Search for: "Centers for Medicare and Medicaid Services"
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2 Nov 2022, 5:00 am
As many healthcare providers may know, UPICs are the primary program integrity contractors for the Centers for Medicare & Medicaid Services (CMS) and the only program integrity contractors with authority to review both Medicare and Medicaid claims. [read post]
1 Nov 2022, 2:20 pm
Although not available statewide, this program offers out-of-home daytime care and supervision at designated CBAS centers. [read post]
31 Oct 2022, 11:35 am
According to the press release, Oswego Hospital alleged that it “improperly bill[ed] Medicare and Medicaid for outpatient mental healthcare services that were rendered by an unsupervised LMSW” and “improperly bill[ed] Medicaid for outpatient mental healthcare services rendered by another LMSW for which Oswego Hospital could not provide documentation to support those claims. [read post]
27 Oct 2022, 9:05 pm
The Centers for Medicare & Medicaid Services (CMS) imposed stricter accountability standards on nursing homes with a history of poor performance. [read post]
26 Oct 2022, 1:17 pm
Stronger implementation of the “Special Focus Facilities (SFF) program” will occur by the Centers for Medicare and Medicaid Services. [read post]
26 Oct 2022, 5:00 am
The following month, in July 2022, the Centers for Medicare & Medicaid (CMS) issued a guidance reiterating federal obligations placed on hospitals and health care providers by EMTALA. [read post]
24 Oct 2022, 12:10 pm
In 2021, for example, thirteen percent (800,000) of" "LIS enrollees were expected to pay an average of $27/month for Part D premiums in plan year 2022 if they did not switch to a premium free plan.In many cases, the reason these individuals are paying premiums is inertia.People who qualify for the full Medicare Part D LIS do not pay premiums if they enroll in plans with “benchmark” prescription drug premiums.Benchmark plans have premiums at or below a cut-off in each… [read post]
24 Oct 2022, 12:08 pm
The Centers for Medicare and Medicaid Services (CMS) announced last Friday that it’s bolstering scrutiny for chronically under-performing nursing homes through revisions of its Special Focus Facility Program. [read post]
20 Oct 2022, 9:47 pm
Department of Health and Human Services, through the Center for Medicare & Medicaid Services, approved Arizona’s proposed Medicaid demonstration which plans to target health-related social needs such as housing support services. [read post]
20 Oct 2022, 7:05 pm
Department Health and Human Services Centers for Medicare & Medicaid Services (CMS) published a Request for Information (RFI) on October 7, 2022, seeking input on creation of a national provider directory for use by patients, regulators, and insurers. [read post]
20 Oct 2022, 9:04 am
In addition, recipients of federal Medicare and Medicaid funding remain obligated under the federal Centers for Medicare & Medicaid Services (CMS) interim final rule, which was upheld by the Supreme Court of the United States early this year. [read post]
18 Oct 2022, 1:58 pm
The Centers for Medicare and Medicaid Services (CMS) is responsible for enforcing EMTALA. [read post]
17 Oct 2022, 3:04 pm
The Centers for Medicare and Medicaid Services (CMS) pay Medicare Advantage plans monthly and give more money to companies that care for sicker people. [read post]
17 Oct 2022, 5:00 am
The UPIC may also persuade the Centers for Medicare & Medicaid Services (CMS) to revoke the provider’s Medicare billing privileges because the UPIC’s probe audits have made it appear as though the provider has a pattern of submitting claims that do not meet Medicare requirements. [read post]
14 Oct 2022, 1:07 pm
California Indian Legal Services Staff Attorney. [read post]
10 Oct 2022, 5:01 am
Civil Investigative Demands are often at the center of the government’s investigative efforts prior to deciding whether to intervene in a qui tam. [read post]
5 Oct 2022, 10:25 am
United States Department of Health and Human Services case arose from a 2019 Centers for Medicare & Medicaid Services (CMS) rule prohibiting nursing homes from requiring residents to sign binding arbitration agreements. [read post]
5 Oct 2022, 4:11 am
The Centers for Medicare and Medicaid Services (CMS) initially suspended most audit activity as a result of the Public Health Emergency (PHE). [read post]
3 Oct 2022, 5:00 am
On Friday, August 26, 2022, the Department of Health and Human Services (HHS) Centers for Medicare and Medicaid Services (CMS), Department of Labor, and Department of Treasury (collectively, the Departments) issued a new Final Rule updating key regulations pertaining to the No Surprises Act. [read post]
1 Oct 2022, 2:06 am
In light of these allegations, the Center for Medicare and Medicaid Services (CMS) had previously announced it would terminate Avocado’s contract with the Department of Health and Human Services. [read post]
