Search for: "CMS CONTRACT MANAGEMENT SERVICES"
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24 Dec 2013, 8:08 am
Her widely respected publications and programs include more than 25 years of publications on health plan contracting, design, administration and risk management including a “Managed Care Contracting Guide” published by the American Health Lawyers Association and numerous other works on vendor contracting. [read post]
16 Apr 2015, 9:37 am
CMS Contract Management Services 14-781Issue: Whether the Federal Grant and Cooperative Agreement Act of 1977, 31 U.S.C. [read post]
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]
1 Dec 2018, 9:00 am
Section 650(b) is often used to justify payment of the management fee based on a percentage of gross revenues at fair market value. [read post]
1 Feb 2022, 4:08 pm
CMS adjusts the payments for various “risk” factors that affect expected healthcare expenditures to ensure that plans are paid more for enrollees who pose a greater risk. [read post]
15 Dec 2018, 7:41 am
She has been continuously involved the design, regulation, administration and defense of managed care and other health and employee benefit, health care, human resources and other staffing and workforce arrangements, contracts, systems, and processes. [read post]
18 Sep 2013, 12:34 pm
Employers engaging these services also generally will need to keep records and comply with other FLSA requirements with respect to these workers as well. [read post]
2 Feb 2018, 8:57 am
Widespread publicity and fallout from data breaches involving Equifax, Blue Cross, the Internal Revenue Service and many other giant organizations have ramped up public awareness and government concern about health care and other data security. [read post]
14 Oct 2010, 11:03 am
Not that they’re monolithic; Medicare contracts with private administrators to manage benefits and even to make variable local coverage determinations. [read post]
27 Mar 2019, 6:24 am
Stamer’s clients include employers and other workforce management organizations; employer, union, association, government and other insured and self-insured health and other employee benefit plan sponsors, benefit plans, fiduciaries, administrators, and other plan vendors; domestic and international public and private health care, education and other community service and care organizations; managed care organizations; insurers, third-party administrative… [read post]
12 Aug 2022, 4:24 am
No orthopedic treatments or pain management is currently within the scope of coverage. [read post]
22 Sep 2018, 9:00 am
Harry proposes that the MSO operate as a typical MSO, providing management and marketing services at fair market value to physicians and professional medical corporations that operate medical groups. [read post]
8 May 2019, 12:44 pm
Stamer’s experience in these matters includes supporting these organizations and their leaders on both a real-time, “on demand” basis with crisis preparedness, intervention and response as well as consulting and representing clients on ongoing compliance and risk management; plan and program design; vendor and employee credentialing, selection, contracting, performance management and other dealings; strategic planning; policy, program, product and… [read post]
6 Nov 2018, 10:56 am
Stamer’s experience in these matters includes supporting these organizations and their leaders on both a real-time, “on demand” basis with crisis preparedness, intervention and response as well as consulting and representing clients on ongoing compliance and risk management; plan and program design; vendor and employee credentialing, selection, contracting, performance management and other dealings; strategic planning; policy, program, product and… [read post]
14 Mar 2019, 5:08 pm
Stamer’s experience in these matters includes supporting these organizations and their leaders on both a real-time, “on demand” basis with crisis preparedness, intervention and response as well as consulting and representing clients on ongoing compliance and risk management; plan and program design; vendor and employee credentialing, selection, contracting, performance management and other dealings; strategic planning; policy, program, product and… [read post]
9 Feb 2012, 9:30 pm
The Centers for Medicare & Medicaid Services (CMS) proposed a rule to implement provisions of the Affordable Care Act (ACA) relating to managed care organization (MCO) contract provisions and calculations of Medicaid reimbursements to pharmacies. [read post]
17 Feb 2020, 9:01 am
As the Special Fraud Alert expressly notes: “. . . a DME supplier is responsible for verifying that marketing activities performed by third parties with whom the supplier contracts or otherwise does business do not involve prohibited activity and that information purchased from such third parties was neither obtained, nor derived, from prohibited activity. [read post]
14 Feb 2010, 1:06 pm
Some of the major safe harbors[6] include: · investments in large publicly held health care companies; · investments in small health care joint ventures; · space rental; · equipment rental; · personal services and… [read post]
14 Feb 2010, 1:06 pm
Some of the major safe harbors[6] include: · investments in large publicly held health care companies; · investments in small health care joint ventures; · space rental; · equipment rental; · personal services and… [read post]
29 Apr 2019, 7:21 am
The Company intends to honor and follow Article 25 of the contract. [read post]
