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17 Apr 2011, 6:00 am
At the same time, a California state department or county agency that furnished or supplied medical treatment services under the California Services Program has a subrogation right (legal interest) against any settlement relating to the medical condition for which the medical services were (or will be) supplied. [read post]
16 Jul 2009, 12:07 pm
" The proposed regulation requires medical directors and supervising physicians to have a number of qualifications including having proper training in advanced imaging services through a residency program; having the expertise to be a medical director or supervising physician; having completed continuing medical education courses pertaining to advanced imaging services; and any other requirements the Secretary deems appropriate. [read post]
26 Jan 2018, 6:34 am
” CMS Administrator Seema Verma said in response that Medicare regularly recovers funding from medical services provided due to recalled or defective devices through the “Medicare Secondary Payer process. [read post]
4 Feb 2020, 10:58 am
The ten EHB categories are: (1) ambulatory patient services; (2) emergency services; (3) hospitalization; (4) maternity and newborn care; (5) mental health and substance use disorder services, including behavioral health treatment; (6) prescription drugs; (7) rehabilitative and habilitative services and devices; (8) laboratory services; (9) preventive and wellness services and chronic disease management; and (10) pediatric… [read post]
20 Sep 2016, 7:40 am
The New York Times reports that CMS “banned Elizabeth Holmes, the chief executive of Theranos, from owning or operating a medical laboratory for at least two years, in a major setback for the embattled blood-testing firm and its once widely lauded founder. [read post]
8 May 2009, 4:20 am
Medical continues to be problematic as CMS (The Centers for Medicare and Medicaid Services) continue to become more involved in the workers' compensation process that the Sec. 111 Mandatory Registration process and the recovery efforts and monitoring of future care plans, ie. [read post]
18 Sep 2014, 7:46 am
Last year CMS quit reporting life-threatening conditions acquired by patients during hospital stays. [read post]
15 Sep 2015, 4:42 am
Associations, Consumer Operated and Oriented Plan (CO-OP) Programs, Stand Alone Dental Plans, Federally-faciliated Marketplace (FFM) Issuers, State Based Marketplaces, SBM Issuers, and Small Business Health Options Program (SHOP) issuers should review the Centers for Medicare & Medicaid Services (CMS) Payment Policy & Financial update on CMS’ policies regarding the administration of the enrollment and payment data reporting requirements of the Patient… [read post]
18 Aug 2009, 7:05 am
Centers for Medicare and Medicaid Services (CMS) noted that consignment closets (also known as stock and bill arrangements) have not complied with durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) supplier standards. [read post]
6 May 2010, 1:36 pm
If CMS does not subsequently provide approval of the funded WCMSA amount as specified in the settlement and proof is not provided to CMS that the CMS-approved amount has been fully funded, CMS may deny payment for services related to the WC claim up to the full amount of the settlement. [read post]
27 Mar 2020, 9:07 am
Previously, telehealth benefits under Medicare were limited to when the patient was located in a designated rural area and went to a clinic, hospital, or certain other types of medical facilities for the service. [read post]
4 Nov 2020, 5:10 am
CMS further clarifies that plans and issuers that are subject to Section 2713 of the Public Health Service Act must also cover, without cost sharing, the recommended preventative services that are integral to furnishing a COVID-19 specimen, regardless of whether these items and services are billed separately. [read post]
17 Dec 2021, 11:08 am
As we previously reported, the Centers for Medicare & Medicaid Services’ (CMS’s) interim final rule (the “Rule”) requiring full COVID-19 vaccination for staff and others at Medicare- and Medicaid-certified providers and suppliers (i.e., the “vaccine mandate”) was effectively stayed nationwide on November 30, 2021, by the U.S. [read post]
1 May 2017, 9:34 am
For FY 2020, CMS is proposing that SNFs begin reporting standardized patient assessment data in the following five categories, as required by law: (1) functional status; (2) cognitive function; (3) special services, treatments and interventions; (4) medical conditions and co-morbidities; and (5) impairments. [read post]
17 Feb 2012, 9:12 am
See the CMS letter to Massachusetts re pre-eligibility medical expenses. [read post]
18 Sep 2017, 9:44 am
The Graham-Cassidy legislation would repeal the ACA’s individual and employer mandates and medical device tax and replace the ACA with annual block grants to the states. [read post]
30 Nov 2011, 7:21 am
Adopted Rules The Texas Medical Board adopted changes to several sections of the code: Licensure Reinstatement And Reissuance Temporary And Limited Licenses Fees And Penalties Complaints Surgical Assistants Pain Management Clinics On DADS’ behalf, HHSC adopted changes to several sections of the code: Mental Retardation Services–Medicaid State Operating Agency Responsibilities Nursing Facility Administrators Community Living Assistance And Support Services… [read post]
18 Mar 2012, 7:12 am
"CMS' report is significant because it lifts the veil of secrecy surrounding medical mistakes at area hospitals," said Syracuse medical malpractice lawyer Michael A. [read post]
20 Mar 2024, 10:00 pm
Part B covers certain physician services, outpatient care, medical supplies, and preventive services. [read post]
20 Mar 2024, 10:00 pm
Part B covers certain physician services, outpatient care, medical supplies, and preventive services. [read post]
