Search for: "Centers for Medicare and Medicaid Services (CMS)" Results 441 - 460 of 4,012
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9 Jun 2022, 4:45 pm by Lawrence Solum
To address these challenges, this Article proposes a new approach: working collaboratively with the Centers for Medicare and Medicaid Services (“CMS”), the FDA can use drug compendia—which identify, evaluate, and rate off-label uses—to create a graded system for regulating how drug manufacturers disseminate information about off-label uses that links informational restrictions to the level of evidence supporting the disseminated… [read post]
8 Jun 2022, 11:08 am by Patrick A. Malone
The 2021 embarrassment for federal officials, instead, may turn into inflation anticipation, the federal Centers for Medicare and Medicaid Services (CMS) has said. [read post]
7 Jun 2022, 8:54 am by Matthew Loughran
The Centers for Medicare and Medicaid Services has published a final rule that governed the way that Medicare Advantage and Medicare Part D plans interact with third-party marketing organizations. [read post]
3 Jun 2022, 2:14 pm by Ana Popovich
” The U.S. alleges that Caris “perpetrated a scheme to evade Medicare regulations when submitting claims to the Centers for Medicare & Medicaid Services (CMS) for its predictive marker tests to circumvent Medicare’s 14-Day Rule (which establishes who may bill Medicare for certain laboratory services). [read post]
3 Jun 2022, 2:07 pm by Andrew Hamm
Biden 21-1463Issues: (1) Whether the Centers for Medicare & Medicaid Services’ Nov. 5, 2021, vaccine mandate for workers in most federally funded healthcare facilities violates the Administrative Procedure Act because it is arbitrary, capricious, and unlawful; (2) whether the mandate is unconstitutional under the Constitution’s spending clause, the anti-commandeering doctrine, and the 10th Amendment; (3) whether the mandate violates the… [read post]
27 May 2022, 4:01 pm by Christine Clements and Arushi Pandya*
The Report is another example of the OIG fanning the fire of criticism of MAOs by ignoring the overwhelming evidence that MAOs provide access to medically necessary services and also minimized the program requirements and guidance from the Centers for Medicare and Medicaid Services (“CMS”), with which MAOs must comply. [read post]
On April 29, 2022, the Centers for Medicare and Medicaid Services (“CMS”), issued the final rule on Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs (the “Final Rule”). [read post]
24 May 2022, 11:28 pm by Robert Liles
This article examines a number of the recent balloon sinuplasty / balloon dilation cases pursued by program integrity contractors working for the Centers for Medicare and Medicaid Services (CMS) or prosecuted by the Department of Justice (DOJ) and discusses ways that you and your ENT practice can reduce your level of risk. [read post]
24 May 2022, 1:31 pm by Patrick A. Malone
This powerful, timely argument has been made in a top medical journal by leading federal regulators at the Centers for Medicare and Medicaid Services (CMS) and the Centers for Disease Control and Prevention (CDC). [read post]
20 May 2022, 9:56 am by Robert Liles
In the context of acupuncture services, before referring a veteran for these treatment services to a non-VA acupuncture service provider, a VHA medical center provider is supposed to evaluate the veteran’s clinical needs. [read post]
12 May 2022, 6:59 am by Robert Liles
The Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS) and the Office of Inspector General (OIG) are actively providing audit support, technical assistance, and investigative coordination to the states’ fraud-fighting efforts. [read post]
10 May 2022, 11:57 am by Brent Wieand
 Echoing the concerns of Montgomery County nursing home abuse attorneys, the Chairman of the Special Committee on Aging, Senator Casey Bob Casey (D-PA) has addressed a letter to the Centers for Medicare and Medicaid Services (CMS). [read post]
27 Apr 2022, 9:15 am by Brent Wieand
Department of Human Services and the Centers for Medicare and Medicaid Services (CMS). [read post]
27 Apr 2022, 5:00 am by Wachler & Associates, P.C.
Following a temporary suspension in pre-payment reviews under the Targeted Probe and Educate (TPE) audit program in response to the COVID-19 pandemic, the Centers for Medicare & Medicaid Services (CMS) announced in August 2021 that it would be resuming TPE reviews. [read post]
26 Apr 2022, 9:08 pm by Tess C. Markovich
FDA has historically opted to regulate only IVDs and delegate their regulatory authority over LDTs to the Centers for Medicare and Medicaid Services (CMS.) [read post]
26 Apr 2022, 12:12 pm by Cynthia Marcotte Stamer
The Health Insurance Marketplaces 2022 Open Enrollment Report (“Report”) published by the Centers for Medicare and Medicaid Services last month reveals the 2022 Open Enrollment Period (“2022 OEP”) produced the highest enrollment in health care marketplace plans since passage of the Patient Protection and Affordable Care Act (“ACA”) 12 years ago. [read post]
26 Apr 2022, 11:48 am by Cynthia Marcotte Stamer
The Health Insurance Marketplaces 2022 Open Enrollment Report (“Report”) published by the Centers for Medicare and Medicaid Services last month reveals the 2022 Open Enrollment Period (“2022 OEP”) produced the highest enrollment in health care marketplace plans since passage of the Patient Protection and Affordable Care Act (“ACA”) 12 years ago. [read post]
26 Apr 2022, 5:21 am by Brent Wieand
The Centers for Medicare and Medicaid Service maintain a dataset for that includes information on Special Focus Facilities. [read post]
19 Apr 2022, 3:10 pm by Robert Horton and Mary Leigh Pirtle
The Amendment requires employers holding a Comptroller exemption and who are not covered employers for purposes of the Centers for Medicare and Medicaid Services (CMS) mandatory vaccination rule to grant medical and religious exemption requests submitted by employees regardless of the burden to the employer. [read post]