Search for: "United States Centers for Medicare and Medicaid Services, Administrator for"
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6 Aug 2019, 11:14 am
United States,66 Buff. [read post]
5 Aug 2019, 8:00 am
Chronis argued on appeal that she had exhausted her administrative remedies by submitting a letter to the Centers for Medicare and Medicaid Services (CMS), but the U.S. [read post]
19 Jun 2019, 7:13 am
United States—a pre-award bid protest handled by Crowell & Moring—the Federal Circuit ruled that “workload caps” imposed by the Centers for Medicare & Medicaid Services (“CMS”) in its administration of the Medicare Program violated the Competition in Contracting Act’s (“CICA”) “full-and-open competition” requirement. [read post]
4 Jun 2019, 10:35 am
In addition, the HHS Centers for Medicare & Medicaid Services, working in conjunction with HHS-OIG, are taking steps to increase accountability and decrease the presence of fraudulent providers. * * * [read post]
24 May 2019, 10:46 pm
Her work includes both regulatory and public policy advocacy and thought leadership, as well as advising and representing a broad range of health industry and other clients about policy design, drafting, administration, business associate and other contracting, risk assessments, audits and other risk prevention and mitigation, investigation, reporting, mitigation and resolution of known or suspected violations or other incidents and responding to and defending investigations or other… [read post]
19 May 2019, 2:30 pm
In parallel with the Department’s criminal actions, the Center for Medicare Services, Center for Program Integrity (CMS/CPI) simultaneously took adverse administrative action against 130 DME companies that had submitted over $1.7 billion in claims and were paid over $900 million. [read post]
7 May 2019, 9:05 pm
Seema Verma, the current Administrator for the Centers for Medicare and Medicaid Services (CMS), has argued that the growth in Medicaid enrollment is not a cause for celebration, and that “for able bodied adults, we should celebrate helping people move up, move on, and move out” of the Medicaid program. [read post]
6 May 2019, 5:44 pm
She regularly helps employer and other health benefit plan sponsors and vendors, health industry, insurers, health IT, life sciences and other health and insurance industry clients design, document and enforce plans, practices, policies, systems and solutions; manage regulatory, contractual and other legal and operational compliance; vendors and suppliers; deal with Medicare, Medicaid, CHIP, Medicare/Medicaid Advantage, ERISA, state insurance law and… [read post]
30 Apr 2019, 10:23 am
For example, if the individual selects an app that the covered health care provider uses to provide services to individuals involving ePHI, the FAQs state that the health care provider may be subject to liability under the HIPAA Rules if the app impermissibly discloses the ePHI received. [read post]
29 Apr 2019, 9:05 pm
Third, and more generally, the ACA created the Center for Medicare and Medicaid Innovation (CMMI), which provides the Centers for Medicare and Medicaid Services with the legal authority to “test innovative payment and service delivery models” within those programs. [read post]
28 Apr 2019, 9:05 pm
On the other hand, if the right to health means a right to a specific package of health care services, that may translate into policies that resemble the health care systems in Canada or the United Kingdom more than the one currently in place in the United States. [read post]
28 Apr 2019, 9:02 pm
Defining and Establishing Goals for Medicare for All April 29, 2019 | Carmel Shachar, Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics It is increasingly difficult to find a Democratic presidential hopeful who has not paid at least some lip service to “Medicare for all. [read post]
22 Apr 2019, 9:00 am
The patient list included people across the United States. [read post]
11 Apr 2019, 4:21 am
Stamer also has extensive health care reimbursement and insurance experience advising and defending health care providers, payers, and others about Medicare, Medicaid, Medicare and Medicaid Advantage, Tri-Care, self-insured group, association, individual and group and other health benefit programs and coverages including but not limited to advising public and private payers about coverage and program design and documentation, advising and defending providers,… [read post]
26 Mar 2019, 1:34 pm
Cap Medicaid reimbursement to health care providers operated by a unit of government to the provider’s cost of providing services. [read post]
26 Mar 2019, 10:24 am
Diabetes is the 7th leading cause of death in the United States (and may be underreported). [read post]
25 Mar 2019, 1:09 pm
The letter is addressed to the head of the Office of Inspector General (OIG) and the Administrator of the Centers for Medicare & Medicaid Services (CMS). [read post]
7 Mar 2019, 8:04 am
Last fall, the Trump administration proposed new rules for the Centers for Medicare and Medicaid Services in an effort to “reform Medicare regulations that are identified as unnecessary, obsolete, or excessively burdensome on health care providers and suppliers. [read post]
7 Feb 2019, 3:03 pm
In June 2018, an HHS Administrative Law Judge ruled in favor of OCR and required The University of Texas MD Anderson Cancer Center (MD Anderson), a Texas cancer center, to pay $4.3 million in civil money penalties for HIPAA violations. [read post]
28 Jan 2019, 10:17 am
The federal agency that directly oversees the MassHealth agency in the federal-state structure, the Centers for Medicare and Medicaid Services, is a part of the U.S. [read post]
