Search for: "CMS Medical Service"
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7 Mar 2022, 2:07 pm
The Centers for Medicare & Medicaid Services (CMS) notified Mallinckrodt in 2016 that it had been reporting an incorrect base AMP for Acthar and directed the company to correct its data reporting. [read post]
2 Mar 2022, 12:53 pm
Important to providers, CMS emphasized that the court’s order does not affect its other rulemaking related to the No Surprises Act. [read post]
24 Feb 2022, 6:29 am
The federal agency that oversees Medicare, the Centers for Medicare & Medicaid Services (CMS), performs few audits itself, but outsources these duties to a series of independent contractors, such as Medicare Administrative Contractors (MACs), Unified Program Integrity Contractors (UPICs), and the Supplemental Medical Review Contractor (SRMC). [read post]
24 Feb 2022, 6:10 am
Unfortunately, not all hospitals provide the same level of service to their patients. [read post]
23 Feb 2022, 4:27 am
With respect to administrative reviews, both private health insurer anti-fraud units and Unified Program Integrity Contractors (UPICs) for the Center for Medicare and Medicaid Services (CMS) have moved forward with Medicaid audits of dental claims around the country. [read post]
22 Feb 2022, 5:01 am
Likewise, CMS requires that hospital food and dietetic services must meet individual patient nutritional needs “in accordance with recognized dietary practices. [read post]
21 Feb 2022, 6:25 am
The Centers for Medicare & Medicaid Services (CMS) contracts with a Supplemental Medical Review Contractor (SMRC), which performs a variety of Medicare and Medicaid audit and medical review tasks. [read post]
18 Feb 2022, 4:36 pm
Previous blog posts provided an overview of the Centers for Medicare and Medicaid Services’s (“CMS”) Vaccine Mandate and addressed whether boosters are required. [read post]
10 Feb 2022, 9:03 pm
Layton, professor of health care policy at Harvard Medical School, discussed why Centers for Medicare and Medicaid Services (CMS) should abandon its proposal for a new method of “scoring” the health risks of patients enrolled in different insurance plans. [read post]
10 Feb 2022, 9:00 am
., Board Certified by The Florida Bar in Health Law Recently it has come to our attention that there may be a nationwide effort by the Centers for Medicare and Medicaid Services (CMS) Medicare Administrative Contractors (MACs) to squelch physicians who prescribe opioids and other narcotic medications. [read post]
9 Feb 2022, 4:31 pm
According to the Centers for Medicare and Medicaid Services (CMS), spending in the U.S. health care industry accounts for almost a fifth (19.7%) of our Gross Domestic Product (GDP) with $4.1 Trillion (yes, trillion) spent in health care during the calendar year 2020 alone. [read post]
8 Feb 2022, 2:31 pm
In October 2020, the company entered a contract with the Centers for Medicare and Medical Services (CMS) to provide technology security services. [read post]
7 Feb 2022, 11:09 am
Per the Centers for Medicare & Medicaid Services (CMS), you can dispute your bill if: The service was provided in 2022, Your actual bill is at least $400 more than the estimate, and You file the dispute within 120 days of the billing date. [read post]
3 Feb 2022, 6:00 am
The Centers for Medicare & Medicaid Services (CMS) authorizes several types of contractors to conduct audits, such as Medicare Administrative Contractors (MACs), Recovery Audit Contractors (RACs), Unified Program Integrity Contractors (UPICs), and the Supplemental Medical Review Contractor (SRMC). [read post]
2 Feb 2022, 1:16 pm
Our previous blog post provided an overview of the Centers for Medicare and Medicaid Services’ (“CMS”) Vaccine Mandate and addressed two basic questions of the mandate: What providers are covered and what’s the timeline to comply? [read post]
1 Feb 2022, 4:08 pm
CMS adjusts the payments for various “risk” factors that affect expected healthcare expenditures to ensure that plans are paid more for enrollees who pose a greater risk. [read post]
1 Feb 2022, 8:00 am
Missouri , the Court ruled that the Centers for Medicare & Medicaid Services (CMS) rule should be allowed to take effect nationwide as the lower courts consider legal challenges. [read post]
26 Jan 2022, 9:03 pm
But the administrator of MIPS—the Centers for Medicare & Medicaid Services (CMS)—projects that future developments of the program might address these challenges. [read post]
26 Jan 2022, 1:44 pm
President Biden issued the mandate by executive order, claiming authority under the Federal Property and Administrative Services Act (FPASA). [read post]
25 Jan 2022, 2:46 pm
This requirement takes the form of an Emergency Declaration issued by the Centers for Medicare & Medicaid Services (“CMS”). [read post]