Search for: "Centers for Medicare and Medicaid Services (CMS)"
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16 Feb 2023, 7:32 pm
As the September 1, 2023 deadline for Centers for Medicare & Medicaid Services (CMS) to publish the first 10 “selected drugs” subject to negotiation of “maximum fair prices” under Medicare Parts B and D fast approaches, CMS has recently specified information that manufacturers must submit in order for their drugs to qualify for the “Small Biotech Exception” to being included on the list. [read post]
16 Feb 2023, 9:22 am
On October 1, 2023, the Centers for Medicare and Medicaid Services (“CME”) will be retiring Section G, a measure of the functional status of nursing home residents, from the Medicare and Medicaid Minimum Data Sets (“MDS”). [read post]
15 Feb 2023, 4:25 pm
In addition to the risk of a “clawback,” or having to pay back the insurer for payments found to be in error, practitioners who fail audits face disciplinary actions from the private health insurance company, the Centers for Medicare & Medicaid Services (CMS), and the Illinois Department of Financial and Professional Regulation (IDFPR). [read post]
14 Feb 2023, 10:00 pm
The Centers for Medicaid and Medicare Services (CMS) announced a model on February 14, 2023 that would allow CMS to pay less for drugs approved via FDA’s accelerated approval pathway before a clinical benefit has been confirmed by the required confirmatory studies. [read post]
14 Feb 2023, 10:00 pm
The Centers for Medicaid and Medicare Services (CMS) announced a model on February 14, 2023 that would allow CMS to pay less for drugs approved via FDA’s accelerated approval pathway before a clinical benefit has been confirmed by the required confirmatory studies. [read post]
14 Feb 2023, 10:00 pm
The Centers for Medicaid and Medicare Services (CMS) announced a model on February 14, 2023 that would allow CMS to pay less for drugs approved via FDA’s accelerated approval pathway before a clinical benefit has been confirmed by the required confirmatory studies. [read post]
14 Feb 2023, 10:00 pm
The Centers for Medicaid and Medicare Services (CMS) announced a model on February 14, 2023 that would allow CMS to pay less for drugs approved via FDA’s accelerated approval pathway before a clinical benefit has been confirmed by the required confirmatory studies. [read post]
14 Feb 2023, 10:00 pm
The Centers for Medicaid and Medicare Services (CMS) announced a model on February 14, 2023 that would allow CMS to pay less for drugs approved via FDA’s accelerated approval pathway before a clinical benefit has been confirmed by the required confirmatory studies. [read post]
14 Feb 2023, 10:00 pm
The Centers for Medicaid and Medicare Services (CMS) announced a model on February 14, 2023 that would allow CMS to pay less for drugs approved via FDA’s accelerated approval pathway before a clinical benefit has been confirmed by the required confirmatory studies. [read post]
14 Feb 2023, 2:04 pm
On Monday, February 13, 2023, the Centers for Medicare & Medicaid Services (CMS), a part of the Department of Health and Human Services (HHS), submitted a proposed rule that goes beyond current data collections requirements by requiring nursing facilities to disclose additional information regarding ownership. [read post]
14 Feb 2023, 6:27 am
Legal Action Against a Nursing Home for Mistreatment The California Department of Social Services, California Department of Public Health, and Centers for Medicare and Medicaid Services (CMS) accept and investigate reports of nursing home abuse and neglect, but their primary function is to penalize the institution for rule violations. [read post]
9 Feb 2023, 1:15 pm
Centers for Medicare and Medicaid Services. [read post]
8 Feb 2023, 10:04 am
Similarly, the withdrawal seems contrary to the Center for Medicare & Medicaid’s (“CMS’s”) push for ACOs, including the most recent ACO initiative, the ACO Realizing Equity, Access, and Community Health (“ACO REACH”). [read post]
8 Feb 2023, 7:59 am
Earlier Remand Generated Second Final Rule That earlier remand faulted the three agencies that authored the initial rule, The Centers for Medicare and Medicaid Services (CMS) the Internal Revenue Service (IRS) and Employee Benefits and Security Administration (EBSA), for using what the court saw as a de facto rebuttable presumption in favor of the QPA during the arbitration process and effectively putting a thumb on the scale in favor of… [read post]
3 Feb 2023, 8:44 am
A federal grand jury in the Western District of Wisconsin returned an indictment yesterday charging Kevin Breslin, 56, of Hoboken, New Jersey, with a scheme to defraud Medicare and Medicaid in connection with the operation of nursing homes and assisted living centers in Wisconsin. [read post]
2 Feb 2023, 1:45 pm
On February 1, 2023, the Centers for Medicare & Medicaid Services (CMS) published a final rule outlining its audit methodology and related policies for its Medicare Advantage (MA) Risk Adjustment Data Validation (RADV) program. [read post]
2 Feb 2023, 5:49 am
It was established in 1965 as part of the Social Security Act and is administered by the Centers for Medicare and Medicaid Services (CMS). [read post]
30 Jan 2023, 3:22 pm
ZeAmma Brathwaite, a longtime partner to the Centers of Medicare and Medicaid Services (CMS), has joined Abt Associates as the company’s new CMS client account lead. [read post]
26 Jan 2023, 5:00 am
Like the Medicare Administrative Contractors (MACs), Recovery Audit Contractors (RACs), and the now-defunct Zone Program Integrity Contractors (ZPICs), UPICs are government contractors that have been tasked by the Centers for Medicare & Medicaid Services (CMS) to review claims submitted by Medicare providers and identify alleged overpayment to providers. [read post]
19 Jan 2023, 9:03 pm
” The Centers for Medicare and Medicaid Services (CMS) announced that it will begin conducting audits of nursing homes’ use of antipsychotic drugs in an effort to reduce on inappropriate prescriptions. [read post]
