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23 May 2016, 3:25 am
Starting with the new year, new regulations allow the Centers for Medicare and Medicaid services to fine insurers as much as $25,000 per beneficiary for errors regarding Medicare Advantage providers, and up to $100 per beneficiary for insurance plans sold through federal exchanges. [read post]
13 Sep 2017, 6:55 am
The hearing was entitled “Health Care: Issues Impacting Cost and Coverage” and witnesses included former Centers for Medicare & Medicaid Services (CMS) Acting Administrator Andrew M. [read post]
26 Jan 2009, 11:29 am
The acting administrator for the Centers for Medicare and Medicaid Services, Kerry Weems, said the agency was merely taking existing data already on the agency's Web site and facilitating its use for patients and families. [read post]
8 Feb 2010, 7:20 am
Kaiser Permanente (KP) must comply with specific legal/regulatory standards that include, but are not limited to, those indicated by Medicare and other government program billing requirements, Guidance issued by the Centers for Medicare and Medicaid Services, the Department of Health and Human Services, the Compliance Program Guidance issued by the Office of the Inspector General, and HIPAA/Privacy and Security regulations .... [read post]
6 Dec 2011, 4:44 pm
So I was interested to read an article suggesting that the Centers for Medicare and Medicaid, a federal agency that oversees those two programs, has proposed penalizing homes that overuse the drugs. [read post]
23 Feb 2016, 7:12 am
The Centers for Medicare and Medicaid Services implemented the NCD based on clinical trials and the guidance and testimony of cardiologists and other health care providers, professional cardiology societies, cardiac device manufacturers and patient advocates. [read post]
22 Sep 2009, 11:44 pm
I expect the state legislatures to take some action in order to make it more difficult for companies to become Medicare or Medicaid/Medi-Cal providers. [read post]
5 Feb 2013, 4:22 am
Comments on the proposed rules must be received by April 8, and may be submitted electronically through http://www.regulations.gov; or mailed to Centers for Medicare & Medicaid Services (CMS), Department of Health and Human Services, Attention: CMS-9968-P, P.O. [read post]
8 Aug 2012, 10:16 am
The following organizations and government agencies are among the first to join the partnership: America’s Health Insurance Plans Amerigroup Corporation Blue Cross and Blue Shield Association Blue Cross and Blue Shield of Louisiana Centers for Medicare & Medicaid Services Coalition Against Insurance Fraud Federal Bureau of Investigations Health and Human Services Office of Inspector General Humana Inc. [read post]
24 Oct 2016, 6:52 am
Therefore, the Department of Health and Human Services issued a rule prohibiting nursing homes that receive federal funding from Medicare and Medicaid from forcing elder abuse, harassment, and wrongful death claims into arbitration. [read post]
17 Jun 2009, 11:40 pm
It aims to provide the tools and resources necessary to improve care at the end of life by:Provide Medicare, Medicaid, and CHIP coverage for advance care planning consultations so that patients can routinely talk to their physicians about their wishes for end-of-life care.Improve provider education and training about advance care planning and end-of-life care by establishing a National Geriatric and Palliative Care Service Corps modeled after the National Health… [read post]
14 Nov 2012, 2:02 pm
I spoke recently about the importance of the Accountable Care Organization law and regulations, and related initiatives being undertaken by the Center for Medicare and Medicaid Innovation (CMMI) at CMS, and the ways in which these initiatives are likely to affect the next phase in the development of the health care system in this country. [read post]
6 Dec 2009, 6:00 am
The Centers for Medicare & Medicaid Services oversees national nursing home abuse safety. [read post]
20 Oct 2011, 1:16 pm
Berwick, M.D., administrator of the Centers for Medicare & Medicaid Services (CMS). [read post]
14 Sep 2014, 9:36 pm
The Centers for Medicare and Medicaid Services has recommended all nursing home facilities comply with federal policies on reporting. [read post]
16 Apr 2024, 11:41 am
Mohammad Athari, had falsely submitted claims to Medicare and Medicaid. [read post]
10 Sep 2021, 10:27 am
Vaccination requirements for health care providers The Memo also states that the Centers for Medicare & Medicaid Services (CMS) are taking steps to require vaccinations for workers in health care settings that receive Medicare or Medicaid reimbursement, including but not limited to hospitals, dialysis facilities, ambulatory surgical settings, and home health agencies. [read post]
23 Aug 2012, 7:31 am
The services we provide include reviewing and negotiating contracts, business transactions, professional license defense, representation in investigations, credential defense, representation in peer review and clinical privileges hearings, opinion letters, Medicare and Medicaid audits, commercial litigation, and administrative hearings. [read post]
5 Oct 2016, 8:26 am
The federal indictment alleges Esformes deceived Medicaid and Medicare for more than a decade by rotating nearly 15,000 patients through different facilities. [read post]
15 Jan 2019, 8:15 am
This letter impacts CLASS case management service agencies. [read post]
