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13 Mar 2023, 5:00 am
During the COVID-19 PHE, HHS and its constituent agencies, such as the Centers for Medicare & Medicaid Services (CMS), waived many regulatory requirements to create additional flexibility for providers to help ensure that beneficiaries’ needs for healthcare items and services continued to be met during the pandemic. [read post]
9 Mar 2023, 10:09 am
In addition to these new regulations, Brown writes that the Centers for Medicare and Medicaid Services wants “state survey agencies” to mandate safety training for all nursing home employees. [read post]
8 Mar 2023, 2:02 pm
Medicare and Medicaid Two government programs that can help cover some types of healthcare costs are Medicare and Medicaid. [read post]
8 Mar 2023, 12:59 pm
Marselas writes that according to the Centers for Medicare and Medicaid Services, the new metrics will include the turnover rates for RNs, and administrators as well as the number of nursing home staff present at facilities on weekends. [read post]
8 Mar 2023, 4:17 am
Hospice benefits are available through Medicare, Medicaid, the Veterans Administration and private insurers. [read post]
7 Mar 2023, 7:56 am
On February 9, 2023, the Centers for Medicare & Medicaid Services (“CMS”) issued a fact sheet and its initial guidance documents addressing the Medicare Prescription Drug Inflation Rebate Program for Medicare Parts B and D (the “Inflation Rebates”)—a critical component of the sweeping prescription drug pricing changes enacted through the Inflation Reduction Act of 2022 (the “IRA”). [read post]
6 Mar 2023, 7:03 am
James Comer (R-Ky), House Committee on Oversight and Accountability chairman, sent letters to the Office of Personnel Management, Centers for Medicare and Medicaid Services and the Defense Health Agency asking for documents that show how PBMs’ practices are affecting federal government healthcare programs. [read post]
3 Mar 2023, 10:17 am
The Justice Department alleges in court documents that, Brier, Bruining, and RCCA shortchanged Rhode Island and Massachusetts substance abuse disorder patients out of much needed counseling and treatment services, while defrauding Medicare, Medicaid, and other health insurers out of millions of dollars. [read post]
3 Mar 2023, 6:58 am
Recovery Connection Centers of America has been charged with fraud resulting in millions of dollars paid for addiction treatment services. [read post]
2 Mar 2023, 10:42 am
The Five-Star Quality Rating System was created by the Centers for Medicare and Medicaid Services (CMS) to provide a quick summary of a nursing home’s overall level of quality. [read post]
1 Mar 2023, 12:24 pm
In 2019, Saratoga Center was placed on the Centers for Medicare and Medicaid Services Special Focus Facility list – a list of the worst-performing nursing homes in the United States. [read post]
1 Mar 2023, 9:29 am
On January 30, 2023, the Centers for Medicare & Medicaid Services (“CMS”) released the long-delayed final rule on risk adjustment data validation (“RADV”) audits of Medicare Advantage (“MA”) organizations (the “Final Rule”). [read post]
28 Feb 2023, 4:00 am
Department of Health and Human Services’ Centers for Medicare and Medicaid Services (CMS) issuing an interim final rule on November 5, 2021, shortcutting the full-blown notice and comment rulemaking process. [read post]
23 Feb 2023, 6:38 pm
Centers for Medicare & Medicaid Services (“CMS”) published a proposed rule on February 15, 2023 that would require Medicare-enrolled skilled nursing facilities (“SNFs”) and Medicaid-enrolled nursing facilities (“NFs”) to disclose additional ownership and management information to CMS and state Medicaid agencies. [read post]
23 Feb 2023, 5:00 am
Department of Health and Human Services (HHS) through the Centers for Medicare & Medicaid Services (CMS) issued a final rule implementing policies for the Medicare Advantage (MA) Risk Adjustment Data Validation (RADV) program. [read post]
23 Feb 2023, 4:00 am
On August 19, 2022 the Centers for Medicare and Medicaid Services announced plans to require nursing facilities to vaccinate most employees to continue to receive federal reimbursements. [read post]
22 Feb 2023, 10:00 pm
The Centers for Medicare and Medicaid Services (CMS) issued a final rule on the use of extrapolation to determine overpayments in risk adjustment data validation (RADV) audits of Medicare Advantage organizations (MAOs) and for audits conducted by the Office of Inspector General (OIG), effective for payment year 2018. [read post]
22 Feb 2023, 10:00 pm
The Centers for Medicare and Medicaid Services (CMS) issued a final rule on the use of extrapolation to determine overpayments in risk adjustment data validation (RADV) audits of Medicare Advantage organizations (MAOs) and for audits conducted by the Office of Inspector General (OIG), effective for payment year 2018. [read post]
22 Feb 2023, 10:00 pm
The Centers for Medicare and Medicaid Services (CMS) issued a final rule on the use of extrapolation to determine overpayments in risk adjustment data validation (RADV) audits of Medicare Advantage organizations (MAOs) and for audits conducted by the Office of Inspector General (OIG), effective for payment year 2018. [read post]
22 Feb 2023, 10:00 pm
The Centers for Medicare and Medicaid Services (CMS) issued a final rule on the use of extrapolation to determine overpayments in risk adjustment data validation (RADV) audits of Medicare Advantage organizations (MAOs) and for audits conducted by the Office of Inspector General (OIG), effective for payment year 2018. [read post]
