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16 Aug 2023, 12:49 pm
You might have a lien against your personal injury settlement for such things as: Payments for outstanding child support payments Payments for unpaid medical bills with a medical provider Reimbursements or payments to your insurance company or the Medicare or Medicaid programs And more! [read post]
15 Aug 2023, 9:01 am
With their 2023 Mental Health Parity and Addiction Equity Act’s Comparative Analysis Report to Congress (“Report”) and an accompanying Enforcement Fact Sheet (“Fact Sheet”) confirming their continued prioritization of MHPAEA, the Department of Labor Employee Benefit Security Administration (“EBSA”), the Department of Health and Human Services Centers for Medicare & Medicaid Services (“CMS”) and the Department of Treasury… [read post]
14 Aug 2023, 2:07 pm
The Centers for Medicare & Medicaid Services (CMS) kicked off efforts to improve postpartum care among disadvantaged populations by releasing a new toolkit today. [read post]
14 Aug 2023, 10:00 am
On July 21, 2023, the Centers for Medicare & Medicaid Services (CMS) announced a new payment model for providers furnishing dementia care, called Guiding an Improved Dementia Experience (GUIDE). [read post]
14 Aug 2023, 7:13 am
[2] Centers for Medicare & Medicaid Services, Spotlight: Physician-Owned Hospital Expansion Exception Requests – Changes Effective October 1, 2023, available at https://www.cms.gov/medicare/fraud-and-abuse/physicianselfreferral/spotlight (last accessed August 2, 2023) [read post]
10 Aug 2023, 7:13 am
Introduction Hardly a day goes by when we don’t see some media report of health care providers experimenting with machine learning, and more recently with generative AI, in the context of patient care. [read post]
9 Aug 2023, 10:34 am
Centers for Medicaid & Medicare concluded the hospitals violated federal emergency care law in denying her an abortion. [read post]
8 Aug 2023, 11:14 am
An ICD-10 Code (U9.0) Post-Acute Sequelae of COVID-19 (PASC) has been adopted by the Centers for Medicare and Medicaid Services (CMS).THE PAST WILL GUIDE THE FUTUREThe COVID-19 pandemic emerged in early 2020 and forced widespread business closings. [read post]
8 Aug 2023, 9:03 am
The Center for Medicare and Medicaid Services (CMS) pays the plans a per-patient amount. [read post]
7 Aug 2023, 10:14 am
On July 13, 2023, the Centers for Medicare & Medicaid Service (CMS) released the Calendar Year 2024 Physician Fee Schedule Proposed Rule, proposing to extend remote supervision. [read post]
4 Aug 2023, 5:55 pm
Effective August 3, 2023, the Departments of Health and Human Services Centers for Medicare and Medicaid Services, Department of Labor Employee Benefit Security Administration and Department of Treasury (“Departments”) temporarily suspended the Federal Independent Dispute Resolution (IDR) medical claims review process including the ability to initiate new disputes and directed certified IDR entities to pause all IDR-related activities in response an August 3, 2023,… [read post]
3 Aug 2023, 9:05 pm
” The Centers for Medicare and Medicaid Services issued a final rule that dictates how much money Medicare will pay to hospice providers. [read post]
1 Aug 2023, 11:19 am
In this episode of the Diagnosing Health Care Podcast: In July, the Centers for Medicare & Medicaid Services made significant headway in its implementation of the drug pricing provisions of the Inflation Reduction Act (IRA). [read post]
31 Jul 2023, 1:10 pm
The Centers for Medicare and Medicaid Services (CMS), which oversees the Medicare program, adjusts the payments to MA Plans based on demographic information and the diagnoses of each plan beneficiary. [read post]
31 Jul 2023, 1:05 pm
The Centers for Medicare and Medicaid Services (CMS), which oversees the Medicare program, adjusts the payments to MA Plans based on demographic information and the diagnoses of each plan beneficiary. [read post]
28 Jul 2023, 2:30 am
The New York Times has an excellent piece (23/24 July) on the drug industry's efforts to derail drug-pricing negotiations with Medicare that are authorized by the Inflation Reduction Act. [read post]
27 Jul 2023, 12:58 pm
At the same time, the Departments of Health and Human Services and Homeland Security began the process to end vaccination requirements for Head Start educators, and Centers for Medicare and Medicaid Services (CMS)-certified healthcare facilities, and certain non-citizens at the land border. [read post]
26 Jul 2023, 5:23 am
On April 1, 2023, the Centers for Medicare & Medicaid Services (CMS) finalized new advertising rules for Medicare Advantage (MA) plans and Prescription Drug Plans (PDPs). [read post]
21 Jul 2023, 9:01 am
On June 22, 2023, the Centers for Medicare & Medicaid Services (CMS) announced its proposed “Transitional Coverage for Technologies” (TCET) pathway—the Biden administration’s highly anticipated take on a mechanism to expedite coverage for certain devices designated by the U.S. [read post]
20 Jul 2023, 2:11 pm
On behalf of CMS (Centers for Medicaid & Medicare Services), the National Contract Management Association (NCMA) and the Professional Services Council (PSC) will host a 90-minute virtual industry-led discussion, with our very own Nicole Pottroff as a presenter. [read post]
