Search for: "Centers for Medicare and Medicaid Services (CMS)"
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19 Jan 2023, 4:27 pm
Late last year, Centers for Medicare and Medicaid Services (CMS) published a searchable list of the names of all nursing homes and the identity of the owners and ownership percentage. [read post]
19 Jan 2023, 7:54 am
HHS in conjunction with the Centers for Medicare & Medicaid Services (CMS) will begin targeted off-site inspections of nursing homes this month. [read post]
18 Jan 2023, 8:19 pm
By Faraz Siddiqui —Last week, the Centers for Medicare & Medicaid Services (CMS) released a memorandum on how it intends to implement the Medicare Drug Price Negotiation Program, passed under the Inflation Reduction Act (IRA) (see our blog post and slide deck on IRA). [read post]
18 Jan 2023, 11:43 am
While both are in place to control problematic financial incentives in the health care industry, here are five differences between Stark and AKS: Stark is regulated by the Centers for Medicare & Medicaid Services (“CMS”) while the AKS is regulated by the Office of the Inspector General (the “OIG”) for the Department of Health and Human Services. [read post]
17 Jan 2023, 11:09 am
Just in time for the holidays, the Centers for Medicare and Medicaid Services (“CMS”) issued the Contract Year 2024 Proposed Rule for Medicare Advantage organizations (“MAOs”) and Part D sponsors (the “Proposed Rule”). [read post]
17 Jan 2023, 11:04 am
The Centers for Medicare and Medicaid Services (“CMS”) has issued a proposed rule which would amend the existing regulations for reporting and returning identified overpayments (the “Proposed Rule”). [read post]
16 Jan 2023, 10:00 pm
In a proposed rule issued on December 27, 2022 to make technical changes to the Medicare Advantage Program, the Centers for Medicare and Medicaid Services (CMS) buried in the regulatory arcana a material legal change to the 60-day overpayment rule that impacts entities participating in Medicare Parts A and B, not just the Medicare Advantage Program (i.e., Medicare Part C). [read post]
16 Jan 2023, 10:00 pm
In a proposed rule issued on December 27, 2022 to make technical changes to the Medicare Advantage Program, the Centers for Medicare and Medicaid Services (CMS) buried in the regulatory arcana a material legal change to the 60-day overpayment rule that impacts entities participating in Medicare Parts A and B, not just the Medicare Advantage Program (i.e., Medicare Part C). [read post]
16 Jan 2023, 10:00 pm
In a proposed rule issued on December 27, 2022 to make technical changes to the Medicare Advantage Program, the Centers for Medicare and Medicaid Services (CMS) buried in the regulatory arcana a material legal change to the 60-day overpayment rule that impacts entities participating in Medicare Parts A and B, not just the Medicare Advantage Program (i.e., Medicare Part C). [read post]
16 Jan 2023, 10:00 pm
In a proposed rule issued on December 27, 2022 to make technical changes to the Medicare Advantage Program, the Centers for Medicare and Medicaid Services (CMS) buried in the regulatory arcana a material legal change to the 60-day overpayment rule that impacts entities participating in Medicare Parts A and B, not just the Medicare Advantage Program (i.e., Medicare Part C). [read post]
16 Jan 2023, 10:00 pm
In a proposed rule issued on December 27, 2022 to make technical changes to the Medicare Advantage Program, the Centers for Medicare and Medicaid Services (CMS) buried in the regulatory arcana a material legal change to the 60-day overpayment rule that impacts entities participating in Medicare Parts A and B, not just the Medicare Advantage Program (i.e., Medicare Part C). [read post]
16 Jan 2023, 10:00 pm
In a proposed rule issued on December 27, 2022 to make technical changes to the Medicare Advantage Program, the Centers for Medicare and Medicaid Services (CMS) buried in the regulatory arcana a material legal change to the 60-day overpayment rule that impacts entities participating in Medicare Parts A and B, not just the Medicare Advantage Program (i.e., Medicare Part C). [read post]
16 Jan 2023, 9:01 pm
Background As set forth in the Indictment, Blaszczak charged that a political intelligence consultant received nonpublic information concerning planned changes to Medicare reimbursement rates for particular drugs from a former colleague at the Center for Medicare and Medicaid Services (“CMS”), a government agency. [read post]
12 Jan 2023, 9:05 pm
” The Centers for Medicare and Medicaid Services (CMS) announced its plan to implement a Medicare drug pricing negotiation program, which will set maximum fair price ceilings, as authorized by the Inflation Reduction Act. [read post]
8 Jan 2023, 10:26 am
Many comments from stakeholders in the Medicare Physician Fee Schedule Rule for 2023 pointed out this perfect storm of cuts, which some had determined would result in a nearly 10 percent reduction in payments, and asked the Centers for Medicare & Medicaid Services to fix it. [read post]
6 Jan 2023, 10:37 am
We are particularly supportive of the provisions in the bill that would require the Centers for Medicare & Medicaid Services (CMS) to negotiate with pharmaceutical companies regarding prices for drugs covered under the Medicare prescription drug benefit. [read post]
4 Jan 2023, 3:15 am
§1348 doesn’t require the DOJ to prove that the defendant received a personal benefit, and affirmed convictions arising out of the defendants’ use of MNPI obtained from an employee of the federal government’s Center for Medicare and Medicaid Services (CMS) concerning potential changes reimbursement rates. [read post]
28 Dec 2022, 6:20 am
In the 2-1 decision, the court dismissed various fraud and theft charges against former hedge-fund partners Theodore Huber and Robert Olan, political intelligence consultant David Blaszczak and former US Centers for Medicare and Medicaid Services (CMS) employee Christopher Worrall. [read post]
26 Dec 2022, 9:05 pm
The Centers for Medicare & Medicaid Services (“CMS”) has proposed a new rule that, among other changes, would amend the “identified overpayment” standard in the current regulations for Medicare to align with the False Claims Act’s (“FCA”) “knowingly” standard. [read post]
26 Dec 2022, 4:00 pm
Establishes a “good faith” reporting requirement for RxDC reporting submitted for the 2020 and 2021 calendar years, whereby the Departments will not take enforcement action against a plan or issuer that completes the filings using a good faith, reasonable interpretation of the RxDC reporting interim final regulations published on November 23, 2021 and the RxDC Reporting Instructions issued by the Centers for Medicare and Medicaid Services… [read post]
