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17 Nov 2021, 2:44 pm
A CMS fact sheet published along with the rule Shares more details about how data will be collected and analyzed and other information on the data submission requirements. [read post]
15 Nov 2021, 2:26 pm
Here are the takeaways under the CMS Rule: Employers must consider medical and religious accommodation requests. [read post]
12 Nov 2021, 5:26 am
Centers for Medicare & Medicaid Services). [read post]
12 Nov 2021, 5:26 am
Centers for Medicare & Medicaid Services). [read post]
8 Nov 2021, 4:00 pm
Preventing Surprise Medical Bills: Air Ambulance Claims (effective with 2022 plan year): If a plan covers in-network air ambulance services, members can only be required to pay in-network cost sharing amounts for air ambulance services, and services will not be able to balance bill members. [read post]
8 Nov 2021, 1:26 pm
With respect to the latter group, the Centers for Medicare & Medicaid Services (CMS) provided a release regarding its Rule – with its requirements, and included a link to an FAQ. [read post]
8 Nov 2021, 1:09 pm
The Centers for Medicare & Medicaid Services (CMS) has published the Omnibus COVID-19 Health Care Staff Vaccination Interim Final Rule, requiring vaccination of all staff at health care facilities that participate in the Medicare & Medicaid programs, regardless of responsibility or patient contact. [read post]
5 Nov 2021, 3:08 pm
He also allegedly concealed from CMS his ownership and control over the various lab companies in question. [read post]
5 Nov 2021, 2:12 pm
” As part of determining whether an employee has a disability that would prevent them from getting vaccinated, the employer may request supporting documentation from the employee’s medical provider. [read post]
5 Nov 2021, 10:18 am
Workplaces covered under Executive Order 14042, workplaces where employees provide healthcare services, including workplaces covered under CMS’s IFR, and workplaces that provide healthcare support services subject to OSHA’s June 10, 2021 ETS are not required to comply with the ETS’s provisions. [read post]
5 Nov 2021, 8:28 am
CMS does confirm that “suppliers are not required to ensure the vaccination of individuals who infrequently provide ad hoc non-health care services . . . or services that are performed exclusively off-site, not at or adjacent to any site of patient care. [read post]
5 Nov 2021, 8:28 am
CMS does confirm that “suppliers are not required to ensure the vaccination of individuals who infrequently provide ad hoc non-health care services . . . or services that are performed exclusively off-site, not at or adjacent to any site of patient care. [read post]
5 Nov 2021, 6:31 am
With respect to the latter group, the Centers for Medicare & Medicaid Services (“CMS”) provided a release regarding its Rule – also this morning – with its requirements, and included a link to an FAQ. [read post]
5 Nov 2021, 5:54 am
Federal regulations provide 22 distinct reasons that the Centers for Medicare & Medicaid Services (CMS) may use to revoke a healthcare provider’s or supplier’s Medicare billing privileges. [read post]
4 Nov 2021, 2:59 pm
The CMS rule requires covered facilities to provide religious and medical exemptions, but only insofar as this would be required under federal law. [read post]
4 Nov 2021, 2:59 pm
The CMS rule requires covered facilities to provide religious and medical exemptions, but only insofar as this would be required under federal law. [read post]
29 Oct 2021, 9:03 pm
During 2021, we have handled multiple cases where the government alleged that a health care practice misrepresented the provider of a medical service on the CMS 1500 Claims Form. [read post]
29 Oct 2021, 9:03 pm
During 2021, we have handled multiple cases where the government alleged that a health care practice misrepresented the provider of a medical service on the CMS 1500 Claims Form. [read post]
27 Oct 2021, 6:08 am
Unlike many other medical services, federal legislation in this area prohibits providers from balance billing patients for costs related to the COVID-19 vaccine. [read post]
25 Oct 2021, 6:03 am
The federal agency that oversees Medicare, the Centers for Medicare & Medicaid Services (CMS), performs few audits itself, but outsources these duties to a series of independent contractors, such as Medicare Administrative Contractors (MACs), Unified Program Integrity Contractors (UPICs), and the Supplemental Medical Review Contractor (SRMC). [read post]
