Search for: "CMS Health Care Provider"
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23 Apr 2014, 2:00 am
., The Health Law Firm The Affordable Care Act (ACA) requires the Centers for Medicare and Medicaid Services (CMS) to establish a process for sharing information about terminated Medicaid providers. [read post]
18 Oct 2018, 2:47 pm
CMS notes, however that “[a]cceptance by individual health care providers, or even a limited group of health care providers, does not indicate general acceptance of the item or service by the medical community. [read post]
8 Oct 2014, 9:51 am
“Care planning, coordination of services, and quality of care” would incorporate the interdisciplinary team approach to provide home health services focusing on the care planning, coordination of services, and quality of care processes. [read post]
12 Feb 2014, 8:00 am
Whistleblowers can help the government and the health care system recover millions, if not billions, of dollars that can help the entire health care system and every consumer of medical care. [read post]
16 Feb 2017, 11:24 am
Essential Community Providers CMS proposes to change the minimum percentage of essential community providers (ECPs) required to be a part of a qualified health plan provider network to 20 percent (lowered from 30 percent) for the 2018 plan year. [read post]
5 Nov 2021, 8:28 am
On November 4, 2021, the Centers for Medicare and Medicaid Services (CMS) issued an interim final rule requiring that Medicare-certified providers implement policies for vaccination of all health care workers against COVID-19. [read post]
25 Sep 2017, 3:04 pm
Mental and behavioral health models that enhance care integration and/or utilize episode payment, particularly in focus areas such as opioids, substance use disorder, dementia, and improving mental healthcare provider participation in Medicare, Medicaid, and CHIP. [read post]
14 May 2014, 9:00 am
On May 7, 2014, the Centers for Medicare and Medicaid Services (“CMS”) issued a Final Rule to reform Medicare regulations identified as “unnecessary, obsolete, counterproductive or excessively burdensome” to hospitals and other health care providers. [read post]
8 Jul 2013, 10:47 am
Unfortunately, many health care providers don’t recognize that overbilling private payers can carry similar risks and liabilities. [read post]
20 Dec 2016, 6:42 am
In the second BEI model, the Direct Decision Support (DDS) Model, CMS will partner with a maximum of seven Decision Support Organizations (DSOs), organizations that provide health management and decision support services, to test shared decision making provided outside of the clinical delivery system. [read post]
21 Sep 2020, 5:42 am
According to CMS, the CHART Model “will test whether aligned financial incentives, increased operational flexibility, and robust technical support promote rural health care providers’ capacity to implement effective health care delivery system redesign on a broad scale. [read post]
13 Sep 2013, 7:40 am
Filed under: Data Security, Employee Benefits, ERISA, Fiduciary Responsibility, Health Plans, Patient Protection and Affordable Care Act, Uncategorized Tagged: Affordable Care Act, e-health, Employee Benefits, ERISA, Exchange Notice, Health IT, Health Plans, Model NOtices, Section 18B [read post]
5 Feb 2013, 12:53 pm
On January 30, 2013, the Department of Health and Human Services (HHS) announced a proposed rule to provide women with coverage for recommended preventative care, including contraceptives, without charging the beneficiary a co-pay or deductible. [read post]
10 May 2019, 1:25 pm
The Centers for Medicare & Medicaid Services (CMS) released a draft guidance for state survey agencies on May 3, 2019, impacting hospitals that share space, staff, and/or services with another co-located hospital or health care entity. [read post]
7 Aug 2008, 5:54 pm
A recent Health Care Alert from Krieg DeVault LLP provides a more detailed analysis of these changes. [read post]
28 Aug 2018, 7:31 am
Currently, subject to certain exceptions, Medicare reimbursements for certain telehealth services are statutorily limited by the type of health care professional providing the service, and the geographic location of the patient (namely, the patient must be located within a “Health Professional Shortage Area” for a provider to seek reimbursement for certain telehealth services). [read post]
28 Aug 2018, 7:31 am
Currently, subject to certain exceptions, Medicare reimbursements for certain telehealth services are statutorily limited by the type of health care professional providing the service, and the geographic location of the patient (namely, the patient must be located within a “Health Professional Shortage Area” for a provider to seek reimbursement for certain telehealth services). [read post]
30 Dec 2014, 12:43 pm
Additionally, CMS eliminated the requirement that home health therapy reassessments be performed at the 13th and 19th visits. [read post]
30 Mar 2012, 6:58 am
Department of Health and Human Services (HHS) issued a report earlier this month detailing a study of excluded providers in Medicaid’s managed care network. [read post]
25 Sep 2018, 1:05 pm
CMS is hosting an October 5, 2018 “Provider Compliance Focus Group” meeting to address several Medicare fee-for-service compliance topics, including the Recovery Audit Contractor (RAC) and targeted probe and educate programs. [read post]
