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19 Jun 2007, 7:30 pm
In his Press Release, Governor Spitzer remarked:Ed's more than 25 years of experience advocating for poor New Yorkers seeking Medicaid, Medicare and disability benefits provides him with the critical background and experience necessary to lead the IOLA Fund Board of Trustees. [read post]
19 Jun 2007, 7:29 am
RodrigueThe Centers for Medicare and Medicaid Services (”CMS”) recently issued a letter to State Survey Directors, who conduct surveys to ensure that health care providers (such as hospitals) are meeting the Medicare conditions of participation, to advise them that a hospital may not condition its acceptance of an EMTALA transfer on the sending hospital’s using a particular transport service. [read post]
19 Jun 2007, 4:04 am
Health Care Financing Administration (HCFA) in 1978 for the billing of health care services under Medicare and Medicaid. [read post]
11 Jun 2007, 6:25 pm
The Deficit Reduction Act of 2005 (DRA), which is now being implemented by the Center for Medicare and Medicaid Services (CMS) and the state Medicaid agencies, represents the most immediate and serious challenge for structured settlements. [read post]
11 Jun 2007, 4:35 pm
The Center for Medicare & Medicaid (CMS) is the component of the Federal Government's Department of Health and Human Services that oversees the Medicare and Medicaid programs. [read post]
1 Jun 2007, 4:35 pm
Block Director of the Centers for Medicare and Medicaid Services' (CMS') Center for Beneficiary Choices sent a memo May 29 to Medicare Advantage (MA) Private fee-for-service (PFFS) plans reminding them that CMS [read post]
1 Jun 2007, 10:26 am
The Centers for Medicare and Medicaid Services recommended a bare miniumum standard, which was found to be met by less that 10% of homes nationwide. [read post]
27 May 2007, 6:47 pm
See the CMS Center for Medicaid and State Operations memo here. [read post]
23 May 2007, 1:16 pm
The Center for Medicare and Medicaid Services surveys nursing homes annually and provides a National Nursing Home Watch List. [read post]
23 May 2007, 6:03 am
States that elect to participate in Medicaid are required to submit to the U.S. [read post]
22 May 2007, 7:00 am
The Centers for Medicare & Medicaid Services Program Integrity Group at recently opened a field office in Santa Ana, California, aimed at preventing and prosecuting health care fraud. [read post]
21 May 2007, 8:14 am
In light of concerns over the rapidly approaching deadline, the Centers for Medicare and Medicaid Services (“CMS”) previously stated that for one year from the compliance date (i.e., until May 23, 2008), CMS will not impose penalties on non-compliant covered entities that deploy contingency plans, as long as the covered entity has made reasonable and diligent efforts to become compliant and, in the case of health plans, to facility… [read post]
16 May 2007, 9:56 am
LITTLE COMPANY OF MARY HOSPITAL AND HEALTH CARE CENTERS, Defendant-Appellee, Separate Appellant, and MANOR CARE HEALTH SERVICES, INC., JUE-LIN TANG, M.D., and METRO INFECTIOUS DISEASE CONSULTANTS, L.L.C., Defendants. [read post]
14 May 2007, 10:51 pm
More bad news for ESA drugs like Epogen:From the Medicare site:The Centers for Medicare & Medicaid Services (CMS) announced today its proposed decision to limit coverage of erythropoiesis stimulating agent (ESA) treatment for beneficiaries with certain cancers and related neoplastic conditions, either because of a deleterious effect of the ESA on the beneficiaries' underlying disease or because the underlying disease increases their risk of… [read post]
11 May 2007, 9:35 am
Recent Illinois appellate and Illinois Supreme Court cases have suggested that when a government entity such as Medicare or Medicaid have paid only a negotiated, reduced portion of a plaintiff's medical bills, as is customary in a medical malpractice or personal injury case involving older or indigent individuals, the plaintiff must present expert testimony that the total bills are customary, reasonable and necessary. [read post]
10 May 2007, 5:00 am
CMS has taken aggressive action to curb infusion therapy fraud and other organized fraud actions," said Leslie Norwalk, acting administrator of the Centers for Medicare and Medicaid Services. [read post]
25 Apr 2007, 1:49 am
.); (5) Health Law (ERISA, HIPAA, COBRA, Medicare, Medicaid); (6) immigration law; (7) intellectual property law (copyright, patents, trademarks); (8) labor law (NLRA); (9) maritime law" and that "Some states require virtually no knowledge of tax or bankruptcy. [read post]
23 Apr 2007, 7:13 am
One of the biggest cost-savers suggested is to reduce the payments made to private plans (Medicare Advantage Plans) that provide private coverage through Medicaid. [read post]
20 Apr 2007, 11:26 am
" After extraordinary controversy, the Centers for Medicare and Medicaid Services backed down a bit, claiming merely to insist that PAPs exist outside Part D coverage. [read post]
11 Apr 2007, 9:24 am
From a CMS press release issued today:The Centers for Medicare & Medicaid Services (CMS) today announced the national launch of DOQ-IT (Doctor's Office Quality Information Technology) University, or DOQ-IT U, to support health information technology (HIT) in physicians' offices. [read post]
