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2 Aug 2012, 10:00 am
., Board Certified by The Florida Bar in Health Law On July 31, 2012, the Centers for Medicare and Medicaid Services (CMS) announced on its website that hospitals should brace themselves for prepayment audits beginning August 27, 2012. [read post]
2 Aug 2012, 10:00 am
., Board Certified by The Florida Bar in Health Law On July 31, 2012, the Centers for Medicare and Medicaid Services (CMS) announced on its website that hospitals should brace themselves for prepayment audits beginning August 27, 2012. [read post]
2 Aug 2012, 9:19 am by Charles Fried
That “fundamental” change was worked seventy-five years before by the Social Security Act and fifty years before with Medicare. [read post]
1 Aug 2012, 1:09 pm
The Centers for Medicare & Medicaid Services (CMS) has made navigating it's Hospital Compare and Nursing Home Compare websites even easier with enhanced IT tools and mobile-ready applications. [read post]
1 Aug 2012, 9:31 am
The Centers for Medicare and Medicaid Services (CMS) is already using new technology to review claims before they are paid in order to track fraud and flag suspect activity. [read post]
1 Aug 2012, 8:22 am by Lindsay Griffiths
Then you have those plans which are very deep in the Medicare Advantage space, and of course, the related one, Medicaid managed care. [read post]
1 Aug 2012, 8:22 am by Lindsay Griffiths
Then you have those plans which are very deep in the Medicare Advantage space, and of course, the related one, Medicaid managed care. [read post]
1 Aug 2012, 6:25 am by Mark Alderman
Through the initiative, states will work with a broad coalition of employers, insurers, community leaders, service organizations and health care providers to design or test multi-payer payment and delivery system improvements to health care systems for Medicare, Medicaid and CHIP beneficiaries. [read post]
31 Jul 2012, 9:11 am by Lindsay Griffiths
He said that if you look at the Medicaid provisions, both Colorado and Nevada will likely take the expanded Medicaid, though Nevada is not 100% sure. [read post]
31 Jul 2012, 9:11 am by Lindsay Griffiths
He said that if you look at the Medicaid provisions, both Colorado and Nevada will likely take the expanded Medicaid, though Nevada is not 100% sure. [read post]
31 Jul 2012, 2:59 am by Debra A. McCurdy
  CMS concurred with the OIG’s recommendations and described its corrective actions in the OIG report, “The Centers for Medicare & Medicaid Services Did Not Reconcile Medicare Outlier Payments in Accordance With Federal Regulations and Guidance. [read post]
30 Jul 2012, 9:29 am by Cynthia Marcotte Stamer
  Presumably, this will involve the extension of the use of state-of-the-art technology and data mining practices like those the Centers for Medicare & Medicaid Services (CMS) already uses to review claims, to track suspected fraud trends and flag suspected fraudulent activity. [read post]
30 Jul 2012, 7:49 am by Arthur J. Fried
On May 16, 2012, the Centers for Medicare and Medicaid Services of the Department of Health and Human Services (“CMS”) published regulations announcing various changes to the Medicare Conditions of Participation (“CoP”) applicable to hospitals.  [read post]
30 Jul 2012, 7:49 am by Arthur J. Fried
On May 16, 2012, the Centers for Medicare and Medicaid Services of the Department of Health and Human Services (“CMS”) published regulations announcing various changes to the Medicare Conditions of Participation (“CoP”) applicable to hospitals. [read post]
30 Jul 2012, 7:49 am by Arthur J. Fried
On May 16, 2012, the Centers for Medicare and Medicaid Services of the Department of Health and Human Services (“CMS”) published regulations announcing various changes to the Medicare Conditions of Participation (“CoP”) applicable to hospitals. [read post]
30 Jul 2012, 7:49 am by Arthur J. Fried
On May 16, 2012, the Centers for Medicare and Medicaid Services of the Department of Health and Human Services (“CMS”) published regulations announcing various changes to the Medicare Conditions of Participation (“CoP”) applicable to hospitals. [read post]
27 Jul 2012, 11:15 am by Lucas A. Ferrara, Esq.
The following organizations and government agencies are among the first to join this partnership: America's Health Insurance Plans Amerigroup Corporation Blue Cross and Blue Shield Association Blue Cross and Blue Shield of Louisiana Centers for Medicare & Medicaid Services Coalition Against Insurance Fraud Federal Bureau of Investigations Health and Human Services Office of Inspector General Humana Inc. [read post]
26 Jul 2012, 5:54 pm
" The report makes four primary recommendations for the Centers for Medicare and Medicaid Services: beneficiaries and their advocates should be able to identify the most comprehensive and affordable plan upon their initial Plan Finder search; the data should be reorganized and a decision tree created to hep guide them; Medicare resources should provide consistent information; and CMS should consolidate plans that lack meaningful differences in order… [read post]
26 Jul 2012, 1:39 pm by John Miano
The Center for Medicare and Medicaid Services (CMS) made long awaited updates to the Medicare Medicaid SCHIP Extension Act (MMSEA) User Guide for Non-Group Health Plans (NGHP). [read post]
26 Jul 2012, 12:18 pm by Daniel E. Cummins
The regulations also give Medicare and the Centers for Medicare Services a direct right of action to recover the lien amount from any primary payer. [read post]