Search for: "Centers for Medicare and Medicaid Services"
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21 Nov 2023, 2:55 pm
The Centers for Medicare & Medicaid Services (CMS) classifies migraines as a disabling headache disorder “characterized by recurrent unilateral pulsatile headaches” and has assigned an ICD-10 code for billing and reimbursement purposes. [read post]
19 Nov 2023, 11:35 am
The Centers for Medicare and Medicaid Services [CMS] has published a final rule specifying how and when CMS must calculate and impose civil money penalties [CMPs] when non-group health plan [NGHP] responsible reporting entities [RRE] fail to meet their Medicare secondary payer [MSP] reporting obligations. [read post]
17 Nov 2023, 9:05 pm
For example, the Centers for Medicare and Medicaid Services eliminated certain restrictions on telehealth, including giving reimbursements for telehealth visits for rural and urban patients and allowing telephone-only visits, explains Copeland. [read post]
17 Nov 2023, 9:11 am
On November 6, 2023, the Centers for Medicare and Medicaid Services (“CMS”) released the contract year 2025 proposed rule for Medicare Advantage (“MA”) organizations and Part D sponsors (the “Proposed Rule”). [read post]
17 Nov 2023, 5:26 am
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
The Centers for Medicare and Medicaid Services (CMS) is an agency within the U.S. [read post]
15 Nov 2023, 12:01 pm
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
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
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
” 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]
14 Nov 2023, 2:00 pm
Educate your healthcare clients on prohibitions regarding false statements for services provided to Medicare or Medicaid patients, as well as false statements made to qualify a facility for participation in a federal healthcare program. [read post]
13 Nov 2023, 5:40 pm
It creates crimes that are considered to protect the patient’s best interests by outlawing even the offer to exchange any kind of remuneration (even if it never happens) to get referrals for services or to get items that are eligible for monetary reimbursement under federal healthcare programs (e.g., Medicare, Medicaid, Tricare). [read post]
13 Nov 2023, 9:00 am
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
The Internal Revenue Service announced the 2024 HFSA, MSA and other a multitude of other adjustments likely to impact 2024 benefit elections, withholding and other tax planning for workers in Rev. [read post]
9 Nov 2023, 9:05 pm
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
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
The Internal Revenue Service announced the 2024 HFSA, MSA and other a multitude of other adjustments likely to impact 2024 benefit elections, withholding and other tax planning for workers in Rev. [read post]
8 Nov 2023, 7:36 am
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
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, 9:00 pm
Check out our Practical Guidance Author Center ! [read post]
