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9 Jan 2018, 12:34 pm
If the nursing staff fails to make necessary changes, revise their policies and procedures, and improve the level of care provided to residents, they could lose their contract to provide care and services to state and federally-funded patients. [read post]
9 Jan 2018, 12:34 pm
If the nursing staff fails to make necessary changes, revise their policies and procedures, and improve the level of care provided to residents, they could lose their contract to provide care and services to state and federally-funded patients. [read post]
17 Nov 2015, 9:00 am
In a prepayment review, health care providers are required to submit documentation to a contractor for the Centers for Medicare & Medicaid Services (CMS) before ever even receiving payment. [read post]
17 Nov 2015, 9:00 am
In a prepayment review, health care providers are required to submit documentation to a contractor for the Centers for Medicare & Medicaid Services (CMS) before ever even receiving payment. [read post]
17 Nov 2015, 9:00 am
In a prepayment review, health care providers are required to submit documentation to a contractor for the Centers for Medicare & Medicaid Services (CMS) before ever even receiving payment. [read post]
9 Jan 2018, 12:34 pm
If the nursing staff fails to make necessary changes, revise their policies and procedures, and improve the level of care provided to residents, they could lose their contract to provide care and services to state and federally-funded patients. [read post]
24 Jun 2015, 6:11 am
For details, see the full report, “CMS’s Internal Controls Did Not Effectively Ensure the Accuracy of Aggregate Financial Assistance Payments Made to Qualified Health Plan Issuers Under the Affordable Care Act. [read post]
13 Apr 2009, 6:39 pm
QIOs work throughout the country as part of CMS’s quality program to help health care providers, consumers and stakeholder groups to refine care delivery systems to make sure all Medicare beneficiaries get the high-quality, high-value health care they deserve. [read post]
6 Nov 2013, 5:45 am
Indest III, J.D., M.P.A., LL.M., Board Certified by The Florida Bar in Health Law A little known rule published by CMS to … Continue reading → [read post]
11 Feb 2017, 3:56 am
Kaiser Health News reports (here too) that nearly 14,000 providers billed almost $35 million for advance care planning conversations for about 223,000 patients from January through June 2016. [read post]
2 Dec 2021, 8:18 am
Of additional note, in the Missouri Court case, Judge Schelp separately opined that a CMS vaccine mandate might be appropriate in long-term care facilities, but that CMS lacked sufficient evidence to support the Rule as to other health care providers. [read post]
17 Feb 2013, 11:43 pm
Recommendations include, for example, eliminating duplication in federal and state Medicare/Medicaid anti-fraud programs, improving the efficiency of the various CMS audit contractors, and creating an advisory panel to provide clinical input as part of contractor oversight. [read post]
17 Apr 2020, 12:56 pm
On April 10, 2020, CMS made $30 billion in aggregate Public Health and Social Services Emergency Fund (“Relief Fund”) payments to providers, with each provider receiving a proportionate distribution based on how much that provider billed Medicare fee-for-service in 2019. [read post]
6 Feb 2013, 6:22 am
In other long term care news, CMS announced that it will test bundling payments for long term care providers to determine whether it will lower costs and provide more coordinated care. [read post]
19 Dec 2023, 8:43 am
They feel that it is CMS’s job as an agency dedicated to providing effective health care coverage. [read post]
24 Mar 2016, 10:44 am
CMS suggests that the current Medicare Part B drug reimbursement framework — based on the drug’s average sales price (ASP) plus 6 percent — provides a financial incentive to prescribe more expensive drugs without encouraging high-value care. [read post]
23 Mar 2016, 11:01 am
The bill, which still awaits Senate consideration, would implement several OIG recommendations to improve CMS oversight of terminated providers and state screening of providers. [read post]
17 Jul 2010, 12:34 pm
Basic to any effort to improve long-term care is retaining, supporting and strengthening this core group of personal care providers. [read post]
26 Sep 2019, 9:49 am
CMS estimates that the rule will save providers more than $800 million annually, although certain provisions (including the hospital CAH quality of care provisions) are expected to increase provider costs. [read post]
1 Jun 2010, 6:28 am
At this juncture, healthcare providers, to a greater or lesser extent, have begun to acquire at least a basic understanding of the recent federal health reform legislation, commonly known as the Patient Protection and Affordable Care Act (PPACA). [read post]
