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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]
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]
9 May 2023, 6:41 pm
Medicare May Cover Skilled Nursing Care Medicare is a federal program administered by the Centers for Medicare and Medicaid Services. [read post]
8 May 2023, 5:00 am
Under the Medicare Part C or Medicare Advantage (MA) program, the Centers for Medicare & Medicaid Services (CMS) contract with Medicare Advantage Organizations (MAOs), typically private insurance companies, that administer MA health plans to Medicare beneficiaries as an alternative to traditional Medicare. [read post]
8 May 2023, 12:28 am
Medicare Exclusion Risks: Employing Excluded Individuals Can Result in Significant Administrative, Civil and / or Criminal Liabilities (May 8, 2023): One of the most severe administrative sanctions available under the Social Security Act stems from the authority of the Office of the Inspector General (OIG) of the Department of Health and Human Services (HHS)[1] to “exclude” individuals and entities from participating in Federal health care… [read post]
5 May 2023, 12:24 am
In response to these investigations, the Centers for Medicare & Medicaid Services (CMS) launched the National Partnership to Improve Dementia Care in Nursing Homes. [read post]
4 May 2023, 10:00 am
Neil Meltzer, president and CEO of LifeBridge Health, was appointed chair of the Advisory Panel on Outreach and Education (APOE), a federal health care advisory committee to the Centers for Medicare & Medicaid Services (CMS). [read post]
4 May 2023, 8:05 am
On this episode, Epstein Becker Green attorneys Leslie Norwalk, Connie Wilkinson, and Alexis Boaz discuss key considerations for the health care and life sciences industry as the Centers for Medicare & Medicaid Services works its way through the initial stages of implementation of the Medicare Drug Price Negotiation Program and the Medicare Prescription Drug Inflation Rebate Program under the IRA [read post]
3 May 2023, 7:18 am
COVID-19 vaccination requirements for federal contractors and employees, Centers for Medicare and Medicaid (“CMS”) certified health care and other providers, Head Start educators and international travelers implemented in 2021 in response to the COVID-19 health care emergency. [read post]
3 May 2023, 7:03 am
Medicare could have saved $128 million if the Centers for Medicare and Medicaid Services had the correct controls in place to avoid duplicate payments with the Veterans Health Administration, an audit by the Office of Inspector General found. [read post]
2 May 2023, 12:43 pm
The US Centers for Medicare & Medicaid Services (CMS) website provides a comprehensive Coronavirus Disease 2019 page with information on CMS Waivers, Flexibilities and the Transition Forward, including provider-specific fact sheets on Coronavirus Waivers and Administrative Flexibilities that detail “which waivers and flexibilities have already been terminated, have been made permanent, or will end at the end of the PHE. [read post]
2 May 2023, 7:30 am
The Centers for Medicare & Medicaid Services (“CMS”) is using its annual rulemaking process to update the CMS payment system rules for fiscal year (“FY”) 2024 as a mechanism to advance health equity systematically across various CMS payment programs. [read post]
1 May 2023, 12:27 pm
For example, EBSA assisted HHS’ Centers for Medicare and Medicaid Services in investigating an improper appeals process following the denial of coverage for autism treatment by a plan for a large school district. [read post]
28 Apr 2023, 6:43 pm
The United States contends that the Settling Parties manipulated the place of service code on claims for skin grafts to fraudulently maximize reimbursement from Medicare and Medicaid. [read post]
28 Apr 2023, 6:12 pm
The Centers for Medicare and Medicaid Services (CMS) released a pair of proposed rules on April 27, 2023 that make substantial changes to the structure of Medicaid and the Children’s Health Insurance Program (CHIP), both in the traditional fee-for-service setting and for services provided through managed care organizations (MCOs), and incorporate feedback from stakeholders in a request for information process. [read post]
28 Apr 2023, 6:36 am
Researchers analyzed a report from the Centers for Medicare and Medicaid Services, which indicated that the “three-day hospital stay waiver”, was intended to transfer patients with serious medical conditions covered under Medicaid to profitable “Medicare rolls”. [read post]
27 Apr 2023, 11:35 am
In part I, we discussed whether federal district courts could exercise jurisdiction under the federal-question statute over legal challenges to overpayment determinations made by the Centers for Medicare & Medicaid Services (CMS) under the agency’s controversial Risk Adjustment Data Validation (RADV) program for Medicare Advantage (MA) organizations. [read post]
26 Apr 2023, 6:20 pm
In August 2012, after the DACA program was announced by the Department of Homeland Security, the Centers for Medicare and Medicaid Services issued a State Health Official Letter, SHO #12-002 that provided guidance to state health officials and Medicaid directors about how DACA recipients should be treated for eligibility in those programs. [read post]
