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8 Jan 2024, 2:10 pm
Health plans, health care providers and health care clearinghouses (“Covered Entities”) treat the Department of Health and Human Service Office of Civil Right (“OCR”) announcement of its 46th enforcement action under the Health Insurance Portability & Accountability Act (“HIPAA”) Right of Access Rule as a warning to confirm their own organization’s timely delivery of records and other compliance with the Rule. [read post]
22 Dec 2023, 9:33 am
In 2019, however, CHOA denied the employee’s request for a religious accommodation and fired him, despite the employee working primarily outside and his position requiring limited interaction with the public or staff the EEOC said. [read post]
21 Dec 2023, 2:18 am
The attestation will satisfy the parallel requirements under the code, ERISA, and the Public Health Service Act, as applicable. [read post]
11 Dec 2023, 8:33 pm
During COVID-19, however, FDA essentially stopped reviewing pre‑submissions severely limiting feedback to non-COVID test developers. [read post]
7 Dec 2023, 5:00 am
Any measure which interferes with fundamental rights and freedoms must be foreseen by law, strictly necessary, proportionate, and limited in time. [read post]
4 Dec 2023, 7:41 am
In this post, Phil Woodfield and Elizabeth Lombardo of CMS comment on the Supreme Court’s decision in Canada Square Operations Ltd v Potter [2023] UKSC 41, which was handed down on 15 November 2023. [read post]
30 Nov 2023, 9:03 am
The CMS system has a limit on the size of files that it accepts and what would appear to be a perfectly acceptable document for filing would be pushed over this limit by the conversion process, which meant that we had to divide our evidence into smaller parts. [read post]
29 Nov 2023, 5:04 pm
This measure, together with new pharmacy contracting requirements and related enforcement provisions also included in the bill, would represent an important—albeit limited—modification to pharmacy network contracting rules under Part D, which have been limited by the statutory “non-interference clause” barring the Centers for Medicare and Medicaid Services (CMS) from interfering in contract negotiations between pharmacies and plans or their PBMs. … [read post]
28 Nov 2023, 10:00 am
The health FSA limit rises to $3,200 (from $3,050 in 2023) and the new carryover limit will be $640. [read post]
20 Nov 2023, 10:19 am
In this section, we will limit our discussion to hospice audit initiatives focused on traditional Medicare and Medicaid claims. [read post]
17 Nov 2023, 5:26 am
The rule indicates that CMS intends to make the ownership data disclosed under this rule available to the public by November 17, 2024. [read post]
14 Nov 2023, 2:00 pm
Reg. 75744 (Nov. 3, 2023) ; CMS, Fact Sheet . [read post]
9 Nov 2023, 9:05 pm
Environmental Protection Agency would intervene should any proposed program threaten public health. [read post]
5 Nov 2023, 3:10 pm
The CMS waiver programs required DADS to collect and report to CMS applicant and enrollee community and institutional service choice, Level of Care, Plan of Care, waiver provider choice and other waiver program performance data for CLASS and DBMD as part of a required evidentiary report on all §1915(c) waiver programs. [read post]
11 Oct 2023, 6:18 am
Turning CMS into a Health Technology Assessment Organization. [read post]
9 Oct 2023, 1:30 pm
Compatibility with your chosen content management system (CMS) and other technical considerations should be addressed. [read post]
9 Oct 2023, 1:17 pm
For those covered by the law, New York’s six-year statute of limitations means pay frequency claims could continue to mount. [read post]
5 Oct 2023, 9:35 am
To be sure, the 27-year period between 1996 and 2023 saw many changes in the burgeoning health-care sector, including, but not limited to, changes in the PBM industry and the chain of distribution for prescription drugs. [read post]
29 Sep 2023, 4:26 pm
The federal government funds over 2,200 federal assistance programs for the public. [read post]
29 Sep 2023, 1:56 am
To make things easier for the states, CMS announced that certain temporary waivers would be available on a limited basis to streamline the renewal process for some enrollees and cut down on patients losing coverage. [read post]
