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15 Jul 2019, 11:41 am
These regulations apply to the following categories of services: primary care; physician specialist services; behavioral health; pre- and post-natal obstetric services including labor and delivery; home health; any services for which the state has submitted a state plan amendment to reduce or restructure provider payments that could result in diminished access; and additional services as determined necessary by the state or CMS. [read post]
14 Jan 2022, 2:25 pm
Nationwide Health care Provider Presentation If you or your health care organization receives a Civil Investigative Demand, it is imperative that you take steps to affirmatively assess the case against you so that you may properly respond to the government’s subpoena. [read post]
23 May 2013, 8:23 am
” – McKnight’s – ”The majority of mental health services — such as medication management and counseling — are already provided to Medicaid recipients through managed care. [read post]
12 Jun 2017, 7:53 am
The rule was ensure improvements to the quality of care, help strengthen transparency in the arbitration process, reduce unnecessary provider burden, i.e. hospital readmissions processes, and support residents’ rights to make informed decisions about important aspects of their health care. [read post]
18 Feb 2013, 6:13 am
The Finance Committee has released a compilation of public recommendations to address health care fraud and abuse. [read post]
13 Dec 2022, 11:58 am
We encourage PCS and HHCS providers with questions on EVV compliance to reach out to the health care attorneys at Reed Smith. [read post]
6 Nov 2020, 12:08 pm
While the lion’s share of the $175 billion appropriated to the Provider Relief Fun via the CARES Act and Paycheck Protection Program and Health Care Enhancement Act (PPPHCEA) has already been spent, the FFCRA Relief Fund is intended to make available an additional $2 billion through a combination of FFCRA and PPPHCEA funds. [read post]
9 Oct 2020, 10:09 am
CMS uses the OPPS to decide the amount a hospital will receive for outpatient care for Medicare beneficiaries. [read post]
12 May 2021, 6:00 am
CMS-regulated providers are encouraged to register all interoperability digital contact information through the National Plan and Provider Enumeration System (NPPES). [read post]
14 Jun 2011, 7:42 am
AMA also urged CMS to allow health care providers to bill Medicare for procedures which are not currently billable under payment options which embrace down-side risk. [read post]
9 Dec 2021, 1:55 pm
The post Will Vaccine Mandate for Health Care Workers Be First to Reach the Supreme Court? [read post]
30 Jul 2012, 9:29 am
Increased information sharing and coördination of investigations and enforcement among states, CMS, and its law enforcement partners at the Office of the Inspector General (OIG) and DOJ including the highly publicized activities of the Health Care Fraud Prevention and Enforcement Action Team (HEAT), a joint effort between HHS and DOJ to fight health care fraud. [read post]
11 Dec 2014, 9:45 am
On December 11, 2014, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would revise certain conditions of participation for providers, conditions of coverage for suppliers, and requirements for long-term care facilities. [read post]
11 Dec 2014, 9:45 am
On December 11, 2014, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would revise certain conditions of participation for providers, conditions of coverage for suppliers, and requirements for long-term care facilities. [read post]
2 Aug 2010, 8:33 am
On July 23, CMS published a notice in the Federal Register, soliciting proposals in a new imaging demonstration created under the Medicare Improvements for Patients and Providers Act of 2008. [read post]
1 Dec 2021, 5:46 am
McLane Middleton will continue to monitor these developments and provide an update as soon as new developments occur. ______________ [1] Ambulatory Surgery Centers, Community Mental Health Centers, Comprehensive Outpatient Rehabilitation Facilities, Critical Access Hospitals, End-Stage Renal Disease Facilities, Home Health Agencies, Home Infusion Therapy Suppliers, Hospices, Hospitals, Intermediate Care Facilities for Individuals with Intellectual Disabilities,… [read post]
15 May 2023, 2:23 pm
The news coincides with the end of the federal public health emergency on May 11, along with the anticipated end of the federal COVID-19 vaccination mandate for health care facilities certified by the Centers for Medicare and Medicaid Services (“CMS”). [read post]
10 Sep 2021, 5:55 am
CMS asserted that this proposal would align its authority with a 2013 OIG Special Advisory Bulletin prohibiting a provider or supplier from employing excluded individuals to furnish management or administrative services payable by any federal health care program. [read post]
6 Nov 2012, 6:12 am
CMS RELEASES FIVE RULES AFFECTING PROVIDER PAYMENTSOn November 1 and 2, the Centers for Medicare & Medicaid Services (CMS) released a flurry of rules dealing with healthcare provider payments for fiscal year 2013 and other matters. [read post]
27 Apr 2020, 11:37 am
In light of the appropriated funding for hospitals and healthcare providers in the CARES Act and the Paycheck Protection and Health Care Enhancement Act, effective April 26 CMS will no longer accept new applications for the Advance Payment Program. [read post]
