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In a memorandum issued February 28, the Centers for Medicare & Medicaid Services, one of the federal agencies that promulgated the rule (along with the Employee Benefits Security Administration and the Internal Revenue Service) indicated that it was still reviewing the court’s decision and considering next steps, which could include an appeal to the U.S. [read post]
24 Feb 2022, 6:29 am by Wachler & Associates, P.C.
The federal agency that oversees Medicare, the Centers for Medicare & Medicaid Services (CMS), performs few audits itself, but outsources these duties to a series of independent contractors, such as Medicare Administrative Contractors (MACs), Unified Program Integrity Contractors (UPICs), and the Supplemental Medical Review Contractor (SRMC). [read post]
24 Feb 2022, 6:10 am by Don Asher
Leapfrog Ranking for Illinois The Leapfrog’s Hospital Safety Rankings for the State of Illinois are as follows: Spring 2021 Ranked 17th in the country % A-rated Hospitals: 34.8% Fall 2021 Ranked 26th in the country (falling) % A-rated Hospitals: 28.5% Leapfrog Ranking for Indiana The Leapfrog’s Hospital Safety Rankings for the State of Indiana are as follows: Spring 2021 Ranked 35th in the country % A-rated Hospitals: 21.4% Fall 2021 Ranked 32th in the country (rising) % A-rated… [read post]
23 Feb 2022, 4:27 am by Robert Liles
  With respect to administrative reviews, both private health insurer anti-fraud units and Unified Program Integrity Contractors (UPICs) for the Center for Medicare and Medicaid Services (CMS) have moved forward with Medicaid audits of dental claims around the country. [read post]
22 Feb 2022, 5:01 am by Jim Dempsey
The Centers for Medicare & Medicaid Services (CMS) will not approve a hospital for participation in the Medicare and Medicaid system unless its brick-and-mortar facilities comply with the standards of the Life Safety Code of the National Fire Protection Association (or a comparable code imposed by state law) and the association’s separate Health Care Facilities Code. [read post]
21 Feb 2022, 6:25 am by Wachler & Associates, P.C.
The Centers for Medicare & Medicaid Services (CMS) contracts with a Supplemental Medical Review Contractor (SMRC), which performs a variety of Medicare and Medicaid audit and medical review tasks. [read post]
18 Feb 2022, 4:36 pm by Caitlin Lentz
Previous blog posts provided an overview of the Centers for Medicare and Medicaid Services’s (“CMS”) Vaccine Mandate and addressed whether boosters are required. [read post]
The Centers for Medicare & Medicaid Services (CMS) have recently released updated guidance regarding hospital co-locations arrangements. [read post]
15 Feb 2022, 9:13 am by Lebowitz & Mzhen
According to a recent report, the Centers for Medicare & Medicaid Services (CMS) announced that it would begin to report weekend staffing and staff turnover for nursing homes with greater transparency. [read post]
11 Feb 2022, 9:56 am by Daily Record Staff
  Neil Meltzer, president and CEO of LifeBridge Health, joined the Advisory Panel on Outreach and Education (APOE), a federal health care advisory committee to the Centers for Medicare & Medicaid Services (CMS). [read post]
10 Feb 2022, 9:03 pm by Jillian Moss
Layton, professor of health care policy at Harvard Medical School, discussed why Centers for Medicare and Medicaid Services (CMS) should abandon its proposal for a new method of “scoring” the health risks of patients enrolled in different insurance plans. [read post]
10 Feb 2022, 9:00 am
., Board Certified by The Florida Bar in Health Law Recently it has come to our attention that there may be a nationwide effort by the Centers for Medicare and Medicaid Services (CMS) Medicare Administrative Contractors (MACs) to squelch physicians who prescribe opioids and other narcotic medications. [read post]
9 Feb 2022, 4:31 pm by Michael Lowe
  According to the Centers for Medicare and Medicaid Services (CMS), spending in the U.S. health care industry accounts for almost a fifth (19.7%) of our Gross Domestic Product (GDP) with $4.1 Trillion (yes, trillion) spent in health care during the calendar year 2020 alone. [read post]
7 Feb 2022, 11:09 am by Neal S. Gainsberg
Per the Centers for Medicare & Medicaid Services (CMS), you can dispute your bill if: The service was provided in 2022, Your actual bill is at least $400 more than the estimate, and You file the dispute within 120 days of the billing date. [read post]
3 Feb 2022, 6:00 am by Wachler & Associates, P.C.
The Centers for Medicare & Medicaid Services (CMS) authorizes several types of contractors to conduct audits, such as Medicare Administrative Contractors (MACs), Recovery Audit Contractors (RACs), Unified Program Integrity Contractors (UPICs), and the Supplemental Medical Review Contractor (SRMC). [read post]
2 Feb 2022, 1:16 pm by Caitlin Lentz
Our previous blog post provided an overview of the Centers for Medicare and Medicaid Services’ (“CMS”) Vaccine Mandate and addressed two basic questions of the mandate: What providers are covered and what’s the timeline to comply? [read post]
But this time, it directly impacts employees, and it was a challenge to two Biden Administration administrative actions – one concerning OSHA and large employers, the other concerning the Center for Medicare and Medicaid Services and employees who work at federally-funded health centers. [read post]
1 Feb 2022, 4:08 pm by Ben Vernia
The department’s health care fraud enforcement efforts restore funds to federal programs such as Medicare, Medicaid and TRICARE, the health care program for service members and their families. [read post]
1 Feb 2022, 8:00 am by DONALD SCARINCI
Missouri , the Court ruled that the Centers for Medicare & Medicaid Services (CMS) rule should be allowed to take effect nationwide as the lower courts consider legal  challenges. [read post]
28 Jan 2022, 8:48 am by Kristi Thomas
  This permanent healthcare standard would be distinct from the Centers for Medicare & Medicaid Services (“CMS”) Interim Final Rule, which requires nearly all workers at Medicare- and Medicaid-certified facilities to be fully vaccinated against COVID-19. [read post]