Search for: "Centers for Medicare and Medicaid Services"
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18 Dec 2023, 10:00 pm
Since our publication on disenrollments caused by the “unwinding” of Medicaid’s continuous enrollment condition , the Centers for Medicare and Medicaid Services (CMS) issued an interim final rule on December 6, 2023 implementing the requirement under the Consolidated Appropriations Act for CMS to withhold federal Medicaid funding from states that do not report monthly unwinding data. [read post]
18 Dec 2023, 10:00 pm
Since our publication on disenrollments caused by the “unwinding” of Medicaid’s continuous enrollment condition , the Centers for Medicare and Medicaid Services (CMS) issued an interim final rule on December 6, 2023 implementing the requirement under the Consolidated Appropriations Act for CMS to withhold federal Medicaid funding from states that do not report monthly unwinding data. [read post]
18 Dec 2023, 10:00 pm
Since our publication on disenrollments caused by the “unwinding” of Medicaid’s continuous enrollment condition , the Centers for Medicare and Medicaid Services (CMS) issued an interim final rule on December 6, 2023 implementing the requirement under the Consolidated Appropriations Act for CMS to withhold federal Medicaid funding from states that do not report monthly unwinding data. [read post]
18 Dec 2023, 10:00 pm
Since our publication on disenrollments caused by the “unwinding” of Medicaid’s continuous enrollment condition , the Centers for Medicare and Medicaid Services (CMS) issued an interim final rule on December 6, 2023 implementing the requirement under the Consolidated Appropriations Act for CMS to withhold federal Medicaid funding from states that do not report monthly unwinding data. [read post]
18 Dec 2023, 5:00 am
The Centers for Medicare & Medicaid Services (CMS) recently issued the final rule for the physician fee schedule (PFS) for calendar year (CY) 2024, which implements new evaluation and management (E/M) policies and solidifies certain existing telehealth policies. [read post]
15 Dec 2023, 9:00 am
From a Virginia federal district court’s determination that a judgment for attorney’s fees had priority over Internal Revenue Service (IRS) tax liens, to the Centers for Medicare and Medicaid Services’ issuance of a final rule requiring disclosure of ownership information for nursing facilities and a new Texas law providing charging order protection for single-member limited liability companies (LLCs), we have recently seen significant… [read post]
15 Dec 2023, 6:28 am
Oakwood was later cited and fined almost $100k by The Centers for Medicare and Medicaid Services. [read post]
14 Dec 2023, 12:42 pm
Senator Deb Fischer of Nebraska recently pledged to introduce a bill that would ultimately halt the Centers for Medicare and Medicaid Services (CMS) from implementing the staffing mandate that was proposed in early September. [read post]
14 Dec 2023, 9:00 am
In this episode of the Diagnosing Health Care Podcast: Under the Biden administration, the Centers for Medicare & Medicaid Services published a health equity framework that drastically changed the playing field for health plans and other risk-bearing entities. [read post]
14 Dec 2023, 6:51 am
However, the same plan may only cover personal care services in a nursing home setting because skilled nursing services and options like physical therapy are typically covered by Medicare, Medicaid, and other payers when they occur in a nursing home setting. [read post]
13 Dec 2023, 10:16 am
For the first time, the Medicare/Medicaid folks are releasing the names of owners of Federally qualified health centers and rural health clinics, presumably to give non-Federal regulators and private attorneys a road-map of interlocking referrals and other arrangements which may jack up or fix market pricing. [read post]
12 Dec 2023, 8:09 am
It permits providers to deliver all services required rather than only those reimbursable under Medicare and Medicaid plans. [read post]
11 Dec 2023, 2:00 am
False Claims Act Violations: If proven, submitting false or fraudulent claims to government healthcare programs like Medicare or Medicaid could invoke the False Claims Act. [read post]
7 Dec 2023, 8:32 am
It is good practice to have the Centers for Medicare & Medicaid Services (“CMS”) review and approve the MSA prior to the parties’ finalizing settlement. [read post]
30 Nov 2023, 9:05 pm
The Centers for Medicare and Medicaid issued a final rule updating payment systems and reporting requirements for several Medicare programs, including the Medicare Hospital Outpatient Prospective Payment System. [read post]
30 Nov 2023, 8:22 am
Over half received “below average” or “much below average” ratings from the Centers for Medicare and Medicaid Services. [read post]
29 Nov 2023, 5:04 pm
This measure, together with new pharmacy contracting requirements and related enforcement provisions also included in the bill, would represent an important—albeit limited—modification to pharmacy network contracting rules under Part D, which have been limited by the statutory “non-interference clause” barring the Centers for Medicare and Medicaid Services (CMS) from interfering in contract negotiations between pharmacies and plans or their… [read post]
28 Nov 2023, 10:00 am
This price comparison tool allows plan participants to “shop” and compare cost sharing regarding 500 “shoppable” services identified by the Centers for Medicare & Medicaid Services (CMS). [read post]
27 Nov 2023, 11:59 am
The Centers for Medicare and Medicaid Services (CMS) pays MA Plans a fixed (also known as capitated) amount for each enrolled beneficiary. [read post]
22 Nov 2023, 3:16 pm
That has led them to assisted living centers run by for-profit companies and pri [read post]
