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The Centers for Medicare & Medicaid Services (CMS) has published its final rule that requires nursing homes enrolled in Medicare and Medicaid to disclose additional ownership and management information to CMS and state Medicaid agencies. [read post]
16 Nov 2023, 8:47 am by Rio Matsumoto
The Centers for Medicare and Medicaid Services (CMS) is an agency within the U.S. [read post]
15 Nov 2023, 12:01 pm by jeffreynewmanadmin
The Center for Medicare and Medicaid has issued new rules requiring the disclosure of ownership of nursing homes and skilled nursing facilIties, including ownership by private equity firms. [read post]
15 Nov 2023, 9:00 am by Wachler & Associates, P.C.
On November 2, 2023, the Centers for Medicare & Medicaid Services (CMS) issued a final rule outlining the 2024 Medicare payment rates and policy updates for hospital outpatient and Ambulatory Surgical Center (ASC) services. [read post]
15 Nov 2023, 8:32 am by Sarah Cummings Stewart and Ryan Pate
DOJ alleged that the MAO received more than $53 million in overpayments from the Centers for Medicare & Medicaid Services (“CMS”) due to false diagnoses submitted on reimbursement claims for beneficiaries enrolled in the MAO’s plans. [read post]
15 Nov 2023, 7:56 am by Irene
” Healthcare is among the biggest expenses with Medicaid costs for “emergency services for undocumented aliens” exceeding $12.4 billion in the last two years, according to figures provided to committee members by the Centers for Medicare and Medicaid Services. [read post]
13 Nov 2023, 9:00 am by Karen Mandelbaum, Devon Minnick
The Centers for Medicare and Medicaid Services (“CMS”) designed the Guiding an Improved Dementia Experience (“GUIDE”) model (the “Model”) for health care providers enrolled in Medicare Part B and that treat ... [read post]
10 Nov 2023, 1:35 pm by Cynthia Marcotte Stamer
quickly to implement and communicate 2024 health spending account (“HFSA”), high deductible health plan amounts relevant to determining eligibility to contribute to a medical savings account (“MSA”), adoption credit and exclusion limits, and other inflation-adjusted limitations relevant to the annual enrollment, withholding and other year-end tax and benefit planning of workers and their families to assist workers to take into account these adjustments during 2024 benefit… [read post]
9 Nov 2023, 9:05 pm by Brian Connor
The Centers for Medicare and Medicaid Services (CMS) proposed a new rule that would revise the Medicare Advantage Program and the Medicare Prescription Drug Benefit Program. [read post]
9 Nov 2023, 1:48 pm by Cynthia Marcotte Stamer
  This  involvement encompasses helping health care systems and organizations, group and individual health care providers, health plans and insurers, health IT, life sciences and other health industry clients prevent, investigate, manage and resolve  sexual assault, abuse, harassment and other organizational, provider and employee misconduct and other performance and behavior; manage Section 1557, Civil Rights Act and other discrimination and accommodation, and other regulatory,… [read post]
9 Nov 2023, 1:07 pm by Cynthia Marcotte Stamer
quickly to implement and communicate 2024 health spending account (“HFSA”), high deductible health plan amounts relevant to determining eligibility to contribute to a medical savings account (“MSA”), adoption credit and exclusion limits, and other inflation-adjusted limitations relevant to the annual enrollment, withholding and other year-end tax and benefit planning of workers and their families to assist workers to take into account these adjustments during 2024 benefit… [read post]
8 Nov 2023, 10:19 am by Robin E. Kobayashi
LexisNexis has selected some recently issued noteworthy IMR decisions that illustrate the criteria that must be met to obtain authorization for a variety of different medical treatment modalities. [read post]
Make the attestation online via the Centers for Medicare & Medicaid Services Website no later than the due date (discussed below). [read post]
7 Nov 2023, 12:23 pm by Julia Kourpas
As of October 2nd, 2023, the American Health Care Association (AHCA) announced that they would continue to fight against the proposed federal staffing mandate by the Centers for Medicare and Medicaid Services (CMS). [read post]
6 Nov 2023, 7:32 am by Mary Anne Peck
CMS Cutting Payments to Doctors, Hospitals Doctors will see a 1.25% reduction in Medicare reimbursements next year due to a final rule issued by the Centers for Medicare and Medicaid Services. [read post]
6 Nov 2023, 7:02 am by Amber Walsh
Specifically, OIG found that the bonus compensation would constitute an amount paid “by an employer to an employee for employment in the furnishing of any item or service for which payment may be made in whole or in part under Medicare, Medicaid, or other Federal health care programs. [read post]
5 Nov 2023, 3:10 pm by Cynthia Marcotte Stamer
OCR’s investigation determined that, in addition to that impermissible disclosure, DADS violated the HIPAA Security Rule by failing to conduct an enterprise-wide risk analysis and implement access and audit controls on Community Living Assistance and Support Services and Deaf Blind with Multiple Disabilities (“CLASS/DBMD”) program information systems and applications intended to collect and report information about “Utilization Management and Review” activities to the… [read post]