Search for: "CMS Health Care Provider"
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7 Apr 2014, 11:55 pm
CMS has extended the Affordable Care Act (ACA) insurance enrollment period for individuals (1) who have had difficulty signing up for a health insurance plan through an Affordable Insurance Exchange by March 31, 2014, or (2) who have not signed up by March 31 due to a wide range of circumstances. [read post]
23 Mar 2021, 11:30 pm
"Therefore, among other measures, Morrison calls on Medicare to "incentivize physicians and financially reward health care institutions for providing high-quality palliative care. [read post]
15 Mar 2013, 12:42 pm
On March 13, 2013, the Centers for Medicare & Medicaid Services ("CMS") released a Proposed Rule and Administrator's Ruling that provide for significant revisions to Medicare's Part B payment policy when a Part A hospital inpatient claim is denied as not medically necessary because the care was not provided in the appropriate setting. [read post]
8 Aug 2016, 10:09 am
Second, CMS is expanding these moratoria to Medicaid and Children’s Health Insurance Program (CHIP) enrollment. [read post]
15 Nov 2023, 9:00 am
Hospitals’ and health systems’ ability to continue caring for patients and providing essential services for their communities may be in jeopardy, which is why the AHA is urging Congress for additional support by the end of the year. [read post]
26 Sep 2013, 4:13 pm
If you need assistance in developing an effective compliance program, or need help navigating through the complexities of the new inpatient admission rule, please contact an experienced health care attorney at Wachler & Associates via phone (248-544-0888) or email (wapc@wachler.com). [read post]
29 Dec 2017, 4:05 am
This undesirable designation identifies the facility as a nursing home that provides significantly inadequate quality of care. [read post]
20 Jun 2016, 10:08 am
CMS has published a final rule that revises the methodology CMS uses to measure the performance of accountable care organizations (ACOs) in the Medicare Shared Savings Program. [read post]
17 Jul 2020, 10:39 am
The CARES Act permits CMS to reimburse Rural Health Clinics and Federally Qualified Health Centers to provide telehealth services. [read post]
4 Jan 2012, 9:44 am
The contract negotiation (out in public view) focused, in part, on Tufts' complaint that BCBSMA pays way more for health care services provided by another network, Partners Health Care, and that it should be compensated on the same scale. [read post]
29 Nov 2017, 2:18 am
The Federal Felonies for Health Care Fraud Based on Money Any relationship between a pharmaceutical company and a health care provider will have investigators suspicious of illegal activity now. [read post]
3 May 2017, 7:30 am
Policies CMS could adopt to reduce burdens, improve quality of care, and decrease health care costs. [read post]
15 Dec 2021, 3:17 pm
The CMS vaccine rule -- which applies to the staff of many Medicare- and Medicaid-certified providers such as hospitals, long-term care facilities, home-health agencies, and hospices (“covered entities”), and which has dominated news headlines in recent weeks (see our prior posts on it here and here) – is back in action, at least in some states. [read post]
14 Apr 2017, 12:03 pm
” Specifically, CMS seeks ideas for policy and procedural changes in such areas as: benefit design; operational or network composition flexibility; supporting the doctor-patient relationship in care delivery; facilitating individual preferences; plan payment, monitoring, and measurement; how and when CMS issues regulations and policies; and how CMS can simplify rules and policies for beneficiaries, providers and plans. [read post]
30 Mar 2022, 9:02 pm
Aduhelm falls under Medicare Part B spending because it is administered intravenously in a health care setting. [read post]
28 Mar 2018, 5:58 am
The program provides for a new type of health care entity, an Accountable Care Organization (“ACO”), that is held accountable for the quality and experience of care for a population of assigned Medicare beneficiaries while reducing the rate of growth in health care spending for that population. [read post]
13 Feb 2015, 12:16 pm
The 2012 rule would provide details on implementation of an Affordable Care Act (ACA) provision requiring enrolled providers and suppliers (and certain other enrollees) receiving Medicare funds to report and return Medicare overpayments by the later of 60 days after the date on which the overpayment was identified or, if applicable, the date any corresponding cost report is due. [read post]
8 Aug 2023, 9:03 am
Martin’s Point Health Care Inc. [read post]
24 Mar 2020, 8:22 am
CMS stated that it “is not seeking to be punitive, but rather to respond to urgent issues while proactively ensuring providers are compliant with federal health and safety standards. [read post]
17 Dec 2014, 5:48 am
With regard to HHS funding, the bill, among other things: holds CMS funding at FY 2014 levels; provides no new funding for Affordable Care Act implementation and blocks the use of CMS program management funds to support risk corridor payments; provides emergency funding to address the Ebola crisis; increases National Institutes of Health funding by $150 million over FY 2014 levels; provides funds to FDA to investigate counterfeit drugs… [read post]
