Search for: "Centers for Medicare and Medicaid Services (CMS)"
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27 Mar 2019, 8:13 am
Stamer’s clients include employers and other workforce management organizations; employer, union, association, government and other insured and self-insured health and other employee benefit plan sponsors, benefit plans, fiduciaries, administrators, and other plan vendors; domestic and international public and private health care, education and other community service and care organizations; managed care organizations; insurers, third-party administrative services… [read post]
29 Jul 2021, 1:54 am
After several attempts to resolute the issue through programs, regulations, reviews, education, and awareness, the problem continues to be revisited.For residents who have been appropriately assessed and behavioral health needs rightfully determined, the Centers for Medicare & Medicaid Services (CMS) says treatment options other than chemical restraints and medicated interventions should be used when possible.Alternative and safer solutions… [read post]
10 Jul 2019, 3:33 pm
Stamer also shares her thought leadership, experience and advocacy on these and other related concerns by her service in the leadership of the Solutions Law Press, Inc. [read post]
16 Jul 2019, 2:01 pm
Stamer also shares her thought leadership, experience and advocacy on these and other related concerns by her service in the leadership of the Solutions Law Press, Inc. [read post]
29 May 2019, 2:06 am
Stamer also shares her thought leadership, experience and advocacy on these and other related concerns by her service in the leadership of the Solutions Law Press, Inc. [read post]
2 Mar 2020, 11:04 am
In addition to the changes proposed in the 2/06/20 Proposed Rule, in response to President Trump’s July 24, 2020 Executive Order on Improving Price and Quality Transparency in American Healthcare to Put Patients First, HHS on November 14, 2019 also undertook two other regulatory actions intended to increase price transparency to empower patients and increase competition among all hospitals, group health plans and health insurance issuers in the individual and group markets:… [read post]
25 Feb 2013, 11:49 am
Among other thing, the Final Regulations: Clarify the approach HHS will use to enforce the applicable requirements of the Affordable Care Act with respect to health insurance issuers and group health plans that are nonfederal governmental plans Amend the standards for health insurance issuers and states on reporting, utilization, and collection of data under the federal rate review program Revise the timeline for states to propose state-specific thresholds for review and approval by the… [read post]
16 Dec 2019, 3:13 pm
OCR’s investigation determined that, in addition to that impermissible disclosure, DADS violated the HIPAA Security Rule by failing to conduct an enterprise-wide risk analysis and implement access and audit controls on Community Living Assistance and Support Services and Deaf Blind with Multiple Disabilities (“CLASS/DBMD”) program information systems and applications intended to collect and report information about “Utilization Management and Review”… [read post]
15 Dec 2020, 3:44 am
</p> </div> <h3 style="padding-top:0px;padding-bottom:0px;margin-top:0px;margin-bottom:35px; margin-block-start:1em; margin-block-end:1em;"> A Second COVID-19 Dashboard: </h3> <div style="padding-top:0px;padding-bottom:0px;margin-top:0px;margin-bottom:35px;" data-rss-type="text"> <p style="margin:0px;"> A second COVID-19 Dashboard will aggregate and… [read post]
19 May 2019, 2:30 pm
In parallel with the Department’s criminal actions, the Center for Medicare Services, Center for Program Integrity (CMS/CPI) simultaneously took adverse administrative action against 130 DME companies that had submitted over $1.7 billion in claims and were paid over $900 million. [read post]
7 Oct 2024, 5:35 pm
A substantial majority of these payments were entitled to priority over Endo’s other unsecured claims.Finally, HHS’s Centers for Medicare and Medicaid Services (CMS), HHS’s Indian Health Service and the Department of Veterans Affairs (VA) asserted claims in the bankruptcy proceeding against Endo for the costs these programs incurred in providing medical care to treat individuals who suffer from opioid-use disorder as a… [read post]
1 Jan 2020, 10:35 am
While not topping this record, OCR during 2019 now has collected civil monetary penalties and resolution payments totaling more than $15 million from HIPAA Covered Entities and their business associates including: A $3 Million Resolution Payment from Cottage Health; A $3 Million Resolution Payment From A Tennessee Diagnostic Medical Imaging Services Company; A $100,000 Resolution Payment From An Indiana Medical Records Service Business Associate;… [read post]
28 Mar 2024, 11:00 am
This protest was the protester’s second challenge to the Department of Health and Human Services, Centers for Medicare and Medicaid Services’ award of a Federal Supply Schedule order for in-person and virtual training services after CMS took voluntary corrective action, reevaluated quotations, and selected the same awardee. [read post]
21 Dec 2018, 12:00 am
Along with the Centers for Medicare and Medicaid Services (CMS), states created guidelines for hygiene, patient care, and the use of restraints – chemical included. [read post]
7 Oct 2008, 3:32 am
As of October 1, for instance, the Centers for Medicare and Medicaid will no longer reimburse hospitals for a total of 11 conditions it says are reasonably preventable. [read post]
5 Nov 2023, 3:10 pm
OCR’s investigation determined that, in addition to that impermissible disclosure, DADS violated the HIPAA Security Rule by failing to conduct an enterprise-wide risk analysis and implement access and audit controls on Community Living Assistance and Support Services and Deaf Blind with Multiple Disabilities (“CLASS/DBMD”) program information systems and applications intended to collect and report information about “Utilization Management and Review” activities… [read post]
8 Aug 2014, 5:40 am
The Centers for Medicare and Medicaid Services (CMS) plans to run the first risk adjustment and reinsurance calculation estimates in mid-December, 2014 using data to be collected from insurers and TPAs on the EDGE system. [read post]
13 May 2020, 6:53 pm
” Infections in nursing homes and long-term care facilities Centers for Medicare and Medicaid Services (CMS) stated that the top cause of morbidity and mortality in nursing homes is infection. [read post]
11 Apr 2020, 9:26 am
The current Center for Medicare and Medicaid Services (CMS) recommendations advise evaluating clinical situations by analyzing the risk and benefit of any planned procedure while considering resource conservation. [read post]
7 Sep 2022, 12:00 pm
The Centers for Medicare and Medicaid (CMS) define abuse as the willful infliction of injury, unreasonable confinement, or punishment with resulting physical harm, pain or mental anguish. [read post]
