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15 Jul 2016, 8:43 am
Also, per Centers for Medicare & Medicaid Services (CMS) many doctors have reported feeling financial pressure to overprescribe opioids since Medicare payments to hospitals are tied to scores on the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey, therefore CMS is recommending that the pain management questions on the HCAHPS be eliminated. [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]
26 Aug 2021, 6:17 am
The policy favoring lower penalties, adopted in 2017 by the Trump administration, directed regulators at the Centers for Medicare and Medicaid Services to shift from fining a nursing home for each day it was out of compliance with federal standards. [read post]
24 Oct 2011, 2:05 pm
10/24/2011 Author: Deven McGraw Health Privacy HITECH/ARRA Implementation Medicare recipients now have more control over the privacy of their medical information, owing to new rules adopted last Thursday by the Centers for Medicare and Medicaid Services… [read post]
6 May 2013, 9:28 am
Due to some confusion in the provider community, the Centers for Medicare and Medicaid Services (CMS) published a Frequently Asked Questions to clarify the new therapy manual medical review process. [read post]
13 Oct 2012, 5:32 pm
Department of Health and Human Services Office of Inspector General (OIG) released the results of a study entitled CMS Response to Breaches and Medical Identity Theft. [read post]
23 Apr 2020, 8:24 am
On March 4, 2020 in response to the coronavirus, the Centers for Medicare & Medicaid Services (CMS) announced that it was postponing its routine inspections of nursing homes so it could focus solely on issues related to controlling the spread of Covid-19. [read post]
23 Apr 2020, 8:24 am
On March 4, 2020 in response to the coronavirus, the Centers for Medicare & Medicaid Services (CMS) announced that it was postponing its routine inspections of nursing homes so it could focus solely on issues related to controlling the spread of Covid-19. [read post]
9 Sep 2018, 8:32 pm
According to McKnights Long-Term Care News, lawmakers want to determine whether the Centers or Medicare & Medicaid Services has fallen short in its responsibility to manage safety at nursing homes throughout the country. [read post]
13 Aug 2019, 1:28 pm
While the Centers for Medicare and Medicaid Services (CMS) has been fairly progressive in approving the coverage of certain genetic tests for diagnostic purposes, it has been slow to authorize the coverage of genetic screening tests. [read post]
12 Aug 2024, 12:43 pm
For health care providers found by the HHS Office of Inspector General (OIG) to have committed information blocking and referred by OIG to the Centers for Medicare & Medicaid Services (CMS) the HHS has established the following disincentives, according to a public announcement regarding the rule: Under the Medicare Promoting Interoperability Program, an eligible hospital or critical access hospital (CAH) that has committed information blocking and is… [read post]
21 Feb 2009, 8:04 pm
These groups have suggested that the Centers for Medicare and Medicaid Services’ (CMS) interpretation of the MMSEA’s provision for a three-year delay in the extension of the 25% Rule payment adjustment in certain instances is problematic because it does not set a uniform standard across all LTACHs. [read post]
7 Apr 2015, 11:00 am
It was allegedly designed to defraud Medicare, Medicaid, and HIV/AIDS grant programs sponsored by the Health Resources and Services Administration and the Centers for Disease Control and Prevention—two agencies located within the U.S. [read post]
8 Mar 2023, 12:59 pm
Marselas writes that according to the Centers for Medicare and Medicaid Services, the new metrics will include the turnover rates for RNs, and administrators as well as the number of nursing home staff present at facilities on weekends. [read post]
27 Jul 2022, 1:49 pm
Marselas writes that according to the Centers for Medicare and Medicaid Services the new metrics will include the turnover rates for RNs, administrators as well as a number of nursing home staff present at facilities on weekends. [read post]
11 Apr 2011, 9:07 am
The Proposed Statement was made on the same day that the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services, filed its proposed rule regarding Medicare Shared Savings Program Accountable Care. [read post]
10 Oct 2012, 11:49 am
Don’t bother to call the Centers for Medicare & Medicaid Services (CMS). 3. [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]
27 Jan 2012, 10:19 am
A Centers for Medicare and Medicaid Services (CMS) recent transmittal, effective February 21, clarifies this requirement and describes the procedures that DME Medicare Administrative Contractors (MACs) must follow when making claims against a provider's surety bond. [read post]
2 Jul 2012, 11:57 am
In coming to this conclusion the court relies on i) the broad language of the MSP Act as applied to private causes of action, ii) the policy and purpose behind the Federal Medicare Advantage (“MA”) program, and iii) the regulations promulgated by the Centers for Medicare and Medicaid Services (“CMS”). [read post]
