Search for: "CMS Health Care Provider"
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9 Apr 2013, 4:56 am
CMS has issued a proposed rule adding to previously adopted standards for navigators, which are organizations authorized by the Patient Protection and Affordable Care Act (ACA) to provide unbiased information to consumers about coverage options in the health insurance exchanges. [read post]
24 Sep 2020, 6:04 am
For over 30 years, Wachler & Associates has represented healthcare providers and suppliers nationwide in a variety of health law matters, and our attorneys can assist providers and suppliers in understanding new developments in the CARES Act and when to expect accelerated payment recoupment to begin. [read post]
15 Sep 2022, 9:42 am
To report eCQMs successfully, health care providers must use an EHR and adhere to the requirements identified by the CMS quality program. [read post]
3 Oct 2016, 5:21 am
CMS is hosting a call on November 1, 2016 to discuss how physicians and other providers can report quality measures during 2016 to maximize participation in Medicare quality programs, including the Physician Quality Reporting System (PQRS), Medicare Electronic Health Record (EHR) Incentive Program, Value-Based Payment Modifier (Value Modifier), and the Medicare Shared Savings Program. [read post]
31 Aug 2020, 10:26 am
” CMS indicated that the new testing mandate may implicate individuals providing services for a facility “under arrangement,” including, for example, a hospice with an agreement to provide care for LTC facility residents. [read post]
18 Apr 2022, 5:00 am
CMS instructs all affected healthcare providers to “take immediate steps so that they may return to compliance with the reinstated requirements” within these timeframes. [read post]
31 Mar 2020, 9:00 am
Read More › Tags: Health Care Reform, Hospitals, Medicare/Medicaid [read post]
10 Jan 2012, 1:31 am
CMS ISSUES ADDITIONAL HEALTH PLAN WAIVERSOn January 6, the Centers for Medicare & Medicaid Services (CMS) announced that it had granted waivers to 1,231 employer-sponsored health insurance plans that will allow them to continue despite their non-compliance with certain requirements of the Patient Protection and Affordable Care Act (PPACA).Most of the waiver recipients are limited medical benefit (“mini-med”) plans which are usually offered… [read post]
29 Sep 2010, 5:23 am
The nature and circumstances concerning a physician self-referral violation can vary given the scope of the physician self-referral law and the health care industry. [read post]
19 Mar 2020, 1:35 pm
The Health Law Pulse will continue to provide relevant updates for healthcare providers during this public health crisis. [read post]
5 Sep 2012, 10:00 am
In a prepayment review, the health care provider must submit documentation to the Centers for Medicare & Medicaid Services (CMS) contractor before ever receiving payment. [read post]
23 Aug 2018, 6:18 am
CMS proposes numerous other changes to ACO program policies, including implementation of Bipartisan Budget Act of 2018 provisions that promote telehealth services and allow certain ACOs to provide incentive payments of up to $20 to assigned beneficiaries who receive qualifying primary care services. [read post]
31 Mar 2015, 4:10 am
CMS also has continued the temporary moratoria on the enrollment of new home health or ambulance service providers in specific geographic locations and applied advanced analytics to Medicare fee-for-service claims to identify and suspicious billing patterns, among other initiatives. [read post]
2 Apr 2013, 4:31 pm
On April 2, 2013, the Centers for Medicare & Medicaid Services (CMS) held an Open Door Forum to discuss CMS's Administrator's Ruling (CMS-1455-R) and Proposed Rule (CMS-1455-P) that provide for significant changes to Medicare's Part B payment policy when a Part A hospital inpatient claim is denied as not medically necessary because the care was not provided in the appropriate setting. [read post]
14 Aug 2017, 12:03 pm
This Demonstration enables the state to operate a capitated Medicaid managed care program and a low-income pool to provide continuing support for safety net providers that furnish charity care to the uninsured. [read post]
29 Jul 2013, 10:45 am
CMS observes the tendency of health care fraud to “migrate” -- as enforcement efforts target a particular activity, “criminals may redesign the scheme or relocate to a new geographic area. [read post]
15 Sep 2015, 4:42 am
Associations, Consumer Operated and Oriented Plan (CO-OP) Programs, Stand Alone Dental Plans, Federally-faciliated Marketplace (FFM) Issuers, State Based Marketplaces, SBM Issuers, and Small Business Health Options Program (SHOP) issuers should review the Centers for Medicare & Medicaid Services (CMS) Payment Policy & Financial update on CMS’ policies regarding the administration of the enrollment and payment data reporting requirements of the Patient… [read post]
26 Jul 2012, 12:35 pm
A number of health care providers that attested to Meaningful Use for Stage 1 have received a letter from an Figloiozzi and Company, acting as CMS’s auditor for the EHR Incentive Program (the “Program” or “Meaningful Use Program”), requesting certain records related to the attestation. [read post]
26 Jul 2012, 12:35 pm
A number of health care providers that attested to Meaningful Use for Stage 1 have received a letter from an Figloiozzi and Company, acting as CMS’s auditor for the EHR Incentive Program (the “Program” or “Meaningful Use Program”), requesting certain records related to the attestation. [read post]
1 Sep 2017, 4:26 pm
Texas Care providers The post CMS, HHS Roll out Emergency Efforts Help Texas and Louisiana with Hurricane Harvey Recovery appeared first on Garlo Ward, P.C.. [read post]
