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14 Dec 2018, 8:28 am
The Special Open Door Forum will provide stakeholders with an opportunity to ask questions regarding the HCPCS changes. [read post]
15 Mar 2016, 3:44 pm
CMS has published its annual Notice of Benefit and Payment Parameters, which governs participation in the Affordable Care Act (ACA) Health Insurance Marketplaces for 2017. [read post]
18 Jan 2017, 10:25 am
CMS has finalized extensive changes to the conditions of participation (CoPs) that home health agencies (HHAs) must meet to participate in the Medicare and Medicaid programs. [read post]
19 Feb 2019, 8:51 am
CMS has Ended its Moratorium on New Home Health Agencies in Texas, Illinois, Michigan and Florida. [read post]
21 May 2014, 1:25 pm
The rule provides that at the time of admission, the admitting physician must document an expectation that a patient receive 2 midnights or more of hospital care. [read post]
18 Sep 2013, 8:36 am
Over the recent years, health care providers have witnessed a steady increase in auditing activity by RACs and other CMS contractors. [read post]
25 Sep 2020, 5:15 am
The PRF is a $175 billion fund created Congress through the CARES Act and administered by HHS to provide financial relief to healthcare providers during the COVID-19 pandemic. [read post]
29 Dec 2021, 12:47 pm
Covered employers in the health care space began taking steps to ensure compliance by January 4, 2022. [read post]
18 Nov 2016, 11:21 am
The post CMS Reopens Hospital Appeals Settlement Process appeared first on Health Law Pulse. [read post]
20 Oct 2011, 2:12 pm
• Leave a comment on Federal Antitrust Agencies Offer Guidance to Health Care Providers Forming Accountable Care Organizations [read post]
7 Aug 2017, 9:50 am
The post Health care reform discussions continue in U.S. [read post]
9 Jul 2014, 6:59 am
If you or your entity have questions related to the SCF pilot program, or would like assistance from experienced health care attorneys in representing you or your entity in the SCF process, please contact Wachler & Associates at 248-544-0888 or wapc@wachler.com. [read post]
13 Apr 2018, 11:48 am
Persons who need specialty care not offered through affordable ACA plans may also qualify for a hardship exemption. [read post]
28 Oct 2014, 1:52 pm
If you have any questions regarding ACOs or how CMS's interim final rule and ACO waivers may impact your health care entity, or seek assistance in commenting on any of the provisions, please contact an experienced healthcare attorney at 248-544-0888 or via email at wapc@wachler.com. [read post]
22 Dec 2023, 9:51 am
While CMS’s staffing proposal has stirred up controversy in the long-term care community, some providers have proved that the requirements are very reasonable and attainable. [read post]
29 Apr 2013, 11:09 am
If you have any questions regarding CMS's proposed rule or questions regarding the RAC appeals process, please contact an experienced health care attorney at Wachler & Associates at 248-544-0888 or WAPC@wachler.com. [read post]
8 Sep 2016, 2:47 pm
The RFI also seeks comments on: multi-payer delivery and payment reforms that focus on having providers and the state assume financial accountability for the health outcomes of the entire state population; assessing the impact of specific care interventions across multiple states; and facilitating alignment of state and federal payment and service delivery reform efforts. [read post]
14 Nov 2013, 2:33 am
On November 12, 2013, CMS announced the launch of its Virtual Research Data Center (VRDC), which is intended to provide researchers with more convenient, timely, and cost-effective access to secure CMS health care data without needing to request that the agency ship encrypted data files. [read post]
15 Jun 2015, 1:59 pm
CMS has released updated Medicare drug payment files, guidance on Medicaid/CHIP provider fingerprint-based criminal background checks, Medicare provider payment data, and guidance on beneficiary drug plan disenrollments by long term care facilities. [read post]
6 Feb 2024, 12:14 pm
” With the potential to cause harm to patients taking unnecessary antipsychotics, CMS began asking providers for behavioral health records over a year ago. [read post]