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21 Jan 2014, 11:51 am by Michael Rosenblat
  These authorizations under the Affordable Care Act, allowed HHS and the Centers for Medicare and Medicaid Services (CMS) to screen 1.5 million Medicare enrolled providers through the Automated Provider Screening system that identifies ineligible providers and potential frauds. [read post]
22 Aug 2024, 7:33 am by jeffreynewmanadmin
Jeff Newman represents whistleblowers nationwide relating to Medicare and Medicaid fraud, under the state and federal False Claims Act (Qui Tam) laws. [read post]
31 May 2016, 4:11 pm by Debra A. McCurdy
” Likewise, entities covered by the rule “may include hospitals, health clinics, health insurance issuers, state Medicaid agencies, community health centers, physician’s practices and home health care agencies. [read post]
31 May 2016, 4:11 pm by Debra A. McCurdy
” Likewise, entities covered by the rule “may include hospitals, health clinics, health insurance issuers, state Medicaid agencies, community health centers, physician’s practices and home health care agencies. [read post]
3 Jul 2008, 8:11 am
  The Directive, issued by the Centers for Medicare and Medicaid to State Children’s Health Insurance Program directors, imposes new restrictions and conditions on states’ abilities to provide health coverage to children with family incomes above 250% of the federal poverty level. [read post]
14 Jul 2016, 5:44 pm by Karl A. Thallner and Emily Kimmelman
Under current law, the Centers for Medicare & Medicaid Services (“CMS”) has been precluded from fully implementing the 25 Percent Rule for freestanding LTCHs for cost reporting years beginning before July 1, 2016, and for LTCH hospitals-within-hospitals (“HIHs”) for cost reporting years beginning before October 1, 2016. [read post]
2 Dec 2010, 5:00 am by Jon L. Gelman
Image via Wikipedia The Centers for Medicare and Medicaid Services (CMS) has recently issued a series of Alerts for Implementation of Medicare Secondary Payer Mandatory Reporting Provisions in Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (See 42 U.S.C. 1395y(b)(7) & (8)). [read post]
2 Dec 2010, 5:00 am by Jon L. Gelman
Image via Wikipedia The Centers for Medicare and Medicaid Services (CMS) has recently issued a series of Alerts for Implementation of Medicare Secondary Payer Mandatory Reporting Provisions in Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (See 42 U.S.C. 1395y(b)(7) & (8)). [read post]
9 Nov 2010, 6:02 pm by Jason Greis
The draft criteria are arranged into seven categories that reflect the core capabilities ACOs should possess: Program Structure Operations Access and Availability Primary Care Care Management Care Coordination and Transitions Patient Rights and Responsibilities Performance Reporting There is no indication at this time that the Centers for Medicare and Medicaid Services (CMS) or any other regulatory agency will adopt these criteria in establishing requirements… [read post]
26 Feb 2013, 5:17 am by Jerri Lynn Ward, J.D.
An excerpt: The proposed changes to the PASRR program are a result of a Centers for Medicare and Medicaid Services (CMS) directive for the State to become fully compliant with federal requirements at Title 42 of the Code of Federal Regulations, Part 483, Subpart C, governing the State’s responsibility for preadmission screening and resident review of individuals with mental illness (MI) or an intellectual or developmental disability (IDD). [read post]
24 Nov 2019, 3:38 pm by Debra A. McCurdy
Our presenters include: Lisa Wilson, Senior Technical Advisor to the Centers for Medicare and Medicaid Services; David Gregory, Principal, Healthcare Practice, Baker Tilly Virchow Krause; Nancy Bonifant Halstead, Partner, Reed Smith; and moderator Nicole Aiken-Shaban, Senior Associate, Reed Smith. [read post]
21 Nov 2019, 1:28 pm by Lisa Baird
Our presenters include: Lisa Wilson, Senior Technical Advisor to the Centers for Medicare and Medicaid Services David Gregory, Principal, Healthcare Practice, Baker Tilly Virchow Krause Nancy Bonifant Halstead, Partner, Reed Smith Nicole Aiken-Shaban, Senior Associate, Reed Smith (moderator) A discussion with representatives from major associations on how the industry is preparing for the next major shift in the health delivery continuum. [read post]
24 Apr 2024, 4:52 am by Erica Blachman Hitchings
  This failure resulted in a higher reimbursement rate from the Centers for Medicare and Medicaid Services (CMS). [read post]
10 Apr 2014, 9:10 am by Debra A. McCurdy
While attention has been focused on Medicare physician payment data released by CMS yesterday, upcoming Sunshine Act data will shine a new spotlight on financial relationships between physicians and pharmaceutical and medical device companies – with potential FCA implications.Last week marked the deadline for pharmaceutical and medical device manufacturers and group purchasing organizations (GPOs) to register with and submit aggregate 2013 payment and investment interest data to the… [read post]
8 Mar 2012, 12:50 pm by Mark Alderman
The Centers for Medicare & Medicaid Services (CMS) is preparing to collect health insurance exchange construction progress reports from the states. [read post]
14 May 2012, 11:46 am by Rosenbaum & Associates
However, the data from the federal Centers for Medicare and Medicaid Services also showed that those homes that do continue using the drugs inappropriately tend to be understaffed. [read post]
14 May 2012, 12:46 pm
However, the data from the federal Centers for Medicare and Medicaid Services also showed that those homes that do continue using the drugs inappropriately tend to be understaffed. [read post]
27 Sep 2010, 5:47 am
Healthcare matters remained highly relevant throughout the month of September, as comments were released on important home health regulations, as a lawsuit appeared likely to move forward, and as lawmakers and the President marked the six-month anniversary of the new healthcare reform law.36-MONTH RULE COMMENTS MADE PUBLIC:As we reported to you in our August 9 update (please visit www.eapdhealthcarereform.com to view this and other past updates), comments associated with the Centers… [read post]