Search for: "United States Centers for Medicare and Medicaid Services, Administrator for"
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9 Jan 2019, 1:39 pm
The owner of a Harris County home health agency was indicted by a Federal Grand Jury for Conspiracy to Defraud the United States, paying and Receiving Health Care Kickbacks, and substantive violations of the Federal Anti-Kickback Statute. [read post]
8 Jan 2019, 12:38 pm
In addition, burden arising from quality reporting, documentation, administrative, and billing requirements that prescribe how health IT systems are designed also hamper the innovative usability of health IT. [read post]
27 Dec 2018, 2:00 pm
All federal agencies, including those of the Department of Health and Human Services (such as the Centers for Medicare and Medicaid Services(CMS)) are required to identify and repeal existing guidance documents that are outdated, unnecessary, inconsistent with existing law, or other improper. [read post]
21 Dec 2018, 10:43 am
Medicaid Telehealth Services: As with the case of Medicare, state Medicaid telehealth guidelines require that all qualified practitioners providing telehealth services meet the requirements of their State Practice Act. [read post]
17 Dec 2018, 11:54 am
United States and California (Civil Action No. 4:18-cv-00167) (previous HL Pulse discussion here). [read post]
15 Dec 2018, 7:41 am
Assuming that an appeal proceeds, a Court of Appeals would hear the appeal before an almost certain appeal by the losing side in that appeal to the United States Supreme Court, where President Trump’s new appointee would hear the action. [read post]
13 Dec 2018, 12:15 pm
Stamer also has extensive health care reimbursement and insurance experience advising and defending plan sponsors, administrators, insurance and managed care organizations, health care providers, payers, and others about Medicare, Medicaid, Medicare and Medicaid Advantage, Tri-Care, self-insured group, association, individual and employer and association group and other health benefit programs and coverages including but not limited to advising public and… [read post]
27 Nov 2018, 2:42 pm
The Centers for Medicare & Medicaid Services (CMS) has issued its final Medicare physician fee schedule (PFS) rule for calendar year (CY) 2019. [read post]
18 Nov 2018, 8:30 pm
Formerly known as Carolinas HealthCare System, the dominant health care provider in the Charlotte, North Carolina area, and one of the largest not-for-profit healthcare systems in the United States, Atrium provides healthcare services throughout the Carolinas, including in hospitals, freestanding emergency departments, urgent care centers, physician practices, outpatient surgery centers, imaging centers, nursing homes, and laboratories. [read post]
15 Nov 2018, 10:00 pm
The Centers for Medicare and Medicaid Services will now allow state Medicaid directors to apply for reimbursement of inpatient mental illness treatment. [read post]
15 Nov 2018, 9:30 pm
The proposed rule gives the Centers for Medicare and Medicaid Services (CMS) regulatory authority over list prices in television advertisements—authority that would typically fall under the ambit of the U.S. [read post]
6 Nov 2018, 10:56 am
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]
25 Oct 2018, 9:30 pm
Although Sachs recognizes that pharmaceuticals are a “fruitful avenue” for mental health treatments, data sharing between the National Institutes of Health (NIH) and the Centers for Medicare and Medicaid Services (CMS) would enhance mental health innovations beyond the pharmaceutical industry, she says. [read post]
17 Oct 2018, 6:33 am
Through these actions, the United States contended that ABC caused false claims to be submitted to the Centers for Medicare and Medicaid Services (“CMS”), the Department of Defense’s Defense Health Agency, which administers TRICARE, the Office of Personnel Management, which administers the Federal Employees Health Benefit Program, and the United States Department of Veterans Affairs (collectively, the… [read post]
8 Oct 2018, 2:25 pm
HMA agreed to pay $425,000 to the United States to resolve these civil allegations. [read post]
10 Sep 2018, 7:49 pm
Stamer has extensive health care reimbursement and insurance experience advising and defending plan sponsors, administrators, insurance and managed care organizations, health care providers, payers, and others about Medicare, Medicaid, Medicare and Medicaid Advantage, Tri-Care, self-insured group, association, individual and employer and association group a [read post]
26 Jul 2018, 7:38 am
On July 12, 2018, the Centers for Medicare & Medicaid Services (CMS) published its calendar year (CY) 2019 proposed rule for Medicare payment updates and proposed quality reporting changes for home health agencies (HHA) under the home health prospective payment system (HH PPS). [read post]
23 Jul 2018, 5:16 am
The Centers for Medicare & Medicaid Services (CMS) has issued its proposed Medicare physician fee schedule (PFS) rule for calendar year (CY) 2019. [read post]
13 Jul 2018, 10:37 pm
Earl Blumenauer (D-OR), which also would expand HSA access and utility by allowing spouses to also make contributions to HSAs is their spouse has an FSA and lets employers offer certain services to employees through on-site or retail clinics. [read post]
13 Jul 2018, 11:41 am
(Health Quest), and its subsidiary hospital Putnam Health Center (Putnam) based on their submission of inflated and otherwise impermissible claims for payment to Medicare and Medicaid, making Health Quest and Putnam our Catch of the Week. [read post]
