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7 Feb 2022, 1:54 pm by David Super
  For example, if a community health center had been closed three years ago, it would take considerable time to find and rent space, hire managers and health care professionals, obtain provider agreements with Medicare, Medicaid, and other insurers, publicize the center’s renewed existence, and so forth. [read post]
6 Mar 2012, 11:16 am by Antoinette Konski
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]
8 Aug 2009, 7:01 pm by Kenneth Vercammen
According to government studies, Medicare pays only about 50% of a Medicare beneficiary’s actual medical bills. [read post]
8 Aug 2009, 6:59 pm by Kenneth Vercammen NJ Law Blog
According to government studies, Medicare pays only about 50% of a Medicare beneficiary’s actual medical bills. [read post]
5 Jun 2012, 7:29 am
How high will taxes have to go at the state level and how many services will be cut back to fund Medicaid expansion? [read post]
16 Aug 2011, 5:16 am by John Miano
Qualities of a Successful Reporting Agent Many Responsible Reporting Entities (RREs) have contracted with Reporting Agents for exchange of Section 111 Mandatory Insurer Reporting (MIR) data with the Center for Medicare and Medicaid Services (CMS). [read post]
13 Dec 2016, 11:47 am by Ashley Binetti
In Escobar, NWC argued that when doctors submit bills to Medicare and Medicaid for their services, they are implying that they are licensed and qualified to provide patient care. [read post]
19 May 2020, 6:30 am by Michael B. Stack
Among them are: Use of certain medications such as opioids, muscle relaxants, and NSAIDs Multiple prescribers of medications Prescription history that is inconsistent with the medical records The Centers for Medicare and Medicaid Services is often consulted for approval of MSAs prior to settlement. [read post]
22 Jun 2020, 6:30 am by Rebecca Shafer, J.D.
The most popular workers compensation abbreviations include: AWW: Average weekly wage – the average earnings of an employee based on a set number of weeks (or months) prior to the injury C: Claimant – the injured employee Clmt: Claimant CMS: Centers for Medicare and Medicaid Services – the federal government agency that oversees the Medicare and Medicaid programs CMS: Claim management system – within… [read post]
16 Dec 2007, 9:51 am
Centers for Medicare and Medicaid Services has compiled a list of 128 nursing homes that have repeatedly fallen in and out of compliance with government health and safety regulations and caused harm to their residents. [read post]
13 Aug 2011, 8:11 am
For example, this month the Centers for Medicare and Medicaid Services explain that they were reducing payments to some nursing homes nationwide by 11.1 percent because of an unintended spike in payments. [read post]
3 Apr 2012, 8:40 am by Irene
The federal minority offices are embedded in the following agencies; the Centers for Disease Control and Prevention (CDC); the Agency for Healthcare Research and Quality (AHRQ); the Centers for Medicare & Medicaid Services (CMS); the Food and Drug Administration (FDA); the Health Resources and Services Administration (HRSA); and the Substance Abuse and Mental Health Services Administration (SAMHSA). [read post]
29 Oct 2009, 10:10 am by Lebowitz & Mzhen
Department of Health and Human Services- Substance Abuse and Mental Health Services Administration, (SAMHSA): National Mental Health Information Center Centers for Medicare and Medicaid Services, (CMS): Nursing Home Quality Initiative, (NHQI) [read post]
23 Dec 2009, 9:41 am by Lebowitz & Mzhen
Department of Health and Human Services- Substance Abuse and Mental Health Services Administration, (SAMHSA): National Mental Health Information Center Centers for Medicare and Medicaid Services, (CMS): Nursing Home Quality Initiative, (NHQI) [read post]
2 Sep 2013, 11:30 pm by Theodore Ruger
  This post originally appeared in the Constitution Daily, the blog of the National Constitution Center. [read post]
7 Oct 2006, 5:06 am
Represented and advised Quality Improvement Organization (QIO) on various state and federal issues involving Medicare and Medicaid quality and utilization review. [read post]
24 Jun 2011, 10:10 am by Lisa Baird
In addition to the report, the Chairman and Ranking Members of the Senate Financial Committee, Special Committee on Aging, and Judiciary Committee sent letters on the same day to the Administrator for Centers for Medicare & Medicaid Services (“CMS”)and the Inspector General of Health and Human Services (“HHS”) requesting further inquiry into the concerns set out in the Senator Hatch’s report. [read post]
9 Mar 2011, 11:46 am by Tom
This is going to be relatively easy because the largest payer of hospital and nursing facility care is the Medicare system and the chief policy maker is the director of the Centers for Medicare and Medicaid Services (CMS) who serves at the pleasure of the president of the United States. [read post]
15 Jun 2016, 8:08 am by Mark Astarita
” The SEC further alleges that Valvani in turn tipped fellow hedge fund manager Christopher Plaford, who is charged in a separate complaint with insider trading on this nonpublic information as well as other material he received confidentially from a former Centers for Medicare and Medicaid Services official about an impending cut to Medicare reimbursement rates for certain home health services. [read post]
21 Nov 2019, 9:17 am by Emily Burchfield, Guest Author
Both the Office of Inspector General (OIG) as well as the Centers for Medicare and Medicaid Services (CMS) have proposed changes. [read post]