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18 Jan 2023, 11:43 am
While both are in place to control problematic financial incentives in the health care industry, here are five differences between Stark and AKS: Stark is regulated by the Centers for Medicare & Medicaid Services (“CMS”) while the AKS is regulated by the Office of the Inspector General (the “OIG”) for the Department of Health and Human Services. [read post]
1 Dec 2015, 3:11 pm
Prior to January 1, 2011, the Centers for Medicare and Medicaid Services ("CMS") had not expressly prohibited Medicare providers such as Fresenius from billing for overfill. [read post]
1 Dec 2015, 3:11 pm
Prior to January 1, 2011, the Centers for Medicare and Medicaid Services ("CMS") had not expressly prohibited Medicare providers such as Fresenius from billing for overfill. [read post]
2 Sep 2016, 1:00 pm
The removal of this ban is being delayed as the Joint Commission collaborates with the Centers for Medicare & Medicaid Services (CMS) to ensure safe implementation and congruency with the Medicare Conditions of Participation. [read post]
23 May 2012, 11:59 am
The Centers for Medicare & Medicaid Services is in the process of adopting a new policy for reducing payments under the inpatient prospective payment system to those hospitals with high readmission rates for patients with certain conditions. [read post]
6 Mar 2009, 6:34 pm
This article reviews 11 key concepts under the Stark Law, in the context of changes to the Stark Law made by the Centers for Medicare and Medicaid Services (CMS). [read post]
2 Sep 2016, 1:00 pm
The removal of this ban is being delayed as the Joint Commission collaborates with the Centers for Medicare & Medicaid Services (CMS) to ensure safe implementation and congruency with the Medicare Conditions of Participation. [read post]
16 Jun 2015, 5:09 pm
To be sure, another of Genesis’s facilities in Sacramento is “one of six nursing facilities in California listed on the Centers for Medicare & Medicaid Services’ list of centers with serious quality issues. [read post]
17 Mar 2010, 7:05 pm
Effective April 12, 2010, the Centers for Medicare & Medicaid Services (CMS) will begin referencing the CDC's Table 1: Life table for the total population: United States, 2005, for WCMSA life expectancy calculations. [read post]
22 Jan 2014, 10:38 am
Medicaid administrators, he said, might transition from fee-for-service pay models to accountable care organizations (networks of providers that communicate and coordinate patient care to ensure better care) and medical homes (patient-centered primary care), in which payment is based on low-cost, quality-outcome methods. [read post]
20 May 2020, 8:49 am
Centers for Medicare & Medicaid Services (CMS) has since released guidelines for nursing home facilities that take patients under Medicare and Medicaid to follow for coronavirus compliance. [read post]
20 May 2020, 8:49 am
Centers for Medicare & Medicaid Services (CMS) has since released guidelines for nursing home facilities that take patients under Medicare and Medicaid to follow for coronavirus compliance. [read post]
1 Aug 2021, 7:55 am
The 2017 policy instituted by the Federal Centers for Medicare & Medicaid Services (CMS) endangered the lives of nursing home residents as well as their employees. [read post]
15 Mar 2013, 7:44 pm
Sebelius12-589Issue: (1) Whether the Centers for Medicare and Medicaid Services correctly calculated psychiatric-hospital reimbursement payments in fiscal years 2003 through 2008 based on a permissible interpretation of 42 U.S.C. [read post]
1 Mar 2009, 6:47 am
A Medicare rate cut to skilled nursing homes was reversed in August when the Centers for Medicare and Medicaid Services approved a 3.4% increase to account for inflation. [read post]
9 May 2017, 11:23 am
Federally Qualified Health Centers FQHCs provide primary and preventative healthcare services to medically underserved populations. [read post]
3 Jul 2015, 10:04 am
It’s just that she won’t be able to collect anything additional for medical bills beyond what Medicaid paid. [read post]
3 Jun 2022, 2:14 pm
” The U.S. alleges that Caris “perpetrated a scheme to evade Medicare regulations when submitting claims to the Centers for Medicare & Medicaid Services (CMS) for its predictive marker tests to circumvent Medicare’s 14-Day Rule (which establishes who may bill Medicare for certain laboratory services). [read post]
25 Oct 2010, 5:21 am
The closings came after the federal Centers for Medicare and Medicaid Services informed the Forum Medical Group that it would no longer pay for care unless improvements were made. [read post]
3 Mar 2011, 2:31 pm
The DHHS recommends that the Centers for Medicare & Medicaid Services (CMS) work with the states to develop background check procedures and ensure that States conduct background checks consistently. [read post]
