Search for: "CMS CONTRACT MANAGEMENT SERVICES"
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26 Aug 2013, 6:02 am
– DADS is revising 40 TAC Chapter 49, Contracting for Community Services, to incorporate uniform rules for contract application, implementation, monitoring, and enforcement into one chapter. [read post]
21 Aug 2013, 6:52 pm
ACA Exchange Notices Due By October 1 One of the biggest time constraints for finalizing 2014 plan designs, contracts and terms is the impending October 1, 2014 deadline for employers to provide the notice required by Fair Labor Standards Act Section 18B. [read post]
22 Jul 2013, 9:53 am
“In a second model, clinical trial sponsors would all contract with the Coordinating and Information Management Center, which would then set prices according to services needed. [read post]
17 Jul 2013, 2:10 pm
As a result, CMS has added a new Condition of Participation (CoP) that now requires LTC facilities to have a written agreement in place to create a clear division of responsibilities between LTC facilities and contracted hospice providers. [read post]
21 Jun 2013, 2:35 am
” The Workers’ Compensation Appeals Board (WCAB) found that Sedgwick Claims Management Service, a third party claims administrator, defied a judge’s order to provide needed medical care. [read post]
20 Jun 2013, 12:41 pm
The Centers for Medicare and Medicaid Services (CMS) contracts with sponsors that provide drug coverage to beneficiaries enrolled in Medicare Part D. [read post]
20 Jun 2013, 4:49 am
Sedgwick CMS, acting as claims administrator for the Kroger Co. [read post]
16 May 2013, 9:01 am
If this price is acceptable to both parties, they execute a contract for construction services, and the construction manager becomes the general contractor. [read post]
14 May 2013, 7:28 am
In addition, the Updated Bulletin explains that excluded persons may not furnish administrative or management services that are payable by federal health care programs. [read post]
14 May 2013, 7:28 am
In addition, the Updated Bulletin explains that excluded persons may not furnish administrative or management services that are payable by federal health care programs. [read post]
6 May 2013, 4:04 am
“Sedgwick CMS, acting as claims administrator for the Kroger Co. [read post]
29 Apr 2013, 9:32 am
HHSC intends to submit to CMS a request to renew the HCS waiver program. [read post]
22 Apr 2013, 12:51 pm
The Director of CMS is directed to make that determination based on the actual cost of medical services adjusted for age, sex and geographic and demographic characteristics. [read post]
8 Apr 2013, 9:30 pm
Whereas under standard Medicare, the federal government reimburses Medicare-participating medical professionals on a fee-for-service basis, under the Medicare Advantage program, private insurers directly pay for and manage policyholders’ Medicare benefits. [read post]
25 Mar 2013, 8:21 am
See the Electronic State Business Daily search page and sole point of contact: Elizabeth Ward, CTPM Texas Health and Human Services Commission Enterprise Contract and Procurement Services 4405 North Lamar Austin, TX 78756-3422 512-206-5416elizabeth.ward@hhsc.state.tx.us – Long term care facilities will no longer be able to submit MDS 2.0 nursing home or swing bed MDS records to CMS Quality Improvement Evaluation System, effective October 1,… [read post]
20 Jan 2013, 7:29 pm
No. 305, 306; CM D. [read post]
4 Jan 2013, 3:38 am
The relator, the owner of a pharmaceutical auditing company, alleged that CVS Caremark, as a Pharmacy Benefit Manager (PBM) and its related companies, defrauded Medicare Part D by failing to provide Drug Utilization Review (DUR) services and submitting false Prescription Drug Event (PDE) claims data. [read post]
20 Dec 2012, 7:00 am
Instead of an increase in cost per treatment or per unit cost of a service such as a doctor’s visit, it is the amount of services and the types of services being used driving medical inflation. [read post]
28 Nov 2012, 5:29 pm
Nursing homes faced challenges with unreliable transportation contracts, lack of collaboration with local emergency management, and residents who developed health problems. [read post]
14 Nov 2012, 2:02 pm
The key to future success will be managing patients’ care and its attendant costs over the long term, managing an episode of care that extends beyond an inpatient surgery to encompass pre-admission and post-discharge services, managing a chronic condition with a multidisciplinary approach using medicine, nursing and even social media and game theory to motivate patient behavior modification. [read post]
