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26 Apr 2022, 9:08 pm by Tess C. Markovich
FDA has historically opted to regulate only IVDs and delegate their regulatory authority over LDTs to the Centers for Medicare and Medicaid Services (CMS.) [read post]
23 Aug 2012, 6:30 am by Frank Pasquale
If the Centers for Medicare and Medicaid Services can embrace the analytics of private contractors, the FTC should aspire to do the same. [read post]
10 Dec 2019, 9:05 pm by Simone Hussussian
The Centers for Medicare and Medicaid Services (CMS), the federal agency that administers the ACA marketplace subsidies, could attempt to restrict silver loading by requiring insurance companies to spread the cost of CSRs among all plan types. [read post]
.,[2] held that the defendants were not liable under the FCA because they did not act “knowingly” since they had offered in litigation “objectively reasonable” (if not accurate) interpretations of the complex Medicare and Medicaid prescription drug pricing schemes at issue (involving accurate reporting of “Usual and Customary” pricing to ensure government payors receive the benefits of discounts provided in the market place to commercial insurers… [read post]
27 Apr 2021, 9:04 am by Sean M. Cleary
In particular, the Emergency Medical Treatment and Labor Act and Florida Statutes 395.1041 mandate that hospitals with emergency departments that accept payments from Medicare or Medicaid: provide access to emergency services and care. [read post]
29 Jul 2024, 6:29 am by Daniel R. Forman and Issac Schabes
The procurement sought a contractor to perform “operational analytics” (OA) services—including data analysis, reporting, root cause analysis, and surveillance functions—related to Center for Medicare and Medicaid Services (CMS) operations under the Patient Protection and Affordable Care Act. [read post]
6 Apr 2020, 4:14 pm by tvasil
  This interruption is due to the closing of testing centers and due to the inability to meet the fingerprinting requirement. [read post]
30 Mar 2012, 6:50 am by Moshe (Thomas A.) Sharon, R.N., M.P.H.
Logistically, the act of shutting down life support is going to be relatively easy because the largest payer of hospital and nursing facility care is the Medicare system and the chief policy maker is the director of the Centers for Medicare and Medicaid Services (CMS) who serves at the pleasure of the president of the United States. [read post]
22 Nov 2010, 9:28 am by Frank Pasquale
A case can be made that each of these activities falls within the literal terms of the broadly worded Medicare and Medicaid referral fee statute. [read post]
22 Nov 2010, 9:42 am by Frank Pasquale
A case can be made that each of these activities falls within the literal terms of the broadly worded Medicare and Medicaid referral fee statute. [read post]
24 Apr 2017, 5:08 pm by Cynthia Marcotte Stamer
  That’s the clear message to covered entities and their business associates in the April 17, 2017 HIPAA Resolution Agreement just announced by the Department of Health & Human Services (HHS) Office of Civil Rights (OCR) with the Center for Children’s Digestive Health (CCDH). [read post]
11 Apr 2020, 9:26 am by bhorton
The current Center for Medicare and Medicaid Services (CMS) recommendations advise evaluating clinical situations by analyzing the risk and benefit of any planned procedure while considering resource conservation. [read post]
27 Jun 2017, 7:56 am by Hillary Byrnes
Given the rising costs of health care, it is not surprising that nonprofit hospitals, including hospitals founded by religious orders, accept patients who have Medicare, Medicaid or other government-sponsored insurance plans. [read post]
30 Jul 2024, 7:53 am by jeffreynewmanadmin
Jeff Newman represents whistleblowers nationwide relating to Medicare and Medicaid fraud, under the state and federal False Claims Act (Qui Tam) laws. [read post]
21 Apr 2018, 1:00 am by Victor Medina
The way this happened by the way, is that Congress required the Centers for Medicare and Medicaid services to remove social security numbers by April of 2019. [read post]
12 Oct 2010, 10:50 pm by David Harlow
  But there’s some additional federal Medicaid money now available for Boston Medical Center, Cambridge Health Alliance.It seems to me that’s not a sustainable way of addressing these issues with stop-gap additional funds. [read post]
” On the same day, the Centers for Medicare & Medicaid Services (CMS) issued similar guidance for certain healthcare organizations and their employees. [read post]
17 Nov 2021, 2:44 pm by Cynthia Marcotte Stamer
Stamer’s work throughout her 30 plus year career has focused heavily on working with health care and managed care, health and other employee benefit plan, insurance and financial services and other public and private organizations and their technology, data, and other service providers and advisors domestically and internationally with legal and operational compliance and risk management, performance and workforce management, regulatory and public policy and other legal and… [read post]
29 Nov 2014, 4:30 pm by Nursing Home Law Center LLC
Filed Under: Nursing Home / Medicare Fraud The FBI apprehended a man and his wife in Atlanta this month for Medicare and Medicaid fraud. [read post]