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5 Mar 2021, 11:08 am
Telehealth services have always been an important vehicle through which to provide healthcare services to underserved communities. [read post]
1 Mar 2021, 6:13 am
In other cases, the MAC forwards the information to the Centers for Medicare & Medicaid Services (CMS) and CMS makes the revocation determination. [read post]
10 Feb 2021, 8:00 am
Augustine Nursing Home Injury Attorneys Every skilled nursing facility in the country that accepts payment from Medicare or Medicaid is rated by the Centers for Medicare and Medicaid Services (“CMS”) on a scale of one to five stars. [read post]
3 Feb 2021, 10:20 am
The Centers for Medicare & Medicaid Services (CMS) initially introduced TPE reviews as a pilot program in only a few jurisdictions. [read post]
1 Feb 2021, 10:21 am
Whether an item or service is appropriate for Medicare patients will be based on the duration and frequency deemed appropriate for the item or service and whether the item or service: Is provided in accordance with accepted standards of medical practice Continue reading [read post]
19 Jan 2021, 8:43 pm
(January 19, 2021): As you will recall, on March 30, 2020, the Centers for Medicare and Medicaid Services (CMS) suspended most Medicare audits and reviews due to the COVID-19 national emergency. [read post]
19 Jan 2021, 8:43 pm
One the edit is put in place, the only way for it to be removed is for the provider or supplier to effectively show (through their submission of a claim’s supporting documentation), that the medical services or DME supplies at issue are medically necessary and qualify for coverage and payment. [read post]
16 Jan 2021, 12:30 am
Likewise, in May 2020, CMS determined that an Ohio hospital had failed to meet its obligation under EMTALA to ensure medical screening examinations were performed on twin boys born prematurely (at 22 weeks gestation) in 2017. [read post]
13 Jan 2021, 8:47 pm
Why have Chiropractors Worked to Integrate Other Medical Services Into Their Practice? [read post]
13 Jan 2021, 8:47 pm
Why have Chiropractors Worked to Integrate Other Medical Services Into Their Practice? [read post]
13 Jan 2021, 8:47 pm
Why have Chiropractors Worked to Integrate Other Medical Services Into Their Practice? [read post]
12 Jan 2021, 3:54 am
Working with public and private sectors, AHIP implements solutions to lower out-of-pocket costs, which can be a barrier for people seeking telehealth medical care. [read post]
9 Jan 2021, 3:40 pm
Owners of incorporated health care providers can only be found personally liable for their companies’ debts to the Centers for Medicare & Medicaid Services (CMS) in certain very narrow circumstances, one of which is piercing the corporate veil. [read post]
9 Jan 2021, 2:00 pm
Services which are not medically necessary should never be performed. [read post]
31 Dec 2020, 9:03 pm
” The Centers for Medicare and Medicaid Services (CMS) issued temporary waivers that allow health systems to deliver care and services to uninfected patients at locations other than main hospital facilities, such as hotels and dormitories—an effort the federal agency calls “Hospitals Without Walls. [read post]
29 Dec 2020, 4:00 pm
The CARES Act includes the following health plan provisions: Requires group health plans and health insurance issuers to cover medical care intended to prevent or mitigate COVID-19 within 15 business days after the date the item or service is recommended. [read post]
28 Dec 2020, 10:19 am
” [5] On or about March 30, 2020, CMS instructed Recovery Audit Contractors (RACs) and other program integrity contractors to place most fee-for-service claims audits on hold. [read post]
28 Dec 2020, 2:00 am
Centers for Medicare & Medicaid Services (CMS) guidance for hospital visitations during the pandemic stated, “Facilities must ensure that patients have adequate and lawful access to chaplains or clergy. [read post]
11 Dec 2020, 5:11 am
Testing by clinical laboratories is regulated by the FDA and by the Clinical Laboratory Improvement Amendments (“CLIA”), as administered by the Centers for Medicare & Medicaid Services (“CMS”). [read post]
30 Nov 2020, 7:02 am
Those who have paid careful attention to CMS responses for years have unique insights into what CMS will and won’t accept. [read post]
