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11 Sep 2023, 1:58 pm
Since the Department of Labor Employee Benefit Security Administration (“EBSA”) now includes cybersecurity safeguards as a fiduciary responsibility and audits employee benefit plan cybersecurity as part of its fiduciary audits, the $1.3 million HIPAA Privacy, Security, and Breach Notification Rule (“HIPAA”) resolution agreement health plan giant LA Care (“LACHP”) announced today by the Department of Health and Human Services Office of Civil Rights… [read post]
11 Sep 2023, 8:39 am
Appeals and original proceedings opened in this Court in CM/ECF prior to October 1, 2023 will continue to be processed in CM/ECF. [read post]
8 Sep 2023, 8:24 am
A full copy of the CMS announcement can be accessed on CMS’ blog at CMS.gov. [read post]
8 Sep 2023, 5:00 am
The Centers for Medicare & Medicaid Services (CMS) recently announced that it intends to increase scrutiny on hospice providers as a result of increased reports and CMS findings suggesting potential hospice services fraud. [read post]
7 Sep 2023, 9:03 pm
CMS estimated that the rule would raise staffing levels for more than 75 percent of nursing homes, CMS Administrator Chiquita Brooks-LaSure predicted that the rule would “hold nursing homes accountable and make sure that residents get the safe, high-quality care that they deserve. [read post]
5 Sep 2023, 12:46 pm
*CMS is also announcing new efforts to improve enforcement of existing staffing standards, currently requiring nursing homes to provide sufficient staffing and eight hours per day of registered nurse care. [read post]
5 Sep 2023, 4:30 am
This questionnaire asks for key data points regarding recent self-disclosures made to the HHS Office of Inspector General via either the OIG’s Health Care Fraud Self-Disclosure Protocol (SDP) or the CMS Voluntary Self-Referral Disclosure Protocol (SRDP). [read post]
4 Sep 2023, 7:27 am
The federal minimum staffing standards proposed by CMS are robust yet achievable. [read post]
2 Sep 2023, 1:12 pm
If you find this of interest, you also may be interested in reviewing some of our other Solutions Law Press, Inc. resources available here such as: Education Association Union Sued For Race Discrimination Biden-Harris Administration Ending COVID-19 Vaccination Requirements For Federal Employees, Contractors, International Travelers, Head Start Educators & CMS-Certified Facilities Autism Health Plan Exclusions and Limitations May Trigger Mental Health Parity… [read post]
1 Sep 2023, 4:10 pm
The ten products CMS selected for negotiation might not actually produce optimal cost savings for the Medicare program: It is questionable whether the drugs selected for negotiation this year will optimize the cost savings CMS could achieve for its first ten (10) negotiated products. [read post]
1 Sep 2023, 1:40 pm
Additionally, CMS is also seeking input on need to add on a minimum total nurse staffing requirement with the rule. [read post]
1 Sep 2023, 10:33 am
CMS plans to work with eight state Medicaid agencies to engage in full care transformation across payers, with plans to engage private payers in the future. [read post]
1 Sep 2023, 10:23 am
CMS prioritized drugs that account for the most Medicare spending and came on the market years ago but face little competition. ( NEW YORK TIMES ) Govs Call for Congressional Action on Prescription Drug Shortages A group of 11 governors, led by South Dakota Gov. [read post]
1 Sep 2023, 9:00 am
In its announcement, CMS included details about upcoming opportunities for public input regarding the Program, including a series of patient-focused listening sessions CMS plans to hold for each ... [read post]
1 Sep 2023, 5:41 am
‘The launch of the CMS and the first weeks of opt out practice were dramatic and not very promising. [read post]
31 Aug 2023, 1:02 pm
For example, CMS added 15 new health equity hospital categorizations for the FY 2024 IPPS payment impacts. [read post]
31 Aug 2023, 9:16 am
Heads up employers! [read post]
30 Aug 2023, 12:24 pm
Fact Sheet FY 2022 MHPAEA Enforcement.3 This report highlights DOL and CMS enforcement efforts and investigations of MHPAEA compliance (other than NQTL comparative analysis compliance), including some non-MHPAEA investigations that ultimately impacted mental health and substance use disorder benefits. [read post]
30 Aug 2023, 7:35 am
The Centers for Medicare & Medicaid Services (“CMS”) responded to the ruling by temporarily suspending all Federal (i.e., IDR) process operations until the Departments can provide additional instructions, but has encouraged parties to continue to engage in open negotiations. [read post]
29 Aug 2023, 2:48 pm
*** As of the announcement, there are eight lawsuits challenging CMS’s ability to negotiate drug prices. [read post]
