Search for: "Centers for Medicare and Medicaid Services (CMS)"
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1 Feb 2022, 4:08 pm
The department’s health care fraud enforcement efforts restore funds to federal programs such as Medicare, Medicaid and TRICARE, the health care program for service members and their families. [read post]
10 Oct 2023, 10:51 am
During FY 2022, the Centers for Medicare and Medicare Services (CMS) has estimated the Medicare Part B improper payment rate as 8.41%. while the improper payment rate for Durable Medical Equipment (DME) suppliers was estimated to be 25.24%.[2] Additionally, the Medicaid program improperly paid $80.6 billion in improper claims during FY 2022.[3] Notably, these estimates don’t even take into account the sizeable improper billings… [read post]
20 Mar 2020, 5:41 am
Consequently, along with its release of the 2020 Report, EBSA reminded plans, employers and other interested parties of the following previously published EBSA guidance about the MHPAEA mandates:FY 2019 Mental Health Parity and Addiction Equity Act (MHPAEA) Enforcement Fact Sheet, available at https://www.dol.gov/sites/dolgov/files/EBSA/laws-and-regulations/laws/mental-health-parity/mhpaea-enforcement-2019.pdfAppendix to FY 2019 MHPAEA Enforcement Fact Sheet, available at… [read post]
16 Sep 2013, 3:21 pm
HHS Settles with Health Plan in Photocopier Breach Case; WellPoint Settles HIPAA Security Case for $1,700,000; Shasta Regional Medical Center Settles HIPAA Security Case for $275,000; Idaho State University Settles HIPAA Security Case for $400,000; and HHS announces first HIPAA breach settlement involving less than 500 patients. [read post]
31 Oct 2019, 9:05 pm
House of Representatives passed the Prescription Drug Pricing Reduction Act (PDPRA) that would require the Centers for Medicare and Medicaid Services (CMS) to release payment information about prescription drugs and pharmacy benefit managers. [read post]
2 Nov 2016, 12:17 pm
(Since then, the Center for Medicare and Medicaid Services has gone further with a rule to completely ban forced arbitration clauses in nursing home admission forms.) [read post]
16 Jan 2012, 4:15 pm
There are several vendors who specialize in MSA reports and submissions, and they will tell you they are very costly once approved by CMS (Center for Medicare/Medicaid Services). [read post]
10 May 2017, 10:20 am
Her day-to-day work encompasses both labor and employment issues, as well as independent contractor, outsourcing, employee leasing, management services and other nontraditional service relationships. [read post]
14 Jan 2022, 3:30 am
At about 2:45 PM ET, the Court released two more opinions — one in the ETS case and the other involving the Center for Medicare and Medicaid Services healthcare COVID-19 vaccine mandate (the “CMS Rule”). [read post]
13 May 2009, 10:55 am
Website Resources: NEW CMS GUIDELINES CALL FOR HOMELIKE ENVIRONMENT IN NURSING HOMES, Centers for Medicare and Medicaid Services, April 10, 2009. [read post]
Why is HHS blocking FDA from regulating some diagnostics, and how will this affect COVID-19 testing?
25 Aug 2020, 4:50 pm
And under the 1988 Clinical Laboratory Improvement Amendments (CLIA), most laboratories conducting LDTs need a certificate of compliance or accreditation every two years from the Centers for Medicare and Medicaid Services (CMS). [read post]
21 Dec 2023, 10:16 pm
The Centers for Medicare & Medicaid Services (CMS) provides a Nursing Home Compare tool that allows you to compare facilities based on different factors, including health inspections and staff ratings. [read post]
22 Dec 2023, 11:55 am
The Centers for Medicare & Medicaid Services (CMS) provides a Nursing Home Compare tool that allows you to compare facilities based on different factors, including health inspections and staff ratings. [read post]
22 Jun 2010, 4:29 am
Rather, the SFF was created by The Centers for Medicare & Medicaid (CMS) as an assemblage of facilities that deserve special recognition for the inadequate care they typically provide to their patients. [read post]
9 Dec 2021, 2:00 am
” On the same day, the Centers for Medicare & Medicaid Services (CMS) issued similar guidance for certain healthcare organizations and their employees. [read post]
10 Jan 2024, 11:11 am
Notably, the Centers for Medicare & Medicaid Services (CMS) and some U.S. states (notably, Oregon) want to limit payment for some accelerated-approval medications, or remove such medications from key formularies until they pass regular FDA approval. [read post]
10 Jan 2024, 9:23 am
Illinois nursing homes must also follow federal regulations imposed by the Centers for Medicare and Medicaid Services.Every nursing home is subject to mandatory inspections, also known as licensure surveys, at least every 15 months. [read post]
10 Jan 2024, 9:23 am
Illinois nursing homes must also follow federal regulations imposed by the Centers for Medicare and Medicaid Services.Every nursing home is subject to mandatory inspections, also known as licensure surveys, at least every 15 months. [read post]
25 Apr 2017, 3:21 pm
Among other things, group health plans and their fiduciaries can face audits, litigation and enforcement actions by the Centers for Medicare & Medicaid Services and other health plans for improperly coordinating plan claims with other coverage as well as lawsuits from covered persons, their health care providers or other beneficiaries, the Department of Labor and CMS, or others seeking to enforce rights to benefits, penalties in the case of… [read post]
18 Dec 2018, 3:57 am
This includes amounts that: An employer pays a third party in 2018 for qualified moving services provided to an employee prior to 2018. [read post]
