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  In addition to this ETS, the Centers for Medicare & Medicaid Services (“CMS”) released today a Vaccination Interim Final Rule (“IFR”) requiring workers at healthcare facilities participating in Medicare or Medicaid to be fully vaccinated. [read post]
29 Jul 2024, 6:29 am by Daniel R. Forman and Issac Schabes
The procurement sought a contractor to perform “operational analytics” (OA) services—including data analysis, reporting, root cause analysis, and surveillance functions—related to Center for Medicare and Medicaid Services (CMS) operations under the Patient Protection and Affordable Care Act. [read post]
30 Dec 2014, 6:00 am by Daniel E. Cummins
  Prospect for Medicare Set-Asides in Third Party Lawsuits DeadAccording to a press release from The American Association for Justice, the Centers for Medicare & Medicaid Services (CMS) withdrew its proposed rule in tort actions on future medicals called the “Medicare Secondary Payer and Future Medicals” rule. [read post]
24 Dec 2019, 3:05 am by Kellie McTammany
</p> </div> <div style="padding-top:0px;padding-bottom:0px;margin-top:0px;margin-bottom:35px;" data-rss-type="text"> <p style="margin:0px;"> The Centers for Medicare and Medicaid Services (CMS) made a declaration that falls should never happen in a hospital environment and created penalties that became effective in 2008. [read post]
25 Jul 2012, 1:21 pm by Lindsay Griffiths
  January 1, 2013 is the final date for CMS approval for the state exchange plans (as an aside, Lynn said that the Center for Consumer Information and Insurance Oversight, which she calls the new federal department of health insurance, is housed within the Centers for Medicare and Medicaid Services, and this January 1 date is when they must approve it). [read post]
30 Mar 2021, 9:02 pm by Larissa Morgan
Funded through grants from the Centers for Medicare and Medicaid Services (CMS), these historically bipartisan programs operate out of state agencies and private organizations such as public health nonprofits. [read post]
2 Jul 2014, 2:39 am by Bob Kraft
The giant federal agency that funds Medicare, Centers for Medicare & Medicaid Services (CMS), will tie some of its payments to hospitals to their safety record — which is a good thing, required by ObamaCare. [read post]
24 Mar 2016, 6:30 am by Senior Editor
 If the insurance company decides to settle the catastrophic workers comp claim, they work with the Centers for Medicare and Medicaid Services (CMS) to obtain approval of the Medicare Set Aside Agreement (MSA). [read post]
8 Aug 2023, 11:14 am by Jon L. Gelman
An ICD-10 Code (U9.0) Post-Acute Sequelae of COVID-19 (PASC) has been adopted by the Centers for Medicare and Medicaid Services (CMS).THE PAST WILL GUIDE THE FUTUREThe COVID-19 pandemic emerged in early 2020 and forced widespread business closings. [read post]
14 Jun 2018, 9:30 pm by Bobby Chen
The Centers for Medicare and Medicaid Services (CMS) released guidance about Medicaid coverage of treatment for Neonatal Abstinence Syndrome (NAS), a collection of withdrawal symptoms experienced by infants born addicted to opioids. [read post]
2 Sep 2012, 10:21 pm by Leland E. Beck
The Department of Health and Human Services (HHS) continues to dominate the field with Medicare, Medicaid, HITECH, and unique plan identifier rules impacting billions of dollars. [read post]
27 Mar 2020, 7:53 am by Salma Mokbel
Fraudulent offers for free COVID-19 testing in order to obtain Medicare beneficiary information that is used to submit false medical claims for unrelated, unnecessary, or fictitious testing or services. 18 U.S.C. [read post]
6 Nov 2022, 11:21 pm by Kurt R. Karst
In addition, the Second Circuit rejected Pfizer’s argument that the AKS should be read more narrowly than the beneficiary inducement statute (BIS), a civil statute that prohibits a person from offering to a Medicare or Medicaid beneficiary any remuneration that the person knows or should know is likely to influence such individual to order or receive from a particular provider, practitioner, or supplier any item or service for which payment may be made, in whole or… [read post]
9 Apr 2021, 9:33 am by Ryan Pate
Relying on publicly available claims data obtained from the Centers for Medicare & Medicaid Services (“CMS”), Integra filed a series of FCA complaints against hospital systems and skilled nursing facilities across the country, including complaints against the Providence Health & Services system (“Providence”) in the Central District of California and the Baylor Scott & White Health system (“Baylor”)… [read post]
20 May 2018, 2:26 pm by Robert Liles
  As the Centers for Medicare and Medicaid Services (CMS) has expressly noted in Chapter 2, Section 2.3 of the Medicare Program Integrity Manual (MPIM): “Claims data is the primary source of information to target abuse activities. [read post]
20 May 2018, 2:26 pm by Robert Liles
  As the Centers for Medicare and Medicaid Services (CMS) has expressly noted in Chapter 2, Section 2.3 of the Medicare Program Integrity Manual (MPIM): “Claims data is the primary source of information to target abuse activities. [read post]
23 Dec 2008, 5:47 am
Bush signed into law the "Medicare, Medicaid and SCHIP Extension Act of 2007" (MMSEA). [read post]
7 Nov 2021, 9:59 am by Daniel Schwartz
Importantly, there was news that the Centers for Medicare & Medicaid Services (“CMS”) issued a final rule on November 5, 2021, with the requirement that Medicare and Medicaid-certified suppliers, providers, and their staff become vaccinated for COVID-19. [read post]
7 Jan 2022, 2:17 pm by Tammy Binford, Contributing Editor
The CMS rule requires vaccination for employees of healthcare facilities that accept money from Medicare or Medicaid. [read post]