Search for: "THE OFFICE OF MEDICAID POLICY AND PLANNING"
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2 Apr 2018, 11:00 am
Previously, he served at the New York State Department of Health, and Office of the Medicaid Inspector General, after twenty-eight years of private practice. [read post]
5 Jun 2012, 3:21 am
But even if they steer clear of assisting with VA applications, every elder law and estate planning attorney should become aware of key VA programs and their eligibility criteria, if not how VA and Medicaid coordinate benefits and how eligibility criteria for both may be met. [read post]
2 Jan 2010, 2:06 pm
Marlon Priest, the chief medical officer of Bon Secours, puts it this way: "If you build 100 beds, they'll get used. [read post]
5 Feb 2013, 9:58 pm
Stamer Sought out nationally and internationally as an industry thought leader and problem solver, SLP Editor and author attorney, Cynthia Marcotte Stamer has spent more than 25 years helping private and public employers, employer and union plan sponsors, health and other employee benefit plans, associations, their fiduciaries, administrators, and vendors, group health, Medicare and Medicaid Advantage, and other insurers, governmental and community leaders and others… [read post]
25 May 2011, 9:18 am
However, in March, 2011, the San Francisco SSA Regional Office applied the policy to an Arizona trust. [read post]
19 Aug 2014, 7:18 am
§ 488.433(e), specifically requires that a state obtain formal CMS approval of all plans for the effective use of CMPs. [read post]
22 Dec 2023, 2:31 pm
This article focuses on the debarment and suspension authority of the Office of Personnel Management, Office of Inspector General (OPM OIG or agency) with respect to the FEHBP. [read post]
27 Aug 2013, 8:13 pm
Many organizations need to update their understanding, policies and practices in light of tightening rules and enforcement. [read post]
14 Jul 2010, 1:12 pm
The HIT Policy Committee endorsed the HIT Strategic Framework for use by ONC in developing its HIT strategic plan. [read post]
1 Dec 2012, 12:00 pm
Smart and thoughtful public policy is also making a difference, as we move steadily toward the goal of creating an AIDS-free generation. [read post]
15 Jun 2018, 9:00 am
This law authorizes the OIG (Office of Inspector General) to exclude from participation in federal healthcare programs anyone or any entity that engages in Medicare fraud or Medicaid fraud or abuses or neglects patients. [read post]
29 Aug 2008, 7:27 pm
The HHS Office of Civil Rights, responsible for enforcing the privacy regulations under HIPAA, and the HHS Centers for Medicare & Medicaid Services, responsible for enforcing the security regulations under HIPAA, jointly investigated these complaints, focusing on Providence's failure to implement policies and procedures to safeguard the ePHI. [read post]
19 Nov 2014, 12:50 pm
The RAC program’s scope of review excludes: 1) claims processed or paid within 30 days of implementation of any Medicaid managed care program that relates to the claims; 2) claims processed and paid through a capitated Medicaid managed care program (but does not exclude audits of per member per month payments from DHH to any capitated Medicaid managed care plan utilizing such claims); and 3) medical necessity reviews in with the provider obtained prior… [read post]
16 Sep 2022, 2:30 pm
Is the IRA Act a significant healthcare policy bill? [read post]
25 Feb 2013, 11:49 am
In addition to her continuous day-to-day involvement helping businesses to manage employment and employee benefit plan concerns, she also has extensive public policy and regulatory experience with these and other matters domestically and internationally. [read post]
22 Apr 2015, 1:17 pm
The Guidance updates previous guidance issued by OIG and AHLA, and incorporates insight from the AHIA and HCCA to help assist the internal auditors, compliance officers, and lawyers that report to the Boards. [read post]
7 Aug 2013, 8:06 am
On August 2, 2013, the Centers for Medicare & Medicaid Services ("CMS") released its much-anticipated final rules, CMS-1455-F and CMS-1599-F, finalizing two previously issued proposals that addressed payment policies related to patient status in short-stay hospital cases: (1) payment of Medicare Part B inpatient services; and (2) admission and medical review criteria for payment of hospital inpatient services under Medicare Part A. [read post]
24 Dec 2012, 12:08 am
This effort is led by the Centers for Medicare & Medicaid Services (CMS) and the Office of the National Coordinator for Health IT (ONC). [read post]
Business and criminal law, health care reform, and chicken mole poblano and rosemary mashed potatoes
22 Jun 2012, 1:30 pm
JANIE NOBLE SIMON, Appellee. 4th District.Insurance - Insurer did not act in bad faith by failing to tender policy limits to personal representative of decedent's estate.An automobile insurer did not act in bad faith by failing to tender offer of $10,000 policy limits to estate of victim of automobile accident. [read post]
8 Nov 2010, 4:19 am
If CMS or one of its contractors determines that the failure to meet the 12-month deadline was due to a beneficiary being retroactively entitled to Medicare, but a state Medicaid agency recovered the Medicaid payment for the furnished service 6 months after the service was furnished; or 4.CMS or one of its contractors determines that the failure to meet the 12-month deadline was because, at the time the service was furnished, the beneficiary was enrolled, and subsequently… [read post]
