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16 May 2010, 5:31 am by Philip J. Berenz
 Review the Centers for Medicare and Medicaid Services listings of nursing homes here and check to see if your loved one is in a poor-performing facility and keep a vigilant eye on the care and treatment. [read post]
9 Aug 2013, 3:56 am by Kelly Phillips Erb
During a hearing titled, 'The Status of the Affordable Care Act Implementation,' the committee questioned representatives from the Centers for Medicare and Medicaid Services and the Internal Revenue Service responsible for implimenting the ACA. [read post]
13 Jan 2022, 12:43 pm by Ilya Somin
Missouri, the Supreme Court ruled against the Occupational Safety and Health Administration's Covid vaccine mandate for workers employed by large employers with over 100 employees (employees who remain unvaccinated are required to wear masks and submit to regular Covid testing), but upheld the narrower Centers For Medicare and Medicaid Services vaccination mandate for health care workers at facilities receiving federal Medicare and Medicaid… [read post]
29 May 2008, 6:09 am
The judges for the awards a cross section oof health leaders, including:Adam Bosworth, CEO, Keas Inc.Newt Gingrich, former speaker of the House of Representatives; founder, Center for Health TransformationMark Liponis, M.D., corporate medical director, Canyon RanchValerie Montgomery Rice, M.D., senior vice president for Health Affairs and dean, School of Medicine; professor, Obstetrics and Gynecology, Meharry Medical CollegeLeslie Norwalk, former acting administrator, Centers for… [read post]
5 Mar 2012, 4:16 am by Ray Mullman
Because Medicare and Medicaid pay set fees instead of paying for specific procedures, center operators are motivated to provide preventive care to avoid costly hospitalizations or nursing home care. [read post]
A very significant percentage of seniors will someday require this type of care, and Medicare will not assist with the costs. [read post]
23 Feb 2022, 4:27 am by Robert Liles
  With respect to administrative reviews, both private health insurer anti-fraud units and Unified Program Integrity Contractors (UPICs) for the Center for Medicare and Medicaid Services (CMS) have moved forward with Medicaid audits of dental claims around the country. [read post]
13 Jan 2021, 8:47 pm by Robert Liles
  While there are a number of benefits to such a model, both State regulatory entities and Federally-contracted Unified Program Integrity Contractors (UPICs) working for the Centers for Medicare and Medicaid services (CMS) have shown their concern regarding these organizations. [read post]
2 Sep 2020, 9:05 pm by Larissa Morgan
Most recently, the Centers for Medicare and Medicaid Services proposed a rule that would extend the federal government’s temporary changes to telehealth regulations in response to the COVID-19 pandemic. [read post]
26 Jan 2011, 3:23 pm by Steven Boutwell
According to their settlement agreements, the hospitals submitted inpatient DRG claims to Medicare for certain kyphoplasty procedures which were billable only as outpatient or observation status procedures due to the absence of medical necessity for an inpatient level of service. [read post]
30 Aug 2010, 11:01 pm by Ben Vernia
HHS established the CMS Center for Program Integrity (CPI) in April 2010 to apply innovative methods and technology to prevent fraud, and to ensure that correct payments are made to legitimate providers for appropriate and reasonable services for eligible beneficiaries of the Medicare and Medicaid programs. [read post]
5 Apr 2009, 11:14 pm
This new law impacts all physicians, dentists, optometrists, nurse practitioners and other providers who prescribe outpatient drugs.As outlined by Centers for Medicare & Medicaid Services (CMS), to be considered tamper-resistant on April 1, 2009, a prescription pad must contain all three of the following characteristics: (1) One or more industry-recognized features designed to prevent unauthorized copying of a completed or blank prescription form; (2) One… [read post]
23 May 2018, 8:25 am by The Lawrence Law Group
  These three nursing homes have received high rankings from the Centers for Medicare and Medicaid Services, respectively earning five stars, three stars and five stars on CMS’ one to five star rating system. [read post]
23 May 2018, 8:25 am by The Lawrence Law Group
  These three nursing homes have received high rankings from the Centers for Medicare and Medicaid Services, respectively earning five stars, three stars and five stars on CMS’ one to five star rating system. [read post]
6 Mar 2008, 10:13 pm
Despite the fact that they are unquestionably cost-effective providers of health care services, “sparring” between managed care organizations (“MCO(s)”) and such surgery centers too often proves to be the rule rather than the exception. [read post]
26 Jun 2024, 7:12 am by Griffin Durham Tanner & Clarkson
  The Centers for Medicare & Medicaid Services (CMS) recent fact sheet sheds light on the enormous amount of funds spent yearly on healthcare: The National Health Expenditure (NHE) is $4.5 trillion Annual Medicare spending equals $944.3 billion Medicaid spending costs $805.7 billion annually Because the federal government cannot monitor this vast industry on its own, it must rely on the help of private citizens (sometimes called… [read post]
8 Aug 2022, 12:38 pm by Brent Wieand
The Administrator for the Centers for Medicare and Medicaid Services, Chaquita Brooks-LaSure, has prioritized the goal of nursing home transparency to assure that nursing homes have accountability on how federal dollars are being spent and who can be held accountable for issues. [read post]