Search for: "CMS CONTRACT MANAGEMENT SERVICES"
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27 Apr 2012, 3:15 pm
By Ilyse Schuman The Centers for Medicare & Medicaid Services (CMS) has issued new guidance (pdf) on the medical loss ratio (MLR) requirement under the Affordable Care Act. [read post]
5 Apr 2012, 12:03 pm
Although very similar to the Medicare Managed Care Appeals and Grievances as well as the Medicare Prescription Drug Appeals and Grievances process, the original Medicare Part A and B, Fee for Service, process has its own appeals process and procedures. [read post]
23 Mar 2012, 12:09 pm
The Centers for Medicare and Medicaid Services (CMS) issued a memo to Medicare Shared Savings Program (MSSP) applicants on March 16, 2012, in response to questions from Accountable Care Organization (ACO) applicants. [read post]
20 Mar 2012, 11:27 am
The Centers for Medicare and Medicaid Services (CMS) awarded $2.5 billion in 2011 from about $27 billion, to promote healthcare-related IT. [read post]
19 Mar 2012, 7:57 am
If this price is acceptable to both parties, they execute a contract for construction services, and the construction manager becomes the general contractor. [read post]
15 Mar 2012, 4:45 pm
In turn Fisher Engineering had contracted CM Structural Services Ltd to erect the steelwork. [read post]
Health Plan BCBST To Pay $1.5 Million In 1st OCR Enforcement Action Prompted By HITECH Breach Report
13 Mar 2012, 6:33 pm
Stamer is recognized, internationally, nationally and locally for her more than 24 years of work, advocacy, education and publications on cutting edge health and managed care, employee benefit, human resources and related workforce, insurance and financial services, and health care matters. [read post]
9 Mar 2012, 3:35 pm
HHSC intends to submit to CMS a request to amend the NorthSTAR waiver program, designed to provide behavioral health services to Medicaid-eligible individuals in the Dallas service delivery area. [read post]
5 Mar 2012, 3:17 pm
In this case, CMS contracted a company called Trailblazer Health Enterprises to administer the Medicare home healthcare services and pay the claims submitted by HHA providers. [read post]
21 Feb 2012, 10:46 am
When reviewing the adequacy of existing practices and administering these practices, employers should keep in mind the advisability of ensuring appropriate compliance and risk management of these responsibilities both with regard to workers performing services directly for their organizations in the capacity of employees, as well as workers providing services as independent contractors, leased employees or pursuant to other contracted services… [read post]
16 Feb 2012, 6:30 am
Lastly, talk to vendors about any contract upgrades or costs involved with implementing the new software. [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 Jan 2012, 3:52 am
HHSC intends to submit to CMS a request to amend the Youth Empowerment Services waiver to expand the geographical area of the waiver to include Tarrant County in addition to Bexar and Travis Counties. [read post]
12 Jan 2012, 6:27 am
(Letter) HCSSA w/ DADS contract: DADS released the results of a joint streamlining project (with Access and Intake, Contract Oversight and Support, and Regulatory Services) conducted during fiscal year 2011. [read post]
9 Jan 2012, 3:11 pm
CMS reports this increase was slower than the trend between 2003 and 2006, when spending increased an average of 7.4 percent per year. [read post]
21 Dec 2011, 12:39 pm
The senators' letter concludes with a list of 10 questions focused on how much money the tool has clawed back, what lessons CMS officials have learned from the system's implementation so far, and whether those lessons have changed how the agency pays claims and which Medicare services providers it contracts with. [read post]
16 Dec 2011, 6:04 am
ONC Awards Key Contract To Develop Patient Electronic Consent Trial Project Finding Ways To Pay For Mental Health: Kaiser Studies Examine Medicaid & Other Mental Health Financing Needs & Options Recap of IRS Employee Plans 2011 1st Quarter Guidance CMS Adds “Physician Compare” Feature To Healthcare Provider Directory Join Project COPE: Help Develop Real Tools To Meaningfully Empower Patients & Improve Health Care Access, Affordability & Quality About… [read post]
15 Dec 2011, 8:13 pm
Megaupload sued Universal Music on Monday, saying that the record label had no right to take the video down, since the file-sharing service had signed contracts from the performers, including Black Eyed Peas front man will.i.am. [read post]
14 Dec 2011, 2:47 pm
The Departments of Labor, Health & Human Services, Education, Justice, Housing & Urban Development, and others all have both increased enforcement, audits and public outreach, as well as have sought or are proposing tighter regulations. [read post]
13 Dec 2011, 2:49 pm
Employers or other sponsors that are group policyholders on insurance contracts covered by the MLR rules are likely to receive any rebates due because Department of Health and Human Services (HHS) final regulations implementing these MLR requirements published December 7, 2011 require issuers to pay any MLR rebates “to the policyholder. [read post]
