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14 Jun 2023, 8:02 am
In 1980, HEW was renamed the Department of Health and Human Services (HHS). [read post]
9 Jun 2023, 7:59 am
”[2] In the consolidated cases before the Court, the Seventh Circuit held that the defendants, which own and operate retail pharmacies, had not “knowingly” presented false claims for reimbursement because they had offered in litigation “objectively reasonable” (if not accurate) interpretations of the complex Medicare and Medicaid prescription drug pricing schemes at issue (involving accurate reporting of “Usual and Customary” pricing… [read post]
8 Jun 2023, 8:48 am
The Centers for Medicare & Medicaid Services (“CMS”) announced it will test a new primary care model – the Making Care Primary (MCP) Model – in eight states. [read post]
8 Jun 2023, 4:30 am
[fn3] The panel also directed that the applicant should establish his competency to manage his affairs and to comply with the Center for Medicare and Medicaid Services (CMS) requirements for self-administration. [read post]
7 Jun 2023, 8:15 pm
In SuperValu, whistleblowers accused the two nationally known retail pharmacies of overbilling the Centers for Medicaid and Medicare Services (CMS) for reimbursements for prescription drugs. [read post]
7 Jun 2023, 8:46 am
Almost two years after issuing its Interim Final Rule requiring COVID-19 vaccination for certain health care works, the Centers for Medicare and Medicaid Services (“CMS”) has issued a final rule addressing several regulations regarding COVID-19 vaccination, testing, and education requirements in health care facilities. [read post]
6 Jun 2023, 3:13 pm
In conjunction with the Biden administration’s declaration that the COVID-19 national public health emergency ended effective May 11, 2023, the Centers for Medicare and Medicaid Services (CMS) announced it would “soon end” its mandatory vaccination requirement and that additional guidance would be forthcoming. [read post]
6 Jun 2023, 2:09 pm
Nonetheless, the Centers for Medicare and Medicaid have promulgated regulations that limit reimbursement to the lower of two amounts; one of which, is the provider’s “usual and customary” charge to the general public. [read post]
29 May 2023, 10:00 am
Medicare Advantage Plans are Aggressively Denying Claims – Administrative Appeals are Growing (May 25, 2023): According to the latest data released by the Centers for Medicare and Medicaid Services (CMS), beneficiaries participating in Medicare Advantage[1] plans now surpass those enrolled in original Medicare plans. [read post]
25 May 2023, 11:48 am
In Myriddian, the Centers for Medicare & Medicaid Services (CMS) awarded a five-year, $11 million contract to Cloud Harbor Economics, LLC (Cloud) for coding support services. [read post]
22 May 2023, 5:00 am
The Centers for Medicare & Medicaid Services (CMS) recently announced that it is planning to launch a new iteration of PECOS in Summer 2023. [read post]
19 May 2023, 2:34 pm
Ideally, this will manifest in increased interoperability capabilities nationwide—the Centers for Medicare & Medicaid Services has committed to transitioning to value-based arrangements by 2030. [read post]
19 May 2023, 2:34 pm
Ideally, this will manifest in increased interoperability capabilities nationwide—the Centers for Medicare & Medicaid Services has committed to transitioning to value-based arrangements by 2030. [read post]
16 May 2023, 10:50 am
This fact sheet, prepared by the Centers for Medicare & Medicaid Services, summarizes this important legislation. [read post]
15 May 2023, 2:23 pm
The news coincides with the end of the federal public health emergency on May 11, along with the anticipated end of the federal COVID-19 vaccination mandate for health care facilities certified by the Centers for Medicare and Medicaid Services (“CMS”). [read post]
11 May 2023, 2:09 pm
In addition to ending the travel restrictions, the Biden Administration also announced that the COVID-19 vaccination requirements for federal employees and federal contractors will end May 11, and the Administration will start the process to end the vaccination requirement for head start educators and CMS (Centers for Medicare and Medicaid Services)-certified facilities. [read post]
11 May 2023, 10:52 am
On November 4, 2021, the Biden administration and the Centers for Medicare and Medicaid Services (CMS) at the Department of Health and Human Services (HHS) issued an interim final rule which required certain workers at CMS-covered healthcare facilities to be vaccinated. [read post]
11 May 2023, 9:01 am
On the federal level, the Centers for Medicare and Medicaid Services (CMS) oversees nursing homes participating in the Medicare and Medicaid programs. [read post]
10 May 2023, 10:00 pm
As the COVID-19 Public Health Emergency comes to an end on May 11, various regulatory flexibilities simultaneously expire, including certain waivers issued by the Centers for Medicare & Medicaid Services, among other regulatory agencies. [read post]
10 May 2023, 10:00 pm
As the COVID-19 Public Health Emergency comes to an end on May 11, various regulatory flexibilities simultaneously expire, including certain waivers issued by the Centers for Medicare & Medicaid Services, among other regulatory agencies. [read post]
