Search for: "US Department of Health and Human Services Center for Medicare & Medicaid Services"
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26 Apr 2022, 12:12 pm
The Health Insurance Marketplaces 2022 Open Enrollment Report (“Report”) published by the Centers for Medicare and Medicaid Services last month reveals the 2022 Open Enrollment Period (“2022 OEP”) produced the highest enrollment in health care marketplace plans since passage of the Patient Protection and Affordable Care Act (“ACA”) 12 years ago. [read post]
16 Feb 2011, 10:00 am
" "Community Mental Health Centers can no longer use phantom medical care as a front to bilk Medicare for unnecessary or nonexistent medical services," said FBI Special Agent in Charge John V. [read post]
6 May 2019, 5:44 pm
Department of Health and Human Services (“HHS”) Office for Civil Rights (“OCR”) shows the Covered Entity breached the privacy, data security, business associate agreement and breach notificataion rules of the Health Insurance Portability and Accountability Act (HIPAA) Security and Breach Notification Rules before or after the breach. [read post]
11 Mar 2019, 6:44 am
Contemporaneously with the settlement announced today, the reorganized Vanguard corporate defendants and Orand further agreed to enter into a chain-wide, quality of care Corporate Integrity Agreement with the United States Department of Health and Human Services, Office of Inspector General, which will remain in effect for five years. [read post]
15 Jun 2015, 1:01 pm
According to DOJ’s press release: Children’s Hospital, Children’s National Medical Center Inc. and its affiliated entities (collectively CNMC) have agreed to pay $12.9 million to resolve allegations that they violated the False Claims Act by submitting false cost reports and other applications to the components and contractors of the Department of Health and Human Services (HHS), as well as to Virginia and District of Columbia… [read post]
13 Jan 2022, 12:43 pm
Department of Health and Human Servs. , 594 U. [read post]
15 Feb 2018, 4:41 pm
Health plans and insurers, their service providers that act as business associates within the meaning of the Health Insurance Portability & Accountability Act (HIPAA) and employer and other health plan sponsors, fiduciaries, and other management leaders should heed the warnings contained in the new Resolution Agreement (FileFax Resolution Agreement) with former HIPAA business associate FileFax, Inc. announced by the Department of Health… [read post]
10 Apr 2024, 5:08 pm
Attorney’s Office for the District of Massachusetts are handling the matter with assistance from the Department of Health and Human Services (HHS) Office of Inspector General and the FBI. [read post]
17 Oct 2019, 4:33 am
</p> </div> <div style="padding-top:0px;padding-bottom:0px;margin-top:0px;margin-bottom:35px;" data-rss-type="text"> <p style="margin:0px;"> There aren’t many options for the Centers for Medicare and Medicaid Services (CMS) to discipline hospices. [read post]
17 Oct 2010, 11:56 am
On Sept. 23, 2010, the Center for Medicare and Medicaid Services (CMS) released its self-referral disclosure protocol (SRDP). [read post]
6 Mar 2012, 11:16 am
For instance Medicare has separate prospective payment systems, participation requirements, and even cost sharing requirements for each discrete type of service it covers. [read post]
2 Mar 2020, 11:04 am
With the comment period on the package of health care transparency regulations published by the Trump Administration to implement the transparency reform it hopes will fuel better quality and cost effectiveness in the U.S> health care system, health plan sponsors, fiduciaries, administrators, insurers, heath care providers, PBMs, and other participants in the system need to start preparing to deal with their own responsibilities under the new rules, and to help… [read post]
14 Nov 2011, 2:31 pm
The final statement was issued in conjunction with the Department of Health and Human Services' Centers for Medicare and Medicaid Services' final regulations implementing the shared savings program as part of a coordinated interagency effort to facilitate health care provider participation in the shared savings program, so as to achieve the cost savings and improvement in quality of care Congress intended. [read post]
24 Aug 2020, 9:05 pm
Relying on the APA’s exemption of normal rulemaking requirements in emergency circumstances, the Centers for Medicare and Medicaid Services issued an interim final rule in late March granting flexibility for health providers to use telehealth services during the COVID-19 pandemic to reduce hospitalizations and visits to medical centers. [read post]
14 Jun 2013, 12:53 pm
Department of Health and Human Services (HHS) Office of Civil Rights today (June 14, 2013). [read post]
25 Apr 2017, 3:21 pm
Among other things, group health plans and their fiduciaries can face audits, litigation and enforcement actions by the Centers for Medicare & Medicaid Services and other health plans for improperly coordinating plan claims with other coverage as well as lawsuits from covered persons, their health care providers or other beneficiaries, the Department of Labor and CMS, or others seeking to enforce rights to benefits,… [read post]
4 Mar 2009, 8:59 pm
The TRHCA required the Secretary of the Department of Health and Human Services to expand the program to all fifty states by January 1, 2010. [read post]
16 Aug 2011, 3:37 pm
Charles Grassley of Iowa and Herb Kohl of Wisconsin—urging the Center to Medicare and Medicaid Services (CMS) director to examine more closely the overuse of antipsychotic drugs in nursing homes. [read post]
9 May 2019, 8:06 am
On Wednesday, May 8, 2019, Health and Human Services(“HHS”) Secretary Alex Azar announced the adoption of a Medicare and Medicaid Programs; Regulation to Require Drug Pricing Transparency Final Rule (the “Rule”) by the Centers for Medicare & Medicaid Services (“CMS”) requiring direct-to-consumer television advertisements for prescription pharmaceuticals covered by… [read post]
28 Jul 2020, 11:02 am
The Department of Health and Human Services (HHS) anticipates publishing the final rules in August 2020, although that target date is subject to change. [read post]
