Search for: "Centers for Medicare and Medicaid Services"
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5 Jan 2023, 9:05 pm
The Centers for Medicare and Medicaid Services issued guidance to states that would reduce hunger and diet-related diseases among low-income patients who receive Medicaid benefits. [read post]
4 Jan 2023, 3:15 am
§1348 doesn’t require the DOJ to prove that the defendant received a personal benefit, and affirmed convictions arising out of the defendants’ use of MNPI obtained from an employee of the federal government’s Center for Medicare and Medicaid Services (CMS) concerning potential changes reimbursement rates. [read post]
28 Dec 2022, 6:20 am
In the 2-1 decision, the court dismissed various fraud and theft charges against former hedge-fund partners Theodore Huber and Robert Olan, political intelligence consultant David Blaszczak and former US Centers for Medicare and Medicaid Services (CMS) employee Christopher Worrall. [read post]
26 Dec 2022, 9:05 pm
The Centers for Medicare & Medicaid Services (“CMS”) has proposed a new rule that, among other changes, would amend the “identified overpayment” standard in the current regulations for Medicare to align with the False Claims Act’s (“FCA”) “knowingly” standard. [read post]
26 Dec 2022, 4:00 pm
Establishes a “good faith” reporting requirement for RxDC reporting submitted for the 2020 and 2021 calendar years, whereby the Departments will not take enforcement action against a plan or issuer that completes the filings using a good faith, reasonable interpretation of the RxDC reporting interim final regulations published on November 23, 2021 and the RxDC Reporting Instructions issued by the Centers for Medicare and Medicaid Services (CMS). [read post]
23 Dec 2022, 4:06 am
According to the Kaiser Family Foundation, this case “raises the issue of whether Medicaid beneficiaries can seek relief in federal court when they believe their rights are being violated by state officials, or whether enforcement of state compliance with federal Medicaid rules should be left solely to the federal Centers for Medicare and Medicaid Services (CMS). [read post]
23 Dec 2022, 4:06 am
According to the Kaiser Family Foundation, this case “raises the issue of whether Medicaid beneficiaries can seek relief in federal court when they believe their rights are being violated by state officials, or whether enforcement of state compliance with federal Medicaid rules should be left solely to the federal Centers for Medicare and Medicaid Services (CMS). [read post]
22 Dec 2022, 10:41 am
The Centers for Medicare and Medicaid Services have announced updated instructions regarding COVID-19 vaccines and treatments according to McKnight’s Long-Term Care News author, Alicia Lasek. [read post]
19 Dec 2022, 5:00 am
Recently, the Centers for Medicare & Medicaid Services (CMS) published its Final Rule implementing changes to the Medicare Physician Fee Schedule for CY 2023. [read post]
15 Dec 2022, 9:05 pm
The Centers for Medicare and Medicaid Services (CMS) proposed a new rule that would require many of its programs to adopt policies to streamline the electronic exchange of health care data. [read post]
15 Dec 2022, 5:56 pm
The prosecution of the suit against a health care organization subject to the tightest vaccination and other COVID safety mandates under Centers for Disease Control, the Centers for Medicare & Medicaid Services and Occuoatiinal Safety & Health Administration regulations demonstrates the high burden the EEOC expects employers refusing accommodation to meet. [read post]
13 Dec 2022, 11:58 am
PCS and HHCS services subject to EVV requirements are very broad: all services requiring an in-home visit that are included in claims under the PCS or HHCS categories on the Centers for Medicare & Medicaid Services (CMS) Form-64 must comply with EVV requirements, even if they are bundled into different services or furnished through a managed care provider. [read post]
13 Dec 2022, 5:00 am
The Centers for Medicare & Medicaid Services (CMS) has indicated that, for the first time, it intends to apply statistical extrapolations to overpayments and other payment errors by MA plans, which were uncovered in recently released federal audits. [read post]
13 Dec 2022, 2:00 am
In addition to facing local, state, and federal legislation, employers managed a slew of agency directives from the Centers for Disease Control and Prevention (CDC), Centers for Medicare and Medicaid Services (CMS), and Occupation Safety and Health Administration (OSHA). [read post]
7 Dec 2022, 5:00 am
On November 2, 2022, the Centers for Medicare & Medicaid Services (CMS) published its Final Rule implementing changes to the Medicare Physician Fee Schedule for CY 2023. [read post]
5 Dec 2022, 1:03 pm
The Centers for Medicare & Medicaid Services (CMS) Programs estimates that approximately 6.5% of its spending was for improper payments in 2021 In other words, almost $100 billion of the Medicare spending alone was directed for potentially fraudulent payments in 2021. [read post]
2 Dec 2022, 11:01 am
While the Centers for Medicare and Medicaid Services (CMS) continues to hem and haw regarding the establishment of safe staffing minimum levels, PA nursing home lawyers understand that the only way to make profiteering nursing homes change the way that they provide resident care is to hold them liable when their negligence results in preventable injuries. [read post]
1 Dec 2022, 2:00 am
Healthcare and other high-contact industries remain subject to other more restrictive COVID requirements (either under federal rules or state law), such as the vaccination and masking rules communicated by the Centers for Medicare and Medicaid Services (CMS) for many healthcare entities. [read post]
30 Nov 2022, 11:46 am
This indictment included 15 counts against the defendants including staffing falsifications and Medicare and Medicaid reimbursement fraud. [read post]
White House vs. Nursing Home Providers: DLP Will Fight for Victims of Nursing Home Abuse and Neglect
28 Nov 2022, 7:30 am
Following this announcement, the Department of Health and Human Services and Centers for Medicaid & Medicare Services felt they needed to get involved to further promote this issue present in residential nursing homes. [read post]
