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23 Aug 2024, 11:27 am by Julia Kourpas
They began by comparing the quality of the facilities, exploring data such as star ratings provided by the Centers for Medicare and Medicaid Services. [read post]
17 May 2018, 12:36 pm
If you have both Medicare and Medicaid coverage and are enrolled in a Qualified Medicare beneficiary program, providers are usually not even allowed to bill you the Medicare co-pays and deductibles.If you receive a bill that you believe should be covered by insurance, Medicaid, or Medicare, contact your insurer to find out why the service was not covered. [read post]
30 May 2014, 1:08 pm
A Centers for Medicare and Medicaid Services (CMS) rule implemented in October of 2012, as the result of the Affordable Care Act, has some doctors very nervous. [read post]
15 Mar 2013, 8:27 am
On a national level, the Centers for Medicare and Medicaid Services reports that more than seventeen percent of all nursing home residents are administered antipsychotic medications that exceed the recommended daily dosage levels. [read post]
However, it leaves in place the Hyde amendment and all other provisions that restrict coverage for women who are enrolled in federal health care programs, including Medicaid and Medicare enrollees, Peace Corps volunteers, federal employees and their dependents, Native American women, and women in federal prisons and immigration detention centers. [read post]
  As previously reported, on November 4, 2021 the Centers for Medicare and Medicaid (CMS) issued an Interim Final Rule (the CMS Rule) requiring most Medicare and Medicaid certified providers and suppliers to vaccinate staff members within 60 days. [read post]
28 May 2015, 1:47 pm
According to the Centers for Medicare and Medicaid Services (CMS), “Delivery of high-quality, patient-centered care requires us to carefully consider the patient’s experience in the hospital inpatient setting. [read post]
18 Sep 2009, 8:50 am
Paul Grundy is on a mission -- a mission to promote the patient-centered medical home model that he has been instrumental in developing and rolling out, in his dual role as Director of Healthcare, Technology and Strategic initiatives for IBM Global Wellbeing Services and Health Benefits, and President of the Patient-Centered Primary Care Collaborative. [read post]
8 Oct 2010, 6:00 am by Beth Graham
Don Berwick, Administrator of the Centers for Medicare and Medicaid Services, began the workshop by outlining his triple aim for health care: better care for individuals, better health for populations and reduced per-capita costs. [read post]
15 Jan 2018, 9:00 am by Michael H Cohen
The billing to Medicare/Medicaid used an approved billing number Services Furnished by an Organization to Enrollees. [read post]
19 Jul 2018, 5:48 am by Whittel & Melton, LLC
Regardless of how organized your practice and its operations are, the chances of being audited by Medicare are quite real, especially if you have a successful practice and submit high volume claims to the Centers for Medicare and Medicaid Services (CMS). [read post]
19 Jul 2018, 5:48 am by Whittel & Melton, LLC
Regardless of how organized your practice and its operations are, the chances of being audited by Medicare are quite real, especially if you have a successful practice and submit high volume claims to the Centers for Medicare and Medicaid Services (CMS). [read post]
16 Nov 2011, 7:03 am by Lisa Baird
The Centers for Medicare & Medicaid Services (CMS) has recently updated the information on its website with respect to the Medicare, Medicaid, and SCHIP Extension Act of 2007 (MMSEA), Section 111 “Mandatory Insurer Reporting” requirements. [read post]
19 Aug 2015, 7:28 am
The Centers for Medicare and Medicaid Services ("CMS") and the Office of Inspector General ("OIG") have taken several steps recently to crack down on what it views as abusive PODs and POHs. [read post]
26 Dec 2014, 11:20 am by Jon Gelman
The updated Centers for Medicare and Medicaid Services reporting requirements for recoveries for environmental hazards and ingestion of particular substances are discussed.The utilization of new procedures for medical provider benefit recovery, motions for emergent medical treatment, counsel fees, and methods to correctly respond to the Court and notice requirements for hearing notice listings are described in this supplement. [read post]
8 Jul 2020, 8:48 am by Ben Vernia
   The Anti-Kickback Statute prohibits offering, paying, soliciting, or receiving remuneration to induce referrals of items or services covered by Medicare, Medicaid, and other federally funded programs. [read post]
23 Jul 2008, 10:02 am
Chuck Grassley on July 22, 200807/22/2008 Letter to Acting Administrator for Centers for Medicare & Medicaid Services Kerry Weems From the Medicare Payment Advisory Commission (PDF 155 KB) Letter Regarding the Interim Final Rule of the Medicare, Medicaid and SCHIP Extension Act of 2007 Relating to Long-Term Care Hospitals07/22/2008 Letter to Chief Compliance Officers From the Securities and Exchange Commission… [read post]