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19 Jun 2015, 7:29 am
Mary’s Medical Center, is the subject of an investigation from The Centers for Medicare & Medicaid Services, as the hospital reportedly has one of the highest rates of death from open heart surgeries on children. [read post]
18 Jun 2015, 2:45 pm
Department of Health and Human Services ("HHS") arrested 243 individuals for allegedly participating in Medicare/Medicaid fraud schemes. [read post]
18 Jun 2015, 10:03 am
On June 4, 2015, the Centers for Medicare & Medicaid Services issued final revisions to regulations governing accountable care organizations participating in the Medicare Shared Savings Program (“MSSP”). [read post]
16 Jun 2015, 5:09 pm
To be sure, another of Genesis’s facilities in Sacramento is “one of six nursing facilities in California listed on the Centers for Medicare & Medicaid Services’ list of centers with serious quality issues. [read post]
15 Jun 2015, 1:57 pm
Separately, the OIG’s mid-year update to its FY 2015 work plan adds a new financial review project directed at the Center for Medicare & Medicaid Services’ (CMS) Open Payments Program (sometimes called the “Sunshine Act” provisions). [read post]
15 Jun 2015, 1:01 pm
The United States further contended that CNMC filed cost reports misstating their overhead costs, resulting in overpayment from Medicare and the Virginia and District of Columbia Medicaid programs. [read post]
15 Jun 2015, 7:28 am
” Separately, the Centers for Medicare and Medicaid Services on Tuesday announced that it will allow businesses to access its data for approved research projects. [read post]
15 Jun 2015, 5:46 am
On June 12, 2015, the Internal Revenue Service, Employee Benefits Security Administration, and Centers for Medicare & Medicaid Services released final regulations regarding the summary of benefits and coverage (SBC) and the uniform glossary requirements for group health plans and health insurance coverage in the group and individual markets under the Affordable Care Act. [read post]
11 Jun 2015, 12:45 pm
These problems began in December according data from the Centers for Medicare and Medicaid Services. [read post]
10 Jun 2015, 1:02 pm
" We see this with HI-TECH and EHR regs, and the lowball reimbursements from Medicare and Medicaid, which also drive non-governmental providers' revenues (via insurance).About 2½ years ago, we interviewed Dr Rob Lamberts, who at the time had just set up his own version. [read post]
9 Jun 2015, 6:52 am
The Centers for Medicare and Medicaid Services has released newly revised federal regulations designed to encourage greater participation in the Medicare Shared Savings Program (MSSP) by Accountable Care Organizations. [read post]
5 Jun 2015, 7:05 am
The lawsuit alleged that the owners “provided ‘substandard or worthless services,’ overly medicated residents, and submitted false Medicare and Medicaid claims. [read post]
4 Jun 2015, 2:19 pm
The Anti-Kickback Statute prohibits offering, paying, soliciting or receiving remuneration to induce referrals of items or services covered by Medicare, Medicaid and other federally funded programs. [read post]
2 Jun 2015, 8:07 am
In many cases, the regulator has a question about the services offered to the individuals affected, such as credit monitoring, identity theft resolution, or call center services. [read post]
1 Jun 2015, 10:29 am
Among the provisions being considered are exceptions for waivers or reductions by pharmacies of cost-sharing obligations from Medicare Part D, waivers for emergency ambulance services (so long as the ambulance offers the reduction or waiver uniformly, regardless of individual patient circumstances), and agreements between federally qualified health centers and Medicare Advantage organizations. [read post]
1 Jun 2015, 2:42 am
Its recommendations to the Centers for Medicare & Medicaid Services (CMS), the agency within the Department of Health and Human Services (HHS) that administers Medicare, though, may not be accurate due to process and data-related weaknesses. [read post]
28 May 2015, 9:30 pm
The Centers for Medicare & Medicaid Services (CMS) proposed a rule to modernize the Medicaid managed care regulations and enhance the quality of Medicaid services. [read post]
28 May 2015, 5:59 pm
CMS announced today:"As part of the Strengthening Medicare and Repaying Taxpayers (SMART) Act, the Centers for Medicare & Medicaid Services (CMS) will be implementing optional MFA services on the MSPRP. [read post]
28 May 2015, 1:47 pm
According to the Centers for Medicare and Medicaid Services (CMS), “Delivery of high-quality, patient-centered care requires us to carefully consider the patient’s experience in the hospital inpatient setting. [read post]
24 May 2015, 9:30 pm
The GAO says the Centers for Medicare and Medicaid Services (CMS), which administers Medicare, could “use records of the [electronic] cards being swiped to verify that [beneficiaries and providers] were present at the point of care” instead of relying on providers for authentication. [read post]
