Search for: "Administrator for the Centers for Medicare and Medicaid Services"
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14 Apr 2022, 6:00 am
” According to Politico, the “goal is to strong arm the Centers for Medicare and Medicaid Services into covering Aduhelm, the $28,200-per-year drug, for far more people. [read post]
30 Mar 2022, 9:02 pm
Why did the Centers for Medicare & Medicaid Services (CMS) raise the standard premium so drastically? [read post]
29 Mar 2022, 5:04 pm
Where applicable, Section 2713’s preventive care mandate generally requires ACA covered plans to cover without cost sharing specified preventive health services recommended with an A or B rating by the United States Preventive Services Task Force (USPSTF) and any immunization with a recommendation by ACIP adopted by the Centers for Disease Control and Prevention (CDC), for routine use for a given individual. [read post]
28 Mar 2022, 2:03 pm
OSHA is also considering whether to limit explicitly the provisions that provide support for vaccination to employees not covered by the Centers for Medicare & Medicaid Services vaccination rule. [read post]
24 Mar 2022, 12:22 pm
Studies involving an IDE device qualify for Medicare coverage of the device and routine care services and items so long as the study is specifically approved by the Centers for Medicare and Medicaid Services (“CMS”). [read post]
23 Mar 2022, 7:12 am
AP News mentions President Biden is calling upon the Centers for Medicare and Medicaid Services to examine nursing home staffing levels across the country and to issue new regulations after a year has passed. [read post]
14 Mar 2022, 11:34 am
New proposed initiatives to prevent nursing home neglect and ensure quality care include: Mandate Minimum Staffing Levels: The Centers for Medicare and Medicaid Services (CMS) has been tasked to propose minimum standards for staffing within one year. [read post]
10 Mar 2022, 4:31 pm
In his State of the Union address, President Biden called on the Centers for Medicare & Medicaid Services (CMS) to set and maintain higher standards for “sufficient staffing” of nursing homes. [read post]
8 Mar 2022, 6:11 am
Of importance, current insurance coverage (e.g., Medicare, Medicaid, Tricare) may not provide sufficient assistance to help. [read post]
7 Mar 2022, 1:29 pm
The Centers for Medicare & Medicaid Services committed to creating a connection to voter registration services for consumers using HealthCare.gov. [read post]
3 Mar 2022, 9:32 pm
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… [read post]
3 Mar 2022, 6:43 am
One step that could be taken is for the Social Security Administration to add long COVID to its list of qualifying conditions, which would assist patients in becoming eligible for Medicaid or Medicare benefits. [read post]
2 Mar 2022, 12:53 pm
In a memorandum issued February 28, the Centers for Medicare & Medicaid Services, one of the federal agencies that promulgated the rule (along with the Employee Benefits Security Administration and the Internal Revenue Service) indicated that it was still reviewing the court’s decision and considering next steps, which could include an appeal to the U.S. [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]
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
The Centers for Medicare & Medicaid Services (CMS) will not approve a hospital for participation in the Medicare and Medicaid system unless its brick-and-mortar facilities comply with the standards of the Life Safety Code of the National Fire Protection Association (or a comparable code imposed by state law) and the association’s separate Health Care Facilities Code. [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]
15 Feb 2022, 9:13 am
According to a recent report, the Centers for Medicare & Medicaid Services (CMS) announced that it would begin to report weekend staffing and staff turnover for nursing homes with greater transparency. [read post]
11 Feb 2022, 12:39 pm
” The press release states: “Because CMC submitted claims for payment to Medicare, Medicaid, and other federal health care programs for the services referred by the cardiologist, the United States alleged that these claims were the result of unlawful kickbacks. [read post]
