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30 Mar 2020, 8:40 am
There are at least two pathways the federal government might use to do this, although both have limitations.First, the New Technology Add-On Payment (NTAP) program administered by the Centers for Medicare & Medicaid Services (CMS) permits the agency to provide additional reimbursement for the purpose of encouraging the adoption and dissemination of new technologies in medical practice. [read post]
30 Mar 2020, 8:15 am
The Centers for Medicare and Medicaid Services (CMS) has issued a proposed regulation that specifies how and when it will impose financial penalties. [read post]
28 Mar 2020, 7:32 am
Includes $100 billion for grants to hospitals, public and nonprofit health organizations and Medicare and Medicaid suppliers.Aid to state and local governments: $150 billion, with at least $1.5 billion for smallest states.Direct payments to people: One-time payments of $1,200 per adult, $2,400 per couple, $500 per child. [read post]
27 Mar 2020, 7:53 am
Fraudulent offers for free COVID-19 testing in order to obtain Medicare beneficiary information that is used to submit false medical claims for unrelated, unnecessary, or fictitious testing or services. 18 U.S.C. [read post]
26 Mar 2020, 4:45 pm
Recently, the Centers for Medicare and Medicaid Services established increasingly stringent guidance for LTCFs. [read post]
26 Mar 2020, 2:21 pm
Eligible health care providers include public entities, Medicare or Medicaid enrolled suppliers and providers, and for-profit and not-for-profit entities as the Department of Health and Human Services (HHS) may specify. [read post]
26 Mar 2020, 1:27 pm
Last July, the Centers for Medicare and Medicaid Services (CMS) proposed a plan that would, among other things, relieve nursing homes from complying with an Obama-era rule requiring facilities to employ at least one specialist with knowledge of preventing infections. [read post]
26 Mar 2020, 7:43 am
Since these pronouncements, Liles Parker attorneys have received numerous calls asking for clarification on these waivers and other guidance from HHS and the Centers for Medicare and Medicaid Services (CMS). [read post]
25 Mar 2020, 10:00 am
Because of these challenges, the Centers for Medicare and Medicaid Services (CMS) and other principal operating components of the United States Department of Health and Human Services (HHS) are issuing frequent guidance to our community. [read post]
24 Mar 2020, 8:58 am
Access to Medicines: Medicare Advantage plans would be required to eliminate barriers to accessing COVID-19 treatment services like prior authorization requirements, which the Senate bill does not provide. [read post]
23 Mar 2020, 1:28 pm
” [3] Prior to calendar year 2019, the Centers for Medicare and Medicaid Services (“CMS”) has considered an item or service to be “primarily health related” only if the primary purpose is to “prevent, cure, or diminish an illness or injury. [read post]
23 Mar 2020, 8:48 am
For more information regarding the actions of the Centers for Medicare & Medicaid Services (“CMS”) in this regard, please visit: www.cms.gov/newsroom/fact-sheets/medicare-telemedicine-health-care-provider-fact-sheet.On Tuesday, March 17, 2020, CMS issued further guidance, which can be accessed at: www.medicaid.gov/medicaid/benefits/downloads/medicaid-telehealth-services.pdf. [read post]
22 Mar 2020, 9:18 pm
For more information regarding the actions of the Centers for Medicare & Medicaid Services (“CMS”) in this regard, please visit: www.cms.gov/newsroom/fact-sheets/medicare-telemedicine-health-care-provider-fact-sheet.On Tuesday, March 17, 2020, CMS issued further guidance, which can be accessed at: www.medicaid.gov/medicaid/benefits/downloads/medicaid-telehealth-services.pdf. [read post]
20 Mar 2020, 5:41 am
Consequently, along with its release of the 2020 Report, EBSA reminded plans, employers and other interested parties of the following previously published EBSA guidance about the MHPAEA mandates:FY 2019 Mental Health Parity and Addiction Equity Act (MHPAEA) Enforcement Fact Sheet, available at https://www.dol.gov/sites/dolgov/files/EBSA/laws-and-regulations/laws/mental-health-parity/mhpaea-enforcement-2019.pdfAppendix to FY 2019 MHPAEA Enforcement Fact Sheet, available at… [read post]
19 Mar 2020, 3:24 pm
At this time, the Center for Medicare and Medicaid Services (CMS) has announced two Healthcare Common Procedure Coding System (HCPCS) codes to be used when billing Medicare and Medicaid for COVID-19 diagnostic tests.[10] As with all Medicare and Medicaid billing, there is a risk that providers may “upcode” treatments, meaning that they will fraudulently bill for treatments different than those actually… [read post]
19 Mar 2020, 9:48 am
(2) The term ``public health emergency designation'' means the declaration of a public health emergency, based on an outbreak of SARS-CoV-2 or another coronavirus with pandemic potential, by the Secretary of Health and Human Services under section 319 of the Public Health Service Act (42 U.S.C. 247d) [read post]
17 Mar 2020, 6:55 pm
Effective retroactively to March 6, 2020, the Centers for Medicare & Medicaid Services (CMS) will allow providers to bill Medicare for a range of telehealth services. [read post]
16 Mar 2020, 1:32 pm
Since these pronouncements, Liles Parker attorneys have received numerous calls asking for clarification on these waivers and other guidance from HHS and the Centers for Medicare and Medicaid Services (CMS). [read post]
16 Mar 2020, 9:44 am
On Friday, the Centers for Medicare & Medicaid Services (CMS) announced tight facilities access restrictions and other critical additional new measures designed to keep America’s nursing home residents safe from the 2019 Novel Coronavirus (COVID-19) in connection with the broader Trump Administration declaration of a national emergency to deal with the COVID-19 outbreak. [read post]
14 Mar 2020, 4:45 pm
Trump’s proclamation is relatively narrow, outlining three directives: First, the proclamation empowers the Secretary of Health and Human Services (HHS) to exercise authority under Section 1135 of the Social Security Act (SSA) to waive or modify certain requirements of Medicare, Medicaid, and State Children’s Health Insurance programs and of the Health Insurance Portability and Accountability Act Privacy Rule throughout the duration of the emergency. [read post]
