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 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 by Debra A. McCurdy
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]
6 Jul 2020, 1:50 pm by Emily Burchfield, Guest Author
The Provider Relief Fund The federal government partnered with United Health Group to disburse funds to providers from the Center for Medicare & Medicaid Services (CMS), through the Provider Relief Fund (the “Fund”). [read post]
13 Jun 2013, 6:54 am by Jerri Lynn Ward, J.D.
–  “A compliance expert cautioned long-term care providers about CMS’ new Fraud Prevention System in a recent McKnight’s Super Tuesday webcast. [read post]
30 Apr 2012, 8:59 am
The Patient Protection and Affordable Care Act of 2010 (PPACA) provided CMS with increased authority to combat fraud and abuse in Medicare. [read post]
10 Dec 2013, 1:01 pm by Debra A. McCurdy
CMS has issued several major Medicare payment rules for 2014, including rules updating reimbursement for hospital outpatient departments, ambulatory surgical centers, physicians and other Part B providers, end-stage renal disease facilities, durable medical equipment suppliers, and home health agencies. [read post]
6 Jan 2008, 3:11 pm
The Centers for Medicare and Medicaid Services (CMS) has announced officially that beginning in October 2008 expenses incurred from medical mistakes made by health care providers will no longer be eligible for reimbursement. [read post]
12 Apr 2016, 1:08 pm by Debra A. McCurdy
  By way of background, the final rule required states to develop and submit to CMS an access monitoring review plan for the following service categories: primary care services (including those provided by a physician, federally qualified health center, clinic or dental care); physician specialist services (e.g., cardiology, urology, radiology); behavioral health services (including mental health and substance use disorder); pre-… [read post]
11 Jun 2020, 2:43 pm by Carrie Gorner
Department of Health and Human Services (HHS) announced additional distributions from the CARES Act Provider Relief Fund to several groups of providers, totaling approximately $25 billion. $15 billion of these funds is targeted towards eligible Medicaid and Children’s Health Insurance Program (CHIP) providers participating in state Medicaid and CHIP programs. [read post]
22 Jan 2016, 5:07 am by Debra A. McCurdy
  While we are still digesting what the rule means for drug manufacturers and other health care providers, we promise a full analysis of the final rule, as well as a Medicaid Rebate Program Final Rule Evaluation Checklist for manufacturers. [read post]
CMS will provide hospitals the flexibility to develop programs that reflect the scope and complexity of the services provided. [read post]
12 Nov 2015, 8:47 am by Debra A. McCurdy
The final rule includes a detailed discussion of the initial set of HHVBP measures (six process measures, 10 outcome measures, and five Home Health Care Consumer Assessment of Healthcare Providers and Systems Survey (HHCAHPS) measures), and the scoring/payment adjustment methodology. [read post]
9 Feb 2024, 12:32 pm by Little Health Law
Stay Informed: Health care companies should closely monitor updates and developments related to the proposed rule and promptly submit any comments or feedback to CMS. [read post]
24 Feb 2012, 6:30 am
Changes to Stage 1 of meaningful use would take effect for 2013, but most would be optional until 2014.CMS provides the following Fact Sheet summary of the Stage 2 requirements. [read post]
31 Jan 2019, 1:44 pm by Robert Hill and Debra A. McCurdy
”  The program must focus on “promoting improved health, medication adherence, and the efficient use of health care resources. [read post]
24 Feb 2012, 6:30 am
Changes to Stage 1 of meaningful use would take effect for 2013, but most would be optional until 2014.CMS provides the following Fact Sheet summary of the Stage 2 requirements. [read post]
The post COVID-19 Update: CMS Announces Resumption of Survey Activities appeared first on Health Law Pulse. [read post]
17 Jun 2016, 11:48 am by Wachler & Associates, P.C.
 During the ODF, home health agencies (HHAs) had the opportunity to learn more about the Demonstration and to ask CMS questions regarding pre-claim reviews. [read post]
17 Jun 2016, 11:48 am by Wachler & Associates, P.C.
 During the ODF, home health agencies (HHAs) had the opportunity to learn more about the Demonstration and to ask CMS questions regarding pre-claim reviews. [read post]
8 Jan 2024, 9:39 am by Julia Kourpas
When enforcing the standards, CMS should provide staff-to-resident ratios so that residents and their families can easily determine if the appropriate care is being received. [read post]