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8 Aug 2011, 5:26 am
State and federal authorities began investigating him for possible health care fraud, which led to the closing of the clinic and the suspension of Medicare and Medicaid payments to the center and to Feldman. [read post]
6 Aug 2011, 3:47 pm
The end product was a plan that, according to both the Congressional Budget Office and actuary for the Centers for Medicare and Medicaid Services, did not bend the health care cost curve down. [read post]
5 Aug 2011, 1:29 pm
Department of Health and Human Services Secretary, Kathleen Sebelius, the American Hospital Association ("AHA") urges the Centers for Medicare and Medicaid Services ("CMS") to reevaluate its HIPAA Privacy Rule Accounting of Disclosures Proposed Rulemaking ("Proposed Rule"). [read post]
5 Aug 2011, 6:57 am
The Centers for Medicare and Medicaid Services (CMS) released the much-anticipated proposed regulations governing Accountable Care Organizations (ACOs) on March 31, 2011, and so far their reception by the healthcare industry has been decidedly negative. [read post]
4 Aug 2011, 10:41 am
A condition of the settlement was that the Medicare set-aside be approved by the Center for Medicare and Medicaid Services (CMS) for purposes of complying with the provisions of the Medicare Secondary Payer Act. [read post]
3 Aug 2011, 12:53 pm
The Centers for Medicare & Medicaid Services ("CMS") recently released the final regulation regarding the hospice wage index for the fiscal year ("FY") 2012 ("Final Rule"). [read post]
3 Aug 2011, 12:00 pm
In addition, HHS's Centers for Medicare and Medicaid Services, working in conjunction with the HHS-OIG, are taking steps to increase accountability and decrease the presence of fraudulent providers. [read post]
3 Aug 2011, 8:37 am
“The incentives we’re putting into place have created a whole new way to think about hospital care,” said Jonathan Blum, deputy administrator of the federal Centers for Medicare and Medicaid Services (CMS).Absolutely. [read post]
3 Aug 2011, 5:28 am
" Apparently the Centers for Medicare and Medicaid Services deferred to state regulators who cited the facility but did not recommend any disciplinary actions. [read post]
3 Aug 2011, 4:00 am
The website, maintained and updated by the Centers for Medicare & Medicaid Services, is an online tool that helps families to better evaluate nursing homes. [read post]
2 Aug 2011, 9:44 am
Notably absent from last month’s Department of Health and Human Services Semiannual Regulatory Agenda was any indication of where the Centers for Medicare and Medicaid Services ("CMS") and the Food and Drug Administration ("FDA") stand with respect to their notice with request for comments, issued last fall, on the proposed parallel review process for medical products. [read post]
2 Aug 2011, 6:34 am
The Centers for Medicare and Medicaid Services (CMS) has issued a final rule that will deny Medicaid payments to providers delivering services in the treatment of preventable healthcare-acquired illnesses or injuries. [read post]
29 Jul 2011, 5:22 pm
But I actually do not think one needs to get into appropriations to get a conflict as most of the federal government's spending is through mandatory programs -- Social Security, Medicare, Medicaid, and many smaller ones -- whose statutes do explicitly require funds to be spent and give clear causes of action to identifiable individual or governmental beneficiaries for specified amounts. [read post]
29 Jul 2011, 11:52 am
The hearing highlights the ongoing friction between providers and recovery audit contractors (RACs) and the fact that the Centers for Medicare and Medicaid Services (CMS) is continuing their effort to combat fraud through such efforts as pre-enrollment screening and predictive modeling. [read post]
29 Jul 2011, 7:07 am
Eligible Participants in the Medicare EHR Incentive Program Doctors of medicine or osteopathy Doctors of dental surgery or dental medicine Doctors of podiatry Doctors of optometry Chiropractors “Subsection (d) hospitals” in the 50 states or DC that are paid under the Inpatient Prospective Payment System (IPPS) Critical Access Hospitals (CAHs) Medicare Advantage (MA-Affiliated) Hospitals Eligible Participants in the Medicaid EHR Incentive Program Physicians… [read post]
28 Jul 2011, 7:26 pm
Although the Centers for Medicare and Medicaid Services does not regulate or set AWPs, it relies on drug manufacturers to report accurately the AWP of their drugs to the Red Book and other publications. [read post]
27 Jul 2011, 12:00 pm
In addition, the HHS Centers for Medicare and Medicaid Services, working in conjunction with the HHS-OIG, are taking steps to increase accountability and decrease the presence of fraudulent providers. [read post]
26 Jul 2011, 6:32 pm
Centers for Medicare and Medicaid Services (CMS) and their contractor will be unable to provide conditional payment information under the Medicare Secondary Payer Act. [read post]
26 Jul 2011, 1:04 pm
Protecting Medicare’s Interest In 1980 the Medicare Secondary Payer (MSP) Statute was passed to offer protection to the Medicare Trust Fund by providing the Center for Medicare and Medicaid Services (CMS) authority to recover payments made by Medicare, where a primary payer exists and to recover payments Medicare might reasonably expect to pay in the future, related to an injury or accident. [read post]
26 Jul 2011, 6:25 am
When the new system went live in 2009, it was intended for use by the Center for Medicare and Medicaid Services (CMS), contractors, law enforcement and state agencies, with access to the information shared across all states. [read post]
