Search for: "Center for Medicare and Medicaid Services"
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19 Aug 2018, 5:51 am
Adult children making the difficult choice to place their elderly parents in a Florida nursing home often turn to the Centers for Medicare & Medicaid Services (CMS) when it comes to deciding on a facility. [read post]
26 Mar 2020, 7:43 am
Since these pronouncements, Liles Parker attorneys have received numerous calls asking for clarification on these waivers and other guidance from HHS and the Centers for Medicare and Medicaid Services (CMS). [read post]
18 May 2020, 7:26 am
On May 11, 2020, the Centers for Medicare & Medicaid Services (CMS) released a new suite of blanket waivers for hospitals and other health care providers in response to the COVID-19 public health emergency.[1] The blanket waivers have a retroactive effective date of March 1, which extends through the end of the public health emergency declaration and, in CMS’s view, “provide the flexibilities needed to take care of patients during the COVID-19… [read post]
11 Dec 2018, 1:42 pm
The Centers for Medicare and Medicaid Services (CMS), which oversees the Medicare program, adjusts the payments to MA Plans based on demographic information and the health status of each plan beneficiary. [read post]
21 Sep 2016, 5:02 pm
Using data from a 5% sample of Medicare prescription drug event claims from the Centers for Medicare & Medicaid Services (CMS) Chronic Conditions Data Warehouse, we analyze EpiPen spending, in the aggregate and per user, in Medicare Part D between 2007 (the year after the drug benefit took effect, and the year Mylan acquired the product) and 2014 (the most recent year of data available). [read post]
18 Feb 2008, 11:49 am
The Centers for Medicare and Medicaid Services (CMS) on Tuesday added more names to its list of under performing nursing homes, known as "special focus facilities. [read post]
6 Apr 2010, 12:47 am
Najam Azmat was incompetent to perform cardiac surgical procedures which were billed to Medicare and Medicaid, and that Satilla Regional Medical Center placed him on staff despite red flags regarding his competence. [read post]
14 Jun 2012, 8:38 am
LB788 changes the current state statute to reflect changes in the standards adopted by the federal government and the Centers for Medicare and Medicaid Services by expanding the ability to order respiratory therapy beyond a licensed physician to include a licensed physician assistant, a nurse practitioner and a certified registered nurse anesthetists. [read post]
3 Sep 2014, 10:16 am
On September 30, 2014, the Centers for Medicare & Medicaid Services (CMS) will for the first time publish Open Payments (“the Sunshine Act”) data. [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]
5 Apr 2023, 11:37 am
A 2001 study by the Centers for Medicare and Medicaid Services (CMS) promoted a 4.1 minimum hours per patient day (PPD) in order to meet federal quality standards. [read post]
22 Mar 2017, 9:19 am
That’s because the Centers for Medicare & Medicaid Services (CMS) issued a new rule barring any nursing home that accepts federal money from CMS (which is virtually all nursing homes) from requiring mandatory arbitration agreements during the admissions process. [read post]
29 Apr 2015, 2:18 pm
When a company or individual knowingly bills the Medicaid or Medicare system for bogus or unnecessary services, it is a violation of the FCA. [read post]
3 Jul 2018, 1:12 pm
On January 11, 2018 the Centers for Medicare & Medicaid Services (CMS) released a letter to State Medicaid Directors announcing a commitment to support section 1115 demonstration projects that include work or community engagement requirements (HL Pulse summary here). [read post]
18 Jan 2022, 3:36 am
The Centers for Medicare and Medicaid Services (CMS) issued guidance that the full vaccination compliance deadline is March 15, 2022, for all health care workers subject to the Omnibus Health Care Staff Vaccination rule.CMS Administrator Chiquita Brooks-LaSure stated, “The Centers for Medicare & Medicaid Services (CMS) is extremely pleased the Supreme Court recognized CMS’ authority to set a consistent COVID-19… [read post]
13 Aug 2017, 7:01 pm
The paper reports in June an obscure regulatory body known as the Centers for Medicare and Medicaid Services (CMS) said it intends to repeal a “rule that prohibited nursing homes that accept Medicare or Medicaid funds from including language in their resident contracts requiring that disputes be settled by a third party rather than a court. [read post]
25 Feb 2016, 3:49 am
Under the SCF pilot, Medicare providers have the opportunity to enter into open settlement discussions with the Centers for Medicare & Medicaid Service (CMS) with the goal of coming to a mutually agreed upon resolution for the pending ALJ claims. [read post]
27 Sep 2024, 5:40 am
., is likely to have significant impacts on how the Centers for Medicare & Medicaid Services (CMS) operates regarding the Medicare Secondary Payer (MSP) Act, including conditional payments and Medicare Set-Aside (MSA) agreements. [read post]
28 Jan 2010, 3:55 pm
Meantime, the General Accountability Office says that while the Centers for Medicare and Medicaid Service designates up to 136 nursing homes as "special focus facilities" that have to undergo more inspections, up to 580 US assisted living facilities can fall under the category of the worst nursing homes in the country. [read post]
5 May 2015, 4:00 am
As part of the Administration’s goals of better, care, smarter spending, and healthier people, the Centers for Medicare & Medicaid Services announced the availability of new, privacy-protected data on Medicare Part D prescription drugs prescribed by physicians and other health care professionals in 2013. [read post]
