Search for: "Administrator for the Centers for Medicare and Medicaid Services"
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18 May 2012, 1:14 pm
The Office of Inspector General (OIG) of the Department of Health & Human Services (HHS) is recommending a “strong response” to improve Medicare Part D oversight of retail pharmacy prescriptions by the Centers for Medicare & Medicaid Services (CMS) based on findings of a recent study. [read post]
21 Jan 2022, 9:15 pm
The Centers for Medicare & Medicaid Services (CMS) announced a new March 15, 2022 deadline for healthcare workers residing in any of the 24 states involved in the litigation, including Ohio, Indiana, Kentucky and West Virginia. [read post]
17 Jan 2017, 1:26 pm
On January 17, 2017, the Centers for Medicare & Medicaid Services (“CMS”) finalized certain changes to the Medicare appeals process, with the intent to provide increased transparency and efficiency to cure the current backlog in pending appeals. [read post]
24 May 2013, 2:27 pm
On May 9th, the Centers for Medicare and Medicaid Services (CMS) announced the start of a procurement process for new Medicare Fee for Service Recovery Audit Program contracts. [read post]
29 Feb 2012, 8:53 am
While the amendments were under review by the Centers for Medicare & Medicaid Services (“CMS”), a group of providers and beneficiaries brought suit under the Supremacy Clause. [read post]
30 Jun 2017, 10:23 am
On June 20, 2017, The Centers for Medicare & Medicaid Services (“CMS”) released a proposed rule which would exempt a greater number of small practices from complying with the Medicare Access and CHIP Reauthorization Act of 2015 (“MACRA”). [read post]
20 Sep 2021, 9:25 am
On Wednesday, September 15, 2021, the Centers for Medicare & Medicaid Services (“CMS”) issued a proposed rule that would, among other things, repeal the pending new definition for items and services that are considered “reasonable and necessary” under Medicare Parts A and B scheduled to go into effect on December 15, 2021. [read post]
23 Nov 2011, 12:00 am
To provide the medical industry with clear instructions about how to prepare and submit the required disclosures, the Affordable Care Act called upon the federal Centers for Medicare and Medicaid Services (CMS) to release guidelines by October 1, 2011. [read post]
28 Jun 2005, 9:21 am
The revised rules proposed in December 2004 also reflect input from the Centers for Medicare and Medicaid Services, which is the federal agency that has final approval authority on all Medicaid estate recovery programs. [read post]
16 Feb 2023, 7:32 pm
As the September 1, 2023 deadline for Centers for Medicare & Medicaid Services (CMS) to publish the first 10 “selected drugs” subject to negotiation of “maximum fair prices” under Medicare Parts B and D fast approaches, CMS has recently specified information that manufacturers must submit in order for their drugs to qualify for the “Small Biotech Exception” to being included on the list. [read post]
7 Feb 2014, 7:22 am
A North Carolina nursing home appealed several monetary fines imposed by the Centers for Medicare and Medicaid Services (CMS), arguing in part that the evidence did not support CMS’s findings. [read post]
3 Jan 2018, 9:15 am
Lawyers Representing Injured Residents of Crescent Nursing Home The state of Montana and the Centers for Medicare and Medicaid Services (CMS) regularly conduct unannounced surveys and investigations of every nursing facility statewide. [read post]
10 May 2019, 8:16 am
In order to secure a new Beneficiary and Family Centered Care Quality Improvement Organization (BFCC-QIO) contractor, the Centers for Medicare and Medicaid Services (CMS) has temporarily paused both Short Stay and Higher Weighted Diagnosis-Related Group (HWDRG) reviews. [read post]
6 Jan 2014, 10:11 am
The Centers for Medicare and Medicaid services (CMS) has proposed rules for the Medicare Secondary Payer (MSP) appeals process that will target the “applicable plan” as the primary responsible party for recovery. [read post]
7 Dec 2020, 9:00 am
This new policy affects all rules coming from all HHS agencies and offices, the department said, including the FDA, Centers for Medicare & Medicaid Services (CMS), and Office for Civil Rights.... [read post]
26 Nov 2019, 1:32 pm
On November 21, an internal HHS memorandum addressed to Centers for Medicare & Medicaid Services (CMS) Principal Deputy Administrator Demetrios Kouzoukas entitled “Impact of Allina on Medicare Payment Rules” became publicly available. [read post]
26 Nov 2019, 1:32 pm
On November 21, an internal HHS memorandum addressed to Centers for Medicare & Medicaid Services (CMS) Principal Deputy Administrator Demetrios Kouzoukas entitled “Impact of Allina on Medicare Payment Rules” became publicly available. [read post]
16 Jul 2018, 12:47 pm
UPIC reviews of transcranial magnetic stimulation claims.UPICs are private, for-profit companies that awarded contracts to provide program integrity services for the Centers for Medicare and Medicaid Services (CMS). [read post]
18 Oct 2018, 2:42 pm
The Centers for Medicare & Medicaid Services (CMS) has announced that 1,299 entities have signed agreements to participate in the Administration’s new Bundled Payments for Care Improvement (BPCI) Advanced episode payment model, which runs from October 1, 2018 through December 31, 2023. [read post]
13 Aug 2018, 5:42 am
The Centers for Medicare and Medicaid Services (“CMS”) recently released a final rule that is meant to empower patients and reduce administrative burdens by advancing the MyHealthData and the CMS Patients Over Paperwork initiatives. [read post]
