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1 Dec 2022, 2:00 am
Healthcare and other high-contact industries remain subject to other more restrictive COVID requirements (either under federal rules or state law), such as the vaccination and masking rules communicated by the Centers for Medicare and Medicaid Services (CMS) for many healthcare entities. [read post]
30 Nov 2022, 11:46 am
This indictment included 15 counts against the defendants including staffing falsifications and Medicare and Medicaid reimbursement fraud. [read post]
White House vs. Nursing Home Providers: DLP Will Fight for Victims of Nursing Home Abuse and Neglect
28 Nov 2022, 7:30 am
Following this announcement, the Department of Health and Human Services and Centers for Medicaid & Medicare Services felt they needed to get involved to further promote this issue present in residential nursing homes. [read post]
21 Nov 2022, 5:42 am
The VICP is not a benefit program like Medicare or Medicaid. [read post]
15 Nov 2022, 7:36 pm
Because Medicare is a government program and the government relies on trustworthy practitioners to provide excellent medical care to potentially vulnerable patients, investigators with the Centers for Medicare and Medicaid Services (CMS) are motivated to find and investigate those who may be acting in ways that are not conducive to Medicare’s overall aims. [read post]
14 Nov 2022, 7:06 pm
Centers for Medicare and Medicaid Services (CMS). [read post]
14 Nov 2022, 7:06 pm
Centers for Medicare and Medicaid Services (CMS). [read post]
14 Nov 2022, 7:06 pm
Centers for Medicare and Medicaid Services (CMS). [read post]
11 Nov 2022, 9:22 am
Congress enacted the Federal Nursing Home Reform Act of 1987 under its spending clause power, providing Medicare and Medicaid funds to operators of nursing facilities in exchange for the operators abiding by certain federal obligations. [read post]
10 Nov 2022, 10:00 pm
The Centers for Medicare & Medicaid Services (CMS) delayed the publication of the final rule on the use of extrapolation and the application of a fee-for-service adjuster (FFS Adjuster) in risk adjustment data validation (RADV) audits of Medicare Advantage organizations (MAOs). [read post]
10 Nov 2022, 10:00 pm
The Centers for Medicare & Medicaid Services (CMS) delayed the publication of the final rule on the use of extrapolation and the application of a fee-for-service adjuster (FFS Adjuster) in risk adjustment data validation (RADV) audits of Medicare Advantage organizations (MAOs). [read post]
10 Nov 2022, 10:00 pm
The Centers for Medicare & Medicaid Services (CMS) delayed the publication of the final rule on the use of extrapolation and the application of a fee-for-service adjuster (FFS Adjuster) in risk adjustment data validation (RADV) audits of Medicare Advantage organizations (MAOs). [read post]
10 Nov 2022, 10:00 pm
The Centers for Medicare & Medicaid Services (CMS) delayed the publication of the final rule on the use of extrapolation and the application of a fee-for-service adjuster (FFS Adjuster) in risk adjustment data validation (RADV) audits of Medicare Advantage organizations (MAOs). [read post]
10 Nov 2022, 10:00 pm
The Centers for Medicare & Medicaid Services (CMS) delayed the publication of the final rule on the use of extrapolation and the application of a fee-for-service adjuster (FFS Adjuster) in risk adjustment data validation (RADV) audits of Medicare Advantage organizations (MAOs). [read post]
10 Nov 2022, 10:00 pm
The Centers for Medicare & Medicaid Services (CMS) delayed the publication of the final rule on the use of extrapolation and the application of a fee-for-service adjuster (FFS Adjuster) in risk adjustment data validation (RADV) audits of Medicare Advantage organizations (MAOs). [read post]
9 Nov 2022, 5:00 am
In a recent news release, the Department of Health and Human Services’ (HHS) Centers for Medicare & Medicaid Services (CMS) announced revisions to the Special Focus Facility Program (SFFP), which addresses poor nursing home performance, that will have the effect of increased scrutiny of these troubled facilities. [read post]
7 Nov 2022, 5:00 am
On October 7, 2022, the Centers for Medicare & Medicaid Services (CMS) published a request for information (RFI) notice seeking public comment on a proposed national healthcare provider directory. [read post]
6 Nov 2022, 11:21 pm
In addition, the Second Circuit rejected Pfizer’s argument that the AKS should be read more narrowly than the beneficiary inducement statute (BIS), a civil statute that prohibits a person from offering to a Medicare or Medicaid beneficiary any remuneration that the person knows or should know is likely to influence such individual to order or receive from a particular provider, practitioner, or supplier any item or service for which payment may be made, in whole or… [read post]
4 Nov 2022, 12:58 pm
The Centers for Medicare and Medicaid Services (CMS) continue to delve into nursing home ownership models, specifically scrutinizing understaffing at for-profit nursing homes. [read post]
4 Nov 2022, 10:51 am
Anderson under the Tennessee Medicaid False Claims Act for the false claims he submitted to TennCare. [read post]
