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17 Oct 2023, 9:33 pm
” With this proposed rule, FDA explains that it does not seek to duplicate the oversight provided by the Centers for Medicare and Medicaid Services (CMS) under the Clinical Laboratory Improvement Amendments (CLIA) but rather finds the established regulatory scheme under CLIA to be complementary to the agency’s proposed regulatory oversight. [read post]
13 Oct 2023, 5:39 am
For Social Security beneficiaries enrolled in Medicare, their new 2024 benefit amount will be available in December through the mailed COLA notice and my Social Security’s Message Center. [read post]
12 Oct 2023, 10:05 am
Gottheimer, a center-right Democrat who fancies himself a virtuously bipartisan moderate, is a member of the infuriating "Problem Solvers Caucus," a group of Republicans and Democrats in the House who claim to represent the elusive (and mythical) sensible center. [read post]
12 Oct 2023, 9:05 am
Kate Dore, CNBC, Oct. 12, 2023 "As the U.S. fertility rate continues to fall, there are growing concerns about the long-term economic impact : A smaller population means less tax revenue, which could reduce funding for programs such as Social Security and Medicare. [read post]
11 Oct 2023, 10:59 am
Surprisingly, these harrowing violations will not result in fines from the Centers for Medicare & Medicaid Services (CMS) due to their classification as “minimal” or “non-harmful” to the residents. [read post]
11 Oct 2023, 10:56 am
The Centers for Medicare & Medicaid Services (CMS) recently issued a proposed rule that would establish for the first time, national minimum staffing standards for Long-term Care (LTC) facilities that participate in Medicare and Medicaid. [read post]
11 Oct 2023, 10:04 am
According to the DOJ, Jose Goyos and others managed the “‘doctor chase’ division” of a call center, which “contacted the primary care physicians of targeted Medicare beneficiaries and tricked these medical providers into ordering and authorizing medically unnecessary genetic tests based on medical paperwork that the call center created. [read post]
10 Oct 2023, 11:53 am
In addition, the Centers for Medicare & Medicaid Services, working in conjunction with the HHS-OIG, are taking steps to hold providers accountable for their involvement in health care fraud schemes. [read post]
10 Oct 2023, 10:51 am
During FY 2022, the Centers for Medicare and Medicare Services (CMS) has estimated the Medicare Part B improper payment rate as 8.41%. while the improper payment rate for Durable Medical Equipment (DME) suppliers was estimated to be 25.24%.[2] Additionally, the Medicaid program improperly paid $80.6 billion in improper claims during FY 2022.[3] Notably, these estimates don’t even take into account the sizeable improper billings submitted to private payors. [read post]
10 Oct 2023, 9:46 am
The study was conducted by dental officers at the Centers for Medicare and Medicaid Services. [read post]
9 Oct 2023, 11:00 pm
Check out the new Practical Guidance Author Center ! [read post]
9 Oct 2023, 11:00 pm
Check out our Practical Guidance Author Center ! [read post]
9 Oct 2023, 8:15 pm
Three patient advocacy groups sued the Department of Health and Human Services (HHS) and the Centers for Medicare and Medicaid Services (CMS), challenging the agencies’ 2020 NBPP Rule as plainly unlawful on the grounds that it conflicts with the definition of “cost sharing” in both the ACA and the agencies’ existing regulations, and is arbitrary and capricious. [read post]
9 Oct 2023, 4:15 am
Last week, the White House announced that the manufacturers of all ten of the drugs singled out by the Centers for Medicare and Medicaid Services (CMS) and its drug price negotiation program (DPNP) have “agreed” to participate therein. [read post]
9 Oct 2023, 4:15 am
Last week, the White House announced that the manufacturers of all ten of the drugs singled out by the Centers for Medicare and Medicaid Services (CMS) and its drug price negotiation program (DPNP) have “agreed” to participate therein. [read post]
6 Oct 2023, 1:46 pm
As part of that process, the Centers for Medicare & Medicaid Services (CMS) has announced a series of patient-focused listening sessions as part of the Medicare Drug Price Negotiation Program. [read post]
6 Oct 2023, 12:55 pm
Psychiatric and Mental Health Facilities: mental health rehabilitation centers, county mental health facilities, and psychiatric health facilities. [read post]
6 Oct 2023, 12:48 pm
” “What, if any, unintended consequences may result from the proposed phaseout policy to certain patient populations (for example, Medicare beneficiaries, rural populations, etc.) and what steps could be taken to mitigate those consequences. [read post]
6 Oct 2023, 7:35 am
After years and years of advocating for a minimum staffing standard in nursing homes, the Centers for Medicare and Medicaid Services (CMS) announced a Notice of Proposed Rule Making (NPRM) which would implement the long-desired minimum staffing requirement. [read post]
6 Oct 2023, 7:24 am
The Center for Medicare & Medicaid Services as well as the National Fire Protection Association (NFPA) have taken measures to enforce the safety of patient care-related equipment by requiring specific testing and monitoring (PCREE). [read post]