsurance for preventive services. [read post]
16 Mar 2014, 11:46 am
The report called on the federal Agency for Healthcare Research and Quality and the Centers for Medicare & Medicaid Services (CMS) to promote patient safety efforts in nursing homes as they have done in hospitals. [read post]
7 Mar 2014, 6:00 am by Christopher G. Hill
The contract for the construction management services listed above was solicited on a qualifications basis to satisfy California Code Section 4526. [read post]
4 Mar 2014, 9:51 am by Cynthia Marcotte Stamer
The Centers for Medicare & Medicaid Services (CMS) has revised its guidance in its Non-Group Health Plan (NGHP) User Guide to clarify the reporting threshold for certain liability (including Self-Insurance) Settlements, Judgment Awards, or other Payments under the provisions of the Medicare Secondary Payer Mandatory Reporting Provisions in Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007, 42 U.S.C. 1395y(b)(7)&(b)(8) (the “Secondary Payer… [read post]
27 Feb 2014, 11:23 am
            The Rostholder decision arose out of a qui tam lawsuit filed by a pharmacist/operations manager against Omnicare, the parent company of his former employer, Heartland Repack Services (Heartland). [read post]
10 Feb 2014, 4:16 pm by Cynthia Marcotte Stamer
Stamer is recognized, internationally, nationally and locally for her more than 25 years of work, advocacy, education and publications on cutting edge health and managed care, employee benefit, human resources and related workforce, insurance and financial services, and health care matters. [read post]
5 Feb 2014, 2:46 pm
On January 10, 2014, the Centers for Medicare & Medicaid Services (CMS) proposed significant changes to the Medicare Prescription Drug Benefit (Part D) Program. [read post]
27 Jan 2014, 10:37 am by Jerri Lynn Ward, J.D.
–  HHSC proposed to amend Chapter 9, Intellectual Disability Services — Medicaid State Operating Agency Responsibilities, Subchapter D, HCS Program. [read post]
20 Jan 2014, 5:00 pm by Cynthia Marcotte Stamer
Postal Service contracts to resolve DOL charges that the company violated the McNamara-O’Hara Service Contract Act by not paying drivers required fringe benefits. [read post]
19 Jan 2014, 1:34 pm by Sabrina I. Pacifici
 The Centers for Medicaid and Medicare Services (CMS) announced last week it was firing CGI Federal, and bringing on Accenture to finish the website. [read post]
19 Jan 2014, 1:31 pm
“Additionally, without a Financial Management platform that accounts for enrollments and associated program costs that integrates with the existing CMS Accounting platform, the entire healthcare reform program is jeopardized. [read post]
30 Dec 2013, 10:20 am by Jerri Lynn Ward, J.D.
HHSC also intends to submit to CMS a request for an amendment to DBMD waiver program to update unduplicated count and point-in-time limits, change the name from consumer directed services agencies to financial management services agencies, and other changes. [read post]
26 Dec 2013, 9:36 pm by Cynthia Marcotte Stamer
Her widely respected publications and programs include more than 25 years of publications on health plan contracting, design, administration and risk management including a “Managed Care Contracting Guide” published by the American Health Lawyers Association and numerous other works on vendor contracting. [read post]
26 Dec 2013, 9:16 pm by Cynthia Marcotte Stamer
Her widely respected publications and programs include more than 25 years of publications on health plan contracting, design, administration and risk management including a “Managed Care Contracting Guide” published by the American Health Lawyers Association and numerous other works on vendor contracting. [read post]